When patients and pediatricians say good-bye in a pediatric resident continuity clinic

Article Abstract:

Pediatric training programs must address the issues and emotions that arise when residents approach graduation and must sever the physician-parent-child relationship. Two panel discussions for third-year residents explored the impact of residency completion from the family's and residents' perspectives. A panel of mothers found it difficult to say goodbye to their child's pediatrician and they believed that they had participated in physician education. They wanted advance notice that their pediatrician will be leaving and they desired an active role in selecting the new provider. A panel of pediatricians experienced sadness, relief, and guilt when saying goodbye to their patients. The strongest feeling was guilt about family-perceived abandonment. The pediatricians did not include the families in patient reassignment decisions and ignored the impact of residency completion on themselves.

Beliefs, opinions and attitudes, Residents (Medicine)

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Prevention of violence: role of the pediatrician

Article Abstract:

Pediatricians can help prevent violence by working directly with schools and families. Good parenting techniques can be learned and some experimental programs are very promising in their reduction of violent behavior. Pediatricians are in a prime position to identify parenting problems early on and recommend appropriate programs within the community. Repeated contact with young children enables the early identification of behavioral problems by pediatricians. Psychological assessment skills are often lacking in pediatricians, however. Other areas of intervention by pediatricians include home visits and day care evaluations. While results in preschool and primary education are promising, work with teenagers seems much less effective in reducing violence. Therefore, pediatricians should concentrate on avoiding early manifestations of aggression and violence.

Analysis, Violence research

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Short-term effectiveness of anticipatory guidance to reduce early childhood risks for subsequent violence

Article Abstract:

Brief counseling may affect parental behavior in the short term. Researchers interviewed 559 parents of children aged 6 months to 2 years. One group received the standard advice while attending clinic visits; the other group was specially counselled and given written materials about using time-outs and limiting television viewing as a means of reducing childhood aggression. Two to three weeks later, parents receiving the special counseling recalled the advice, and they tended to report reduced use of television compared with the control group. If they had never used time-outs, they were likely to have begun doing so.

Training

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