Marian Earls, a developmental and behavioral pediatrician, is the medical director of Guilford Child Health (GCH), Inc., a large, non-profit, private pediatric practice in Greensboro, North Carolina that serves families at or below 200 percent of the federal poverty level. Dr. Earls has a developmental consult clinic within GCH, Inc. and is medical director of the Neonatal Follow-up Clinic (multidisciplinary) for the Level III Neonatal Intensive Care Unit at Women's Hospital in Greensboro. GCH was the pilot site for the Commonwealth Fund–supported Better Child Health and Development (ABCD) Project, and Dr. Earls is the clinical director of that project, which is now state-wide. The Commonwealth Fund has an ABCD II project in several new states, and Dr. Earls has done training and consulting on early childhood mental health for this initiative. Dr. Earls serves on a number of professional boards and committees. She is secretary of the North Carolina Pediatric Society, a member of its executive board, and chair of its Mental Health/School Health Committee. She was recently appointed to the Committee on the Psychosocial Aspects of Child and Family Health of the American Academy of Pediatrics. She was chair of the Guilford County Board of Mental Health, Developmental Disabilities and Substance Abuse 1993-1995, and she was a member of the state Interagency Coordinating Council for four years. 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 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 in Greensboro in 1987, and her fellowship in developmental and behavioral pediatrics in 1988.