Our Approach

Posted January 24, 2014 in

Marian Earls is the Lead Pediatric Consultant for Community Care of North Carolina, and is the current lead on the state CHIPRA Quality Demonstration Grant for the state.   From 1994 to July 2012 she was the Medical Director of Guilford Child Health., a large, non-profit, private Pediatric practice that is the pediatric division of Triad Adult and Pediatric Medicine in Greensboro, North Carolina.   She is also a Developmental and Behavioral Pediatrician. Guilford Child Health is a public-private partnership between two community health systems and the department of public health, and serves families at or below 200% of the Federal Poverty Level.   She is a Clinical Professor of Pediatrics for the University of North Carolina Medical School.

Dr. Earls also is Medical Director of the Neonatal Follow-up Clinic (multidisciplinary) for the Level III NICU at Women’s Hospital in Greensboro.  Dr. Earls is Immediate Past President of the North Carolina Pediatric Society (President 2008-2010).   She is chair of the Mental Health/School Health Committee for NCPS.   She has been a member of the Committee on the Psychosocial Aspects of Child and Family Health of the AAP, and was the lead author on the committees Clinical Report “Incorporating Recognition and Management of perinatal and postpartum Depression into Pediatric Practice,” (PEDIATRICS, November 2010).   She is a liaison from the AAP to AACAP (American Academy of Child and Adolescent Psychiatry).  She has been elected to the Executive Committee of the AAP’s Section on Early Education and Child Care.  She is a member of the Mental Health Leadership Work Group of the AAP that is charged with national dissemination of mental health integration in primary care pediatrics.

She has been a member of the board of the Family Support Network of Greater Greensboro for families who have children with special needs, and has been on the state advisory board for Family Support Network.   The Association for Retarded Citizens of Greensboro awarded her the professional of the Year Award for 2000, and she was a member of that board from 2004-2010.   She was Co-chair of the North Carolina Institute of Medicine Task Force for the Prevention of Child Maltreatment in 2005 and is currently co-chair of the IOM Task Force on Early Childhood Mental Health.   Dr. Earls has been one of the Clinical Directors for Community Care of North Carolina (CCNC) since its inception by NC Medicaid in 1998.  Guilford Child Health was the pilot site for the ABCD (Assuring Better Child Health and Development) Project (funded by the Commonwealth Fund) and Dr. Earls is the clinical director of that project, which is now state-wide.   The purpose of ABCD has been to integrate developmental services (screening, surveillance, parent education) into pediatric practice.    North Carolina State Medicaid Policy has now changed to be consistent with the process of developmental and behavioral screening implemented in this program and is requiring the use of validated, formal screens at EPSDT visits.     The Commonwealth Fund had an ABCD II project in several new states, and Dr. Earls did training and consulting for this initiative focused on early childhood mental health.   She provided technical assistance to five states for implementation of developmental and behavioral screening and surveillance through her Setting the Stage for Success grant from the Commonwealth Fund in 2006-2007.   She was faculty on the Healthy Development Learning Collaborative for pediatric practices in NC and Vermont in 2004.   From 2007 to 2010 she was the faculty chair for EDSI (Early Developmental Screening and Intervention) learning collaborative through UCLA.  She was recently faculty for the AAP Bright Futures Preventive Services Improvement Project Learning Collaborative.

Dr. Earls received her A.B. in Biology in 1976 from the College of the Holy Cross in Worcester, Massachusetts, her Master of Theological Studies (MTS) in 1978 from Harvard Divinity School, Harvard University, and her M.D. from the University of Massachusetts in 1984.   She completed her Pediatric Residency at Moses Cone Hospital (UNC AHEC) in Greensboro in 1987, and her Fellowship in Developmental & Behavioral Pediatrics in 1988.