The 6-8 week check forms part of a routine set of examinations which are standard practice, although little evidence exists for their efficacy according to http://www.patient.co.uk/doctor/Six-Week-Review-(CHS).htm which is a bit depressing really. They go on to remind us that it should take place by eight weeks at the latest and should include:
- A physical examination
- A review of development
- An opportunity to give health promotion advice
- An opportunity for the parent to express concerns
Many aspects of the check overlap with the newborn check done just after birth. We are going to be featuring different topics from this child health surveillance check in the GP version of Paediatric Pearls over the next few months, starting this month with heart murmurs (see below). Please do let us know if there are particular topics you want us to cover by adding a comment below.
I found the module on the E-GP learning website (there’s a link to this on the RCGP e-portfolio website) really useful – took about half an hour and although I’d done lots of baby checks during my paeds job I found consolidating the information helpful. There are modules on almost every clinical topic on this website, which are available to GP trainees/GPs and I’d highly recommended them: http://www.e-lfh.org.uk/projects/egp/index.html
Cathy Black
GPST1 in Paediatrics
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