The view expressed by Dr. William Rogers ("Growth chart concern of shrinking importance," Second Opinions, October AAP News) reiterates my concern for definitive AAP guidelines on growth-chart plotting.

There are those pediatricians who do not feel the need to chart growth. Dr. Rogers refers to this exercise as a "medical school learning procedure."

Former medical students Drs. Nelson and Rudolph (of textbook fame) would disagree with this assessment. Accurate growth data measurement and plotting are as basic to well-child care as checking vital signs or examining a child's ears or heart.

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