RT Journal
A1 Waters DA
T1 The 15-minute appointment: Sacred cow?
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2004
FD June 1
VO 158
IS 6
SP 603
OP 603
DO 10.1001/archpedi.158.6.603
UL http://dx.doi.org/10.1001/archpedi.158.6.603
AB 
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 education, risk prevention counseling, behavior advice. Advise on: car seats, booster seats, seat belts, air bags, back to sleep, smoke alarms, bike safety, bike helmets, scooter safety, skateboard and in-line skate protection equipment, hot water temperature recommendations, limit TV and GameBoy time, gun safety, Internet warnings. Apply fluoride varnish. Reach Out and Read promotion. Cultural competence. Prescriptions for medications. Provide immunization record to parent. Handouts. Videos. Referrals. Score attention-deficit/hyperactivity disorder rating scales. Laboratory tests—lead, hematocrit level, fasting lipid panel, fasting glucose level, fasting insulin level. Follow-up appointments. Notes for work, notes for school. Record medical encounter. Document, document, document . . . legibly.