TY - CHAP M1 - Book, Section TI - Introduction to Developmental-Behavioral Pediatrics: Pediatric Developmental Assessment A1 - Voigt, Robert G. A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Dr. Julius Richmond (1916–2008), a pediatrician, the first national director of Head Start, and the 12th Surgeon General of the United States (from 1977 to 1981), recognized child development as the basic science of pediatrics. The longitudinal process of child development distinguishes pediatric medicine from all other medical specialties, and child development and behavior have an impact on every pediatric healthcare encounter. In addition, developmental and behavioral concerns are the most prevalent concerns in pediatric medicine. For example, while congenital heart disease affects about 1% of the pediatric population, chronic developmental-behavioral disorders (such as learning disabilities and other learning problems, attention-deficit/hyperactivity disorder [ADHD], autism spectrum disorder, intellectual disabilities, and cerebral palsy) affect approximately 20% to 25% of the pediatric population. These numbers indicate that to provide subspecialty level care to all of these patients, board-certified developmental-behavioral pediatricians should outnumber board-certified pediatric cardiologists by at least 20 to 1. In actuality, pediatric cardiologists outnumber developmental-behavioral pediatricians by 4 to 1, resulting in a severe shortage of developmental-behavioral pediatricians and extremely long waiting lists at tertiary care developmental pediatric centers nationally. Thus, the majority of the pediatric population with developmental-behavioral concerns needs to be identified, diagnosed, and longitudinally managed by their primary care pediatric medical providers, reaffirming child development as the basic science of primary care pediatric practice. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/05 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182923883 ER -