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How
To Choose A Pediatrician
What
is a pediatrician?
The American Academy Of Pediatrics
has what many consider to be the finest parenting book available, called
Caring For Your Baby And Young Child Birth To Age 5. In this
book they have defined what a pediatrician is for those who are confused
about the difference between pediatricians and regular doctors:
"Pediatricians are graduates of 4 year medical schools with 3
additional years of residency training solely in pediatrics"
This means they are doctors with at least 3 years of supervised training
where they acquire the skills to treat a broad range of afflictions
from basic childhood illness to the most serious of diseases. Some pediatricians
may also have additional training in subspecialties like neonatal care,
child cardiology, or other special problems. Your regular pediatrician
can help you find a pediatrician whose subspecialty matches your child's
ailment.
Where And When To Start looking For A Pediatrician
You should begin searching for a pediatrician in the final months of
pregnancy and both parents should be present at the interview. Forget
about the yellow pages, newspaper ads or flyers, you cannot get an informed
opinion of a pediatrician from an advertisement. When choosing a pediatrician,
a good place to start is by asking your trusted friends for a recommendation.
Your friends will tell you if they are happy with their pediatrician.
This will move you right to the winner's circle of finalists. You should
ask why your friends recommend their doctor, and how long have they
been with that doctor. It is very important that you find a pediatrician
who you feel completely comfortable with. As a new parent you should
be able to ask them anything, no matter how trivial it may seem.
Perform A Quick Background Check On The Pediatrician
Start with a list of a few good candidates and narrow it down to your
final choice. Before you interview a pediatrician you can check with
the Federation Of State Medical Boards (FSMB) to see if there have been
any serious disciplinary actions, or professional peer reviews against
the pediatrician. The FSMB
Website has links to your state, or you can call them at 1-817-868-4000
to get the number for your state board. You can also get consumer
advocate books from the Director of Public
Citizen's Health Research Group that keep track of doctors that
have been disciplined by a state or the federal government. Get a copy
of the list of "Books Of Questionable Doctors" book, organized by state.
Be sure to print our list of Questions
To Ask A Pediatrician that will make choosing your pediatrician a
lot easier.
What To Look For In A Pediatrician
Don't just choose the first pediatrician you meet, interview a few candidates.
A good pediatrician has more than just the core competencies of disease
treatment, which are reactive measures. Your pediatrician should also
be knowledgeable in proactive qualities such as disease prevention,
and child development. Your pediatrician should also be warm, compassionate,
and open minded to your thoughts and feelings, and shares similar views.
Make sure your insurance covers the pediatrician you want to choose.
Make sure you interview all potential pediatricians, and verify that
the pediatrician you interview will actually be the one who sees your
child. There should be no charge for this interview consultation.
Items to look for when you interview a potential pediatrician:
- Find out if the practice has more than one office. It may be more
convenient for some people if their pediatrician has more than one
office or belongs to a network. Find out where the pediatrician
spends most of his/her time and how the time is divided.
- Always visit the office and do an interview with the doctors before
making a decision. Look around the office. Is it clean? Is there
a separate waiting area for "sick" and "well" kids? Some pediatric
practices have only one waiting area. This causes "sick" kids to
be mixed in the same waiting area as "well" kids waiting for their
regular monthly checkups, vaccinations etc. Young kids are always
putting toys in their mouths, and having sick patients play with
a toy that "well" patients play with is a very easy way for germs
to spread.
- While at the office, talk to the staff. Are they friendly and
accommodating? As a parent you will be dealing the pediatrician's
staff on a regular basis the first couple of years of your child's
life. It is important that the staff listen to your concerns and
questions. Look for a practice that will accommodate your schedule
when making appointments to see the doctor.
- Ask the pediatrician what they do to stay current with the latest
trends in disease prevention, treatment, nutrition, behavioral problems,
and child development concepts. What type of continuing education
do they use.
- Determine if you want a male or female doctor. As kids get older,
they tend to prefer doctors who are of their same sex.
- Do you want an old doctor or a young doctor? Older doctors of
course have experience, but may be retired before your child grows
older. Also, some older doctors may be "set in their ways", and
don't embrace new trends or technology. On the other hand, younger
doctors might be more adapting to the rapid advances in medicine
and behavioral studies. Younger doctors may also lack years of seasoned
experience.
Things to look out for once you have visited a pediatrician
You may wish to seek an alternative pediatrician if the answer
to any of the following questions is 'yes'.
- Does the pediatrician over-treat your child for simple ailments,
running a battery of tests that rack up your bills?
- Does the pediatrician get upset when you seek a second opinion?
- Does the pediatrician make you feel uncomfortable or stupid
when you ask for additional details?
- Does the staff make you feel uncomfortable when you call with
concerns or emergencies?
- Do you or your child feel uncomfortable with the pediatrician's
bedside manner?
- Does the pediatrician seem unwilling to listen to your concerns?
Copyright © 1998-1999 ConsumerNet, Inc
Permission to reproduce this article was granted by BabyResource
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