The fourth edition of Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents
could not have been created without the leadership, wise counsel, and unwavering eﬀorts of many people.
We are grateful for the valuable help we received from a wide variety of multidisciplinary organizations
Under the leadership of Michael C. Lu, MD, MS, MPH, associate administrator for Maternal and Child
Health (MCH), Health Resources and Services Administration, the project has beneﬁted from the dedica-
tion and guidance of many MCH Bureau staﬀ, especially Elizabeth Edgerton, MD, MPH, director for the
Division of Child, Adolescent and Family, and Erin Reiney, MPH, CHES, the Bright Futures project
oﬃcer. We also acknowledge the contributions of Chris DeGraw, MD, MPH, former Bright Futures
project oﬃcer. His commitment to and guidance of the Bright Futures initiative were invaluable.
We are grateful to the American Academy of Pediatrics, in particular Fan Tait, MD; Darcy Steinberg-
Hastings, MPH; and Jane Bassewitz, MA, for their vision, creativity, support, and leadership as we drafted
the fourth edition. We also thank Alex Kemper, MD, for his leadership in guiding the evidence review
process. We are thankful to Anne Rodgers, our excellent science writer, who was so eﬀective in helping
us to say clearly what we wished to communicate.
We appreciate Leslie Carroll, MUP; Edward S. Curry, MD; Mary Margaret Gottesman, PhD, RN, CPNP;
Jack T. Swanson, MD; Frances E. Biagioli, MD; Deborah Campbell, MD; Barbara Deloian, PhD, RN, CPNP;
Martin M. Fisher, MD; Edward Goldson, MD; Donald B. Middleton, MD; Cynthia S. Minkovitz, MD, MPP;
and Bonnie A. Spear, PhD, RDN, who were always available to us as our core consultants. Their continual
review helped ensure that our recommendations would be relevant to practice and applicable to the
We are extremely grateful to the 4 multidisciplinary expert panels for their tremendous commitment
and contributions in developing the fourth edition of the Guidelines, as well as to the expert group that
worked to develop the new Promoting Lifelong Health for Families and Communities theme.
We also acknowledge the help and expertise of Paul H. Lipkin, MD, and Michelle M. Macias, MD, who
updated and revised the infancy and early childhood developmental milestones; Jamie Meringer, MD,
who assisted in developing content on e-cigarettes; and Claire McCarthy, MD; Jenny Radesky, MD;
and Megan A. Moreno, MD, MSEd, MPH, who assisted in developing content related to social media.
We also wish to acknowledge the signiﬁcant contributions of American Academy of Pediatrics staﬀ,
especially Kathryn Janies, Jonathan Faletti, and Bonnie Kozial, who have worked diligently to ensure
the success of Bright Futures.
Throughout the process of developing and revising this edition of the Guidelines, we relied on numerous
experts who reviewed sections of the document, often multiple times. Their careful review and thoughtful
suggestions improved the Guidelines immeasurably. In summer 2015, the entire document was posted on
the Bright Futures Web site for external review. During this time, we received more than 3,500 comments
from across all disciplines (ie, health care, public health professionals, child care professionals, educators),