This podcast gives medical students a basic framework about how to understand failure to thrive and helps them develop an approach to the history and physical examination of a child presenting with failure to thrive. A "shotgun" approach to investigations is discouraged. This podcast was written by Dr. Melanie Lewis. Dr. Lewis is a general pediatrician at the Stollery Children’s Hospital in Edmonton. She is also the Year 3 Clerkship Director for Pediatrics at the University of Alberta.