PEDIATRICS Vol. 66 No. 3 September 1980, pp. 341-349
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The Pediatric Examination of Educational Readiness: Validation of an Extended Observation Procedure

Melvin D. Levine MD1, Frank Oberklaid MBBS, FRACP, DCH1, Thomas E. Ferb PhD1, Margaret A. Hanson RN, MPH1, Judith S. Palfrey MD1, and Cary L. Aufseeser MEd1

1 Brookline Early Education Project, Brookline, Massachusetts, and the Division of Ambulatory Pediatrics, Children's Hospital Medical Center, Boston

The Pediatric Examination of Educational Readiness (PEER) is a standardized observation system for use by health care professionals. It combines a prekindergarten physical examination with a neurodevelopmental and behavioral assessment. The PEER was field tested on 386 children, of whom 22% revealed a "definite concern" in one area of development or behavior, 8% in two, and 14% in three or more areas. (A concern was a finding that required direct intervention, continuing surveillance or further evaluation.) Children with multiple areas of concern were found to have lower teacher rating scores at the end of kindergarten than those with isolated or no concerns. An observation procedure, such as the PEER, can be a productive part of the pediatric assessment of children entering kindergarten.

Submitted on July 6, 1979
Accepted on December 17, 1979




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