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The 15-Minute Appointment: Sacred Cow?
Arch Pediatr Adolesc Med. 2004;158:603.
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Fifteen minutes; 900 seconds. Ready, set, go. Pediatrics 1987. Sick-child care. Well-child care. A few vaccines. Some anticipatory guidance. Mostly acute and episodic care. Such as earache, brief history, brief examination, prescription for amoxicillin, follow-up in 2 weeks. Much minutes to spare.
Pediatrics today. Chief complaints, health maintenance, growth and development, anticipatory guidance, vision and hearing screening, injury prevention, violence prevention, abuse prevention, domestic violence screening, smoking cessation counseling for parents. Chronic disease management—asthma, obesity, attention-deficit/hyperactivity disorder, HIV, constipation, acne, behavior problems, depression, obstructive sleep apnea, eczema, allergies. Lead screening, anemia screening, cholesterol screening, diabetes screening, depression screening. Growth charts, body mass index calculations. Vaccine evaluation and update every patient every visit with numerous vaccines to give; asthma evaluation every patient with asthma every visit—peak flow monitoring, spirometry, asthma severity level determinations, action plans, self-management plans, teach medication delivery systems. Problem lists, medication lists. Nutrition counseling, obesity prevention counseling, sex . . . [Full Text of this Article]
David A. Waters, MD
Milwaukee, Wis
Corresponding author: David A. Waters, MD, Sixteenth Street Community HealthCorps, 1032 S Cesar Chavez Dr, Milwaukee, WI 53204 (e-mail: waters@sschc.org).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Belamarich et al.
Pediatrics 2006;118:e964-e978.
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