School performance: the pediatrician's role.

When children begin having difficulties in school, the first stop for parents is often the pediatrician's office. Although school performance problems may seem outside the realm of routine primary health care, there are many important roles that the primary care provider may play. These include identifying medical issues that may impact performance, helping the family form an intervention team, and acting as the child's advocate when interacting with the school. In addition, it is important for pediatricians to be familiar with cognitive, emotional, and developmental problems that affect school performance and to assist parents in becoming active participants in their children's education.