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18 Month Well-Baby Visit One-Page Primer

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Posted: December 1, 2014    Format: PDF
18 Month Well-Baby Visit One-Page Primer

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Category(s): Child and Adolescent, Clinical (by topic), One-Page Primer
Topic(s): One Page Primer, Well baby


The 18-month well-baby visit (WBV) is a pivotal primary care visit. In addition to a regular check-up visit, the visit is an opportunity for early identification and intervention for developmental issues in young children.1,2 Speech and language development, as well as literacy and social interaction, progress rapidly at this age. Physicians should offer interventions when they are any concerns regarding development or socialization. To facilitate the 18-month WBV, parents/caregivers are requested to complete a standardized assessment tool, the Nipissing District Developmental Screen (NDDS), prior to or at the time of the visit. Physicians are recommended to discuss the NDDS results and conduct a consistent, focused evaluation using an evidence-based tool, the Ontario Rourke Baby Record.3 If there is a concern with communication or socialization, physicians should also include the Checklist for Autism in Toddlers (CHAT) to assess toddlers. An excellent resource for parents can be found at the Canadian Pediatric Society Website for parents:

This one-page primer provides useful clinical information on a primary care topic. Physicians, medical trainees and other health care practitioners could use these short documents as a point-of-care tool, a reference or a study aid. Use of this information to guide clinical care must be done in the context of appropriate medical knowledge and clinical judgement.

The material is presented with a special focus on family medicine and primary care. The content is evidence-based and employs Canadian guidelines where available.

Depending on the topic, the one page PDF file will include an overview, risk factors, definitions, etiologies, diagnostic considerations, management or approach, investigations, referral guidelines, pharmacotherapy, algorithms, patient resources and the bottom line.

The topics in the DFCMOpen One Page Primer series generally address and supplement The College of Family Physicians of Canada’s “99 Priority Topics” for family medicine residents in Canada.

Creation and revision dates are clearly presented at the top of each document and references can be found online at One Pager Project References.