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EDITOR’S NOTE New Tools for Patients Well-child visits can be hectic. In addition to the questions that the parent and child bring to the table, pediatricians have to screen infants for delays in a vast array of domains. Previously, this screening re- quired multiple different surveys or ques- tions, each with its own paperwork and scoring system. How many times I have wished that all of my screening could be done on one form and recorded in one place, without being too much of a burden to my staff or patients. Thankfully, Dr. Ellen Perrin at Tufts has heard my silent plea. In this is- sue, she introduces a new comprehensive screening tool for children ages called The Survey of Wellbeing of Young Children, or SWYC for short. The SWYC is a complete screen of de- velopmental domains (social, emotional, and behavioral) and family context, all pared down to around 40 questions tai- lored to each well-child visit. Parents usu- ally take 10–15 minutes to complete the free form, which is currently available in English and Spanish at TheSWYC.org. The SWYC also has a Milestones Scoring Chart that allows practitioners to keep track of child development in each do- main over time. With this free comprehensive screening tool, you can streamline your practice to benefit both your patients and your staff. To learn more about the SWYC, please read the full article by Dr. Ellen C. Perrin on page 6 or visit TheSWYC.org. And what of our older patients? Are those well visits a walk in park? Sadly, no. I often find myself advocating for a literal walk in the park as a strategy to combat one of the most common medical prob- lems: obesity. With one in three children overweight or obese nationally, I know that I am not alone in my role as a weight- loss advocate, a position for which I was very poorly trained. Luckily, the AAP knows that we need to develop these skills to help today’s chil- dren and families, especially if we weren’t trained in residency to promote behavior- al change. To make learning effective counseling easier, the AAP Institute for Childhood Weight teamed up with the AAP Division of Quality and Kognito, a patient engagement company. Together, they created a new app called ChangeTalk. With online, Apple and Droid versions, ChangeTalk is designed to help pediatri- cians hone their motivational interview- ing tactics by providing a simulated environment to practice weight manage- ment counseling. In the app, a “pediatri- cian” user interviews a virtual mother and child. Users receive accelerated feedback from the parent/child team that teaches them which techniques are most effective to motivate behavioral change. Users also receive personalized feedback from a vir- tual coach. Last but certainly not least, ChangeTalk provides a pocket guide of motivational interviewing techniques for providers to use as a reference during practice. For more information, or to download the app, visit Kognito’s home- page at kognito.com. I am sure that my patient visits will still feel a bit hectic at times. But I hope with the new tools above, I can make good progress on these two critical parts of well childcare. Now, if anyone wants to create the perfect pediatric EMR, I’m ready. — Anne H. Light, MD 2 The Forum Summer 2014 Submissions for the next issue of The Forum should be sent to alight@mcaap.org by September 1, 2014. Massachusetts Chapter American Academy of Pediatrics P.O. Box 9132 Waltham, MA 02454-9132 EXECUTIVE DIRECTOR Cathleen Haggerty chaggerty@mcaap.org FORUM EDITOR Anne Light, MD, FAAP alight@mcaap.org PRESIDENT Michael McManus, MD, MPH, FAAP michael.mcmanus@childrens.harvard.edu VICE PRESIDENT DeWayne Pursley, MD, MPH, FAAP dpursley@mcaap.org SECRETARY Kathryn Brigham, MD, FAAP kbrigham@mcaap.org TREASURER Lloyd Fisher, MD, FAAP lfisher@mcaap.org LEGAL COUNSEL Edward Brennan, Esq., FAAP ebrennan@ebjlawoffice.com DISTRICT 1 Peter Kenny, MD, FAAP pkenny@mcaap.org DISTRICT 2 Safdar Medina, MD, FAAP smedina@mcaap.org DISTRICT 3 Fernando Catalina, MD, PhD, FAAP fcatalina@mcaap.org DISTRICT 4 Elizabeth Goodman, MD, FAAP egoodman@mcaap.org DISTRICT 5 Sheila Morehouse, MD, FAAP smorehouse@mcaap.org DISTRICT 6 Brittanny Boulanger, MD, FAAP bboulanger@mcaap.org DISTRICT 7 Umbereen Nehal, MD, MPH, FAAP unehal@mcaap.org DISTRICT 8 E. James Gruver, MD, FAAP jgruver@mcaap.org DISTRICT 9 Walter Rok, MD, FAAP wjrok@cox.net
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