When our pediatric clinic added the PEARLS (Pediatric ACEs and Related Life-events Screener) questionnaire to well-child visits, we were worried that we would uncover trauma that we didn’t know how to address. Our physicians feared that the volume of patients with high scores would be overwhelming. We contended that this additional work was impossible because we don’t have support services like counseling. Beyond that, we expected our patients would be …
I lost my sense of empathy when I worked as a pediatrician in a pediatric emergency department caring primarily for low-acuity patients. I worked there for ten years, but it only took about three years before I realized that while I could help kids with their symptoms, I couldn’t do anything about the reasons they were in the ED at 3 a.m. These kids don’t have reliable transportation to get …
We physicians have long labored under the belief that if we provide objective data about the safety and efficacy of vaccines we can change anti-vaxxers’ minds. But political scientist Brendan Nyhan, Ph.D. has shown that directly addressing patients’ concerns about vaccines does little to change their decision to immunize. And he’s probably right. Other research examining the effects of education …
