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Physician review in pediatric future-care planning: questions counsel should ask.

A general framework for identifying when pediatric future-care assumptions may need closer clinical review.

This checklist is educational only. It does not determine the appropriate scope for any particular matter.

Six questions before future-care assumptions harden.

01

What developmental stage is relevant now—and over time?

Does the analysis account for growth, changing function, and age-specific clinical needs?

02

What medical follow-up is clinically supported?

Are specialty surveillance, procedures, medications, and therapy assumptions tied to a pediatric rationale?

03

What functional trajectory is assumed?

Does the plan distinguish current impairment from expected recovery, progression, or uncertainty?

04

Are therapy, equipment, and replacement cycles realistic?

Are intensity, duration, growth-related changes, and replacement needs clearly explained?

05

Are school and transition issues relevant?

Where appropriate, does the analysis account for educational participation and transition-to-adulthood needs?

06

What needs a narrower specialty lens?

Is the core issue best addressed by a specific pediatric specialty rather than broad matching?

Review does not always mean a full plan.

Depending on the question, the appropriate first move may be a general fit conversation, pediatric expert review, life care plan review, focused future-needs analysis, or a fuller planning engagement.

Read: pediatric expert witness review vs. generic expert matching