Essential Growth Parameters

Generalist requirements at every health supervision visit

For children ages 0 through 23 months, plot on WHO charts:

• Head circumference
• Weight-for-age percentile
• Length-for-age percentile
• Weight-for-length percentile (recommended, but not required for this exercise)

For children age 2 years and older, plot on CDC charts:

• Weight-for-age
• Stature-for-age
• BMI-for-age

For all ages:

• Pubertal staging

Generalist requirement when abnormal growth is suspected

• Mid-parental height

Endocrinologist requirements at every health supervision visit

• All generalist requirements listed above
• Growth velocity

Additional endocrinologist requirements at the initial visit

• Upper to lower segment ratio
• Mid-parental height