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.. use the books... to connect with patients." 3) Impact on clinic practice (25%) "I... enjoy modeling for parents and use the books to assess... development" 4) Social Determinants of Health (2%) "The books... are an invaluable resource to our under-served population." Clinicians who implement ROR report positive impact on patients, families, and their own satisfaction and methods in practice. Clinicians value that the program addresses social determinants of health and facilitates developmental surveillance. Further study is needed t