A mother brings her toddler in for a well-child visit. When the pediatrician asks how things are going, and the mother says, everything’s fine. The pediatrician asks whether she’s getting enough support at home, to which she cautiously responds that some days can feel like more than she can handle.
Delving a little deeper, the pediatrician learns that the mother recently lost her father, is having trouble sleeping and hasn’t been engaging or playing with her child. After the pediatrician determines the mother is not at immediate risk for harming herself or her child, the clinic nurse helps her make an appointment with her primary-care provider.
This scenario — and many others like it — are part of the well-child visit anatomy. Experts say, the traditional 15-to-30-minute appointment is not only an opportunity for pediatric providers to track a child’s growth and development, but also check in with parents and discuss their concerns. …Read More
Reports about bullying and victimization of sexual minority youth (that is, youth who are lesbian, gay or bisexual) have been circulating, especially in the media, but there has been little systematic research documenting the experiences of sexual minority youth over time. In a recent New England Journal of Medicine paper, Mark Schuster, MD, PhD, chief of the Division of General Pediatrics at Boston Children’s Hospital, and colleagues report that tenth graders identified as sexual minorities in a longitudinal study were more likely than their peers to be bullied or victimized as early as fifth grade, and that this pattern continued into high school.
Schuster summarizes the team’s findings in this video:
You can’t improve what you can’t measure: This is the core principle of national, state and local efforts to increase health care quality and safety. While adult health care has benefitted for many years from a variety of measures of quality and safety, though, pediatrics has generally lagged behind.