This section focuses on the transfer of patients from a pediatric practice to an adult health care practice, including the sharing of medical records to ensure that new clinicians have all the necessary information to provide care. This section includes information for both youths and young adults and their care team as they prepare for this transition and practices that receive new patients. While this section focuses on health care, it also provides information about other factors that influence the successful transition from pediatric to adult care, including educational support, collaboration with community-based service providers, and cultural context of youths and young adults and their families. This section also provides tips to promote communication with youths and young adults, special considerations for youths and young adults living in rural communities, and for a successful handoff.
Tools in this section include:
- 2.1: Pediatric to Adult Care Medical Transfer Summary (Medical Care Plan)
- 2.2: Supporting the Young Adult, Ages 18–21 Years, Transferring From Pediatric Care to Adult Care
- 2.2.1: Employment and Postsecondary Education
- 2.2.2: Collaboration Between the Clinician and School to Support Young Adults 18–21 Years Old
- 2.2.3: Common Transition Assessments That Include Health Care and Are Used to Develop an Individualized Education Program (IEP)
- 2.2.4: Transition Tips for Linguistically and Culturally Diverse Youth With Disabilities
- 2.2.5: Communication Barriers for Young Adults Transferring From Pediatric Care to Adult Care
- 2.2.6: Considerations and Strategies for Young Adults in Rural Communities
- 2.2.7: Tips for Clinicians Transferring Young Adults From Pediatric to Adult Health Care
- 2.3: Discussion Points for Handoff
2.1: Pediatric to Adult-Care Medical Transfer Summary
The medical care plan is a living document that should be completed and updated periodically and can be completed by physicians and non-physician clinicians of the patient’s medical home, including the pediatrician, nurse practitioner, physician’s assistant, nurse, and social worker, with input from patients and their families where necessary. Updating the medical care plan depends on the changing needs of the patient. Typically, the medical care plan is updated annually or at routine follow-up visits. During transfer from pediatric to adult care, it can serve as the Pediatric to Adult Care Medical Transfer Summary.
Last Updated
03/14/2025
Source
American Academy of Pediatrics