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Operations Directorate, Health Branch
Immigration Medical Examination Instructions
1
Developmental
milestones
Chart of early childhood
development
IMM 5738
Subject
Instructions for evaluating and reporting of developmental milestones of infants
as well as children and completing of the Chart of Early Childhood Development
(CECD) in the context of the Canadian immigration medical examination (IME).
Goal/Objective
ese instructions are provided to ensure that panel physicians (PPs) follow a
consistent and appropriate process for the following:
• assessment of developmental milestones of an infant or child;
• identication of children with delayed developmental (physical and/or
intellectual) milestones;
• completion of the CECD form and referral to a specialist for follow up
investigation; and
• completion and grading of an IME for a client with abnormal
developmental milestones or a CECD.
Instructions
With the implementation of eMedical, the IME form (IMM 5419 Physical
Examination) includes a new question on developmental milestones for children.
PPs must assess the development of all children of less than 5 years of age. is
assessment may be done by observing the child during the IME, talking to the
parents/guardians and having the child perform simple tasks.
PPs should assess a child’s functional skills in relation to expected milestones for
his/her chronological age and provide additional detail of any discrepancy between
milestones demonstrated and chronological age. If an interpreter is used, the PP
must select and ensure that the interpreter is unbiased and has no connection to the
client. Family members or friends cannot act as interpreters for clients. e use of a
professional interpreter is at the client’s expense.
Additional Investigation
• If developmental milestones do not reect the child’s chronological age, the
PP must include a completed CECD form (in Annex 1).
- the CECD is a screening tool used to evaluate a child’s physical,
emotional/social and cognitive development from the ages of birth
to 5 years of age. e PP should record a child’s achieved activities
both from an observed examination as well as from information
provided by the parent or caregiver.