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Or How to Incorporate Change Into Practice

Arch Pediatr Adolesc Med. 2005;159:500-502.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This issue of the ARCHIVES is devoted entirely to topics relevant to pediatricians in practice. Office management of asthma, effective communication of anticipatory guidance, screening for exposure to environmental tobacco smoke, and risk-reduction interventions for sexually active adolescents all receive attention as do the daily routines of pediatric office life: immunizations, group A streptococcal testing, and visual acuity examinations. After reading these articles, what conclusions can be drawn regarding implementing effective change in pediatric practice?

In an attempt to answer this question, I will outline the daily challenges facing pediatricians, comment on what from a pediatrician’s perspective seems most interesting about the articles in this issue, and conclude by offering strategies that may help pediatric professionals establish a practice culture conducive to continuous health care improvement.

The following scenario illustrates the daily predicaments facing pediatricians who seek to improve the health of patients and families.

A 15-year-old patient with . . . [Full Text of this Article]

AUTHOR INFORMATION

Greg Prazar, MD

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