family history

One question that improves your family history-takingDo NPs specifically ask parents about their childhood parenting experiences? Dr. Howard King’s article “How to help adult children of alcoholic parents” prompts us to ask about important information that most likely is not a part of our routine family history questions, and thus not a part of our child’s treatment plan.
How to help adult children of alcoholic parentsWhat would make pediatricians wonder if a parent in their office might be “an adult child of an alcoholic parent?” The following case could be viewed as representative.
Family effects on cardiovascular disease evidentIn her presentation at the 2015 AHA Fall Conference, Laura L. Hayman, PhD spoke family history of cardiovascular disease and family interventions in lifestyle management to improve heart health.
How to be a the tech your doctor can’t live withoutOver the years of interviewing, hiring, and training staff, I realized that there are some technicians who are just adequate. They were for the most part reliable, usually made good decisions, and did their job adequately. Nothing more. I also noticed there were other technicians who were superstars.
Five things that make a great technicianI don’t want good technicians working in our clinic; I want the best technicians working in the clinic. Many people make the assumption that if they pass the JCAHPO, COA, COT, or COMT tests that they are good technicians. That might mean it would also be safe to say that the higher the certification, the better the technician.
Improve your practice: Keep it simple!Simplifying your office workflow takes time and effort, but an efficient office keeps patients, parents, and staff happy.
PCPs don’t feel confident providing genetic careJust over half (51%) of primary care pediatricians (PCPs) do not feel competent to provide adequate health care to children with genetic conditions.
Is universal lipid screening worthwhile?Sarah de Ferranti, MD, director of the Preventive Cardiology Clinic at Boston Children’s Hospital, explained that what is controversial about the National Heart, Lung, and Blood Institute’s most recent set of guidelines addressing lipid screening in children is the call for universal screening at 2 time points: between 9 and 11 years of age and again between 17 and 21 years of age. “This represents a change in practice,” she said in a session titled “Universal lipid screening: Are pediatricians doing it and how is it working?” held on Monday.