Rate Your Pediatrician

What separates a so-so kids' doctor from a sensational one? Our expert advice will help you decide whether yours is top-notch -- or whether it's time to make a switch.

What You Should Look for

If you're like most parents, your child's pediatrician is a pretty important person in your life. After all, you're partners in building healthy, happy children. But how do you know whether your doc really rates? In most cases it's more than just board certification, a stellar academic performance, and impeccable credentials. Among other things, it's the way a doctor handles your child's needle phobia, how quickly his office responds when you call for anything from an appointment to advice on bringing down a fever, and how expertly he translates medicalspeak into parent- and kid-friendly language. But don't take our word for it. We asked pediatricians around the country what qualities they valued in their colleagues, their practices, and their own kids' doctor. Here's what they had to say.

She's a good communicator.

Whether your child's been diagnosed with asthma or whooping cough, if you don't understand the condition, you may not understand the treatment. And when you use medications improperly or don't recognize worsening symptoms, your child's health is at risk. "Doctors often don't realize that the things they explain are hard to understand," notes Andy Spooner, M.D., director of general pediatrics at the University of Tennessee and Le Bonheur Children's Medical Center, in Memphis. "So being eloquent and clear is one thing, but doctors have to go beyond that. They have to use a variety of communication methods. For example, if I saw an infant with eczema, I'd explain the condition, give the parents some printed material to take home, and also ask how they were going to bathe the baby that night, getting them to talk through what they're going to do."

He's patient.

Granted, doctors are busy people, but you want yours to act like someone who has more than a nanosecond to spare. "A lot of it is about body language," says Ellen Kempf, M.D., medical director of the Children's Hospital Physician Associates, in Akron, Ohio. "As a mom, I want someone who is on my level -- who is sitting down instead of standing with a hand on the door."

Don't worry about taking an extra few minutes to ask questions -- a really great pediatrician will never make you feel guilty for worrying about your child's health. And he knows that your asking questions can actually save him time in the long run. When you're aware, for example, that a cold can last up to 14 days, you may be less tempted to bring your child back in on Day 5 because the sniffles persist. "If things are explained clearly and correctly from that first visit, parents will feel more reassured," says Mark Colon, M.D., a pediatrician at the Children's Hospital of Orange County Boys and Girls Club Clinic, in Santa Ana, California.

That's not to say you should expect an endless conversation with the doctor. "Say a child comes in with a rash, and the appointment is scheduled for ten minutes," Dr. Kempf says. "If the mom says, 'By the way, I need to talk to you about his school problems -- he's a bully on the playground, and he's not achieving,' then I'll say, 'We need to schedule an appointment to address this properly.' That gives credit and value to the problem, but I'm not ramming it into a ten-minute visit. Devoting insufficient time to an issue is no good for anyone."

She has a top-notch medical support staff.

You don't need to be a doctor to give an immunization, take a throat culture, or perform a weight check, and a first-rate pediatric practice recognizes that, employing well-trained support staff like registered nurses and pediatric nurse practitioners. "Nurses can essentially do anything under the supervision of a doctor," Dr. Spooner says. "And, in fact, a lot of them do take on the exact same role as a physician." Because nurses' schedules are generally less hectic than a doctor's, you wait less and may have an easier time getting an appointment.

He's accessible after hours.

Stomach bugs, croupy coughs, and frightening high fevers don't always respect the Monday to Friday, 9 to 5 workweek. They crop up on Christmas Day and on Saturdays at 11 p.m. But just because it's after hours, your pediatrician shouldn't be AWOL. "Don't expect your doctor to be there 24/7, but he should have a system that gives you access to round-the-clock medical care," Dr. Kempf says. That may mean having an answering service or registered nurses staffing the phone in the middle of the night with a doctor always on backup call.

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