TY - JOUR T1 - Dismissing families: A critical issue AU - Elston MP Y1 - 2006/04/01 N1 - 10.1001/archpedi.160.4.452-b JO - Archives of Pediatrics & Adolescent Medicine SP - 452 EP - 453 VL - 160 IS - 4 N2 - In my former practice I, too, dismissed families from my practice for refusing childhood immunizations. Following the lead of a pediatrician mentor of mine, I would exhaust all efforts to provide cogent arguments to support the proven safety and effectiveness of these most successful preventive regimens. When these arguments failed, I advised these well-meaning but misguided parents that they were asking me to “voluntarily contribute to the death of their child from a disease we could prevent”; an ethical breach they could not ask of me. Most understood, and although it seldom changed their preconceptions, it at least provided a conceptual basis to interpret the decision to terminate the patient-physician relationship. SN - 1072-4710 M3 - doi: 10.1001/archpedi.160.4.452-b UR - http://dx.doi.org/10.1001/archpedi.160.4.452-b ER -