Abstract
R ecent epidemiologic studies' estimate that at least 2 per 1,000 children have autistic spectrum disorders; that is, autism or its milder variant, pervasive developmental disorder-not otherwise specified (PDD-NOS) or atypical autism. Thus, most primary care pediatricians will find some children with autistic spectrum disorders in their practice panels. Given the reported efficacy of early interventions for children with autism,2 particularly relative to children with other developmental disabilities,3 early recognition of these children by primary care pediatricians is essential to enhance outcomes for these children and their families. Despite its high prevalence, it is probably safe to say that many pediatricians feel somewhat ill at
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