Keeping children and families in the center of our concern: Ambulatory Pediatric Association presidential address

Article Abstract:

Academic pediatricians entering into practice must remember to focus on the needs of children and families. This requires knowledge of the threats to the safety of children, belief that problems can be solved, and skills to translate knowledge and a positive attitude into effective action. Academic pediatricians should be skilled in recognizing societal origins of ills in children, collaborating with other professionals, carrying out research, including researching effective interventions, teaching medical students, and advocacy. Every child deserves to grow up in an environment and with care that allows that child to develop to his or her fullest potential.

Care and treatment

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Pediatric death certification

Article Abstract:

General pediatricians are unlikely to be required to certify the death of a child. Researchers reviewed the deaths of 361 children from 1995 to 1996, and found that medical examiners signed 43% of death certificates, 24% were certified by neonatologists, 10% by obstetricians, 8% by pediatric critical care specialists. Only 5% of deaths were certified by general pediatricians. Sixty-five percent of deaths were caused by trauma, and 10% were unexplained or suspicious deaths. Death and dying education should be directed to physicians most likely to attend and certify a pediatric death.

Death, Child death, Certification

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Comprehensive child health: is it in the picutre?

Article Abstract:

There has been an increase between 1979 and 1994 in the average amount of time a primary care physician spends with each child patient, but we do not know why this is. It may be because children are sicker or because there are more behavioral problems or for some other reason. Despite the increase in time spent, we can see from the statistics that there is a definite lack of counseling to adolescents on smoking, drugs, alcohol, sexuality and violence. A program of child health integrating schools and social services and family is needed.

Editorial, Planning, Evaluation, Pediatrics, Child health services

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