First 1,000 days: Focus on
During frequent early o;ce visits with parents, pediatricians are in a unique position to
help curb childhood obesity.
;e first 1,000 days of life is the focus of a
new AAP portal, Building a Foundation for
Healthy Active Living: A Focus on Early Infant Feeding & Obesity Prevention, available
;e foundation of a child’s health is set
in utero and early infancy, when diet quality, dining habits, activity and other patterns
are formed. Pediatricians indicated in a 2017
AAP Periodic Survey that they desire more
evidence-informed resources on early feeding
practices and obesity prevention.
;e portal o;ers 15 self-paced educational modules to support clinical care and anticipatory guidance. Topics include proper
nutrition, safe and supportive environment,
and stable and responsive relationships. ;e
modules also o;er continuing medical education and Maintenance of Certification Part 2
credit. Motivational interviewing videos and
other clinician resources are accessible on the
Pediatricians also can share multimedia that
help teach families about healthy behaviors to
support growth and development (http://bit.
ly/2e TKP9r) as well as age-specific resources
and health quiz ( www.healthychildren.org/
;e portal was developed by the AAP Institute for Healthy Childhood Weight, with development support through a grant from the
Centers for Disease Control and Prevention.
( http://bit.ly/2gN00p2) and iTunes (http://
apple.co/2xPhntA) that takes photos you donate
and turns them into a way to do good. For
every photo uploaded through Donate a Photo,
Johnson & Johnson donates $1 to one of its
Johnson & Johnson has curated a list of trusted
causes, including the AAP Safe Sleep campaign,
and you can donate a photo to one cause, once
a day. Each cause will appear in the app until it
reaches its goal or the donation period ends. If
the goal isn’t reached, the cause will still get a
Donate photos to the Academy until Dec. 11
or until it reaches its goal of $50,000, whichever
comes first. In turn, the Academy and AAP Friends
of Children Fund can provide information that
new parents can use to help prevent sleep-related
infant deaths. To donate a photo:
• choose the cause you want to support (the
AAP Safe Sleep campaign, http://bit.ly/
• upload any picture from your camera roll or
take one on the spot;
• share the photo to the Donate a Photo gallery. You can also share to Facebook, Twitter
and Instagram to spread the word so others
Donate a Photo to help Academy
Free early childhood screening podcast
Join a free, live podcast, Screen Scene: Family-Centered Care and Conversation Techniques, from 2-3
p.m. CT Oct. 24 presented by the AAP Screening
Technical Assistance and Resource Center.
;is is the second in a three-part series of podcasts
on early childhood screening, discussion, referral and
follow-up for developmental/behavioral concerns, maternal depression and social determinants of health.
Marian Earls, M.D., FAAP, R.J. Gillespie, M.D.,
M.H.P.E., FAAP, and Gerri Mattson, M.D., M.P.H.,
FAAP, will lead the discussion about shared decision-making in discussing referrals and making action plans, conversation techniques that can enhance
your communication and how to build relationships.
Register at http://bit.ly/2eHI8vh.
• Free e-book for members: Guidelines for Perinatal Care, 8th Edition. Visit http://shop.aap.org and
click on My Account to access your e-book. Order print copies (MA0823; members: $84.95) at
• Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding, 3rd Edition (MA0831; members:
• Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, 2nd Edition (MA0840; mem-
bers: $47.95), http://bit.ly/2gHYv8a
Enhancing ED readiness to care for children
Enhancing the pediatric readiness of the nation’s emergency departments (EDs) is important to improve the quality
of care and outcomes for ill or injured children.;To support
a pediatric quality improvement collaborative to achieve this
goal, the U.S. Department of Health and Human Services (HHS)
Health Resources and Services Administration (HRSA) Emergency Medical Services for Children (EMSC) Program and the
EMSC Innovation and Improvement Center (EIIC) have partnered with the Academy, the American College of Emergency
Physicians and the Emergency Nurses Association.
The goal of the National Pediatric Readiness Project, which
began in April 2016, is to work with emergency care sys-
tems to improve and encourage pediatric readiness based on
compliance with the 2009 joint policy statement Guidelines
for Care of Children in the Emergency Department (http://bit.
ly/2vJv1jK ). Thirteen states and the District of Columbia are
promoting state-level pediatric readiness efforts: Colorado,
Connecticut, Florida, Indiana, Kansas, Kentucky, Michigan,
New Mexico, New York, Oklahoma, Pennsylvania, South Car-
olina and Texas.
A 2013 baseline assessment of the nation’s capacity to
care for children in an emergency ( http://bit.ly/2gHIJKg);iden-
tified that;most children are cared for in community and rural
EDs rather than specialized hospitals such as children’s hospitals. It also noted that the readiness of EDs to care for critically
ill children;varied greatly ( http://bit.ly/2eLDuw6).
Pediatric readiness programs assist state and territo-ry-specific teams in working with stakeholders to identify
criteria and characteristics, and to supply resources such as
policies, procedures and equipment to best meet the needs
of children within their state or territory.
The EIIC is supported in part by HRSA of the HHS EMSC
Program under grant number U07MC29829. This information or content and conclusions are those of the author and
should not be construed as the official position or policy of,
nor should any endorsements be inferred by HRSA, HHS or
the U.S. government.