RT Book, Section A1 DeWitt, Thomas G. A1 Halfon, Neal A2 Kline, Mark W. SR Print(0) ID 1182915317 T1 Evolution of Pediatric Practice T2 Rudolph's Pediatrics, 23e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259588594 LK accesspediatrics.mhmedical.com/content.aspx?aid=1182915317 RD 2024/04/24 AB As pediatrics and the delivery of children’s health care enter the third decade of the 21st century, the role of the pediatrician continues to evolve and change. Guided by the knowledge, skills, and tools that the profession has accumulated over many decades, pediatricians must strategically respond to changing conditions, health determinants, and the epidemiology of childhood, as well as to shifting social and cultural norms of what constitutes healthy child development. Our knowledge of the pathophysiology of many diseases has evolved from simple causal models based on germ theory to more complex multilevel and developmentally informed models of gene–environment interactions. As pediatric care has triumphed over many infectious diseases and made significant strides in the management of chronic disease, newer morbidities continue to emerge as the social conditions of children and families evolve and inequality and adversity become more prevalent. The growing prevalence of developmental, behavioral, and mental health conditions is indicative of these changes. To impact child health, forward-looking pediatricians must provide care with an expanded concept of healthy child development and must acquire skills to effectively practice in collaboration with other individuals and entities involved in promoting and supporting that development.