A general issue-spotting framework
Five questions that can clarify the next step.
This checklist is educational only. It is not a legal opinion, individualized medical advice, a clinical conclusion about an individual child, or a conclusion about the work appropriate in a particular matter.
01 · Existing assumptions
Is there an existing plan or projection, and what assumptions does it use?
Identify the general category at issue—care, therapies, equipment, support, follow-up, education-related needs, or timing—before deciding whether a focused review question exists.
02 · Developmental timing
Does the question depend on a developmental stage or transition?
Growth, changing functional demands, educational or care environments, and the move toward adulthood can affect the context of a projection without predicting an individual child’s future.
03 · Specialty context
Is a specialty-specific clinical question embedded in the projection?
A projection may involve a narrower clinical issue that needs a more defined pediatric lens before it is treated as complete.
04 · Appropriate scope
Is the immediate need assumption review, expert fit, or a broader planning question?
These paths can overlap but are not interchangeable. Separating the immediate question helps keep an initial discussion proportionate.
05 · Safe first inquiry
What information can be shared safely in a first inquiry?
A first inquiry can state the general question, posture, venue, timing, and whether an existing projection is involved. Keep it non-sensitive and general.