To complement their suggested interventions, we would
like to add the perspective of the practicing pediatrician based on our
experience:
1. Give adequate time and undivided attention to
your patient. Be alert and absorb all that is being told by the
patient.
2. Be a good listener.
3. Write down the diagnosis on your prescription
— this in itself makes one think before ordering tests or
medications.
4. While interviewing the patient, examining and
coming back to history if required, and while reviewing all previous
laboratory results, keep your mind open as every patient is
different [2]. Verify for yourself. Once the patient is with you, it
is your responsibility to confirm all the findings and collate them.
5. If the patient is not fitting into a common
diagnosis or responding to therapy as expected, think out-of-the box
and consider various possibilities again. Keep a checklist if
required [3].
6. If you are not sure of the diagnosis, go back
to the history again and re-examine your patient head-to-toe. Review
the case with your colleague or senior, if required. In the modern
era of networking, various platforms allow rapid dissemination of
clinical queries and feedback while maintaining patient
confidentiality.
7. Ensuring follow-up is very important,
particularly when there is non-resolution of symptoms and signs.
8. Do not treat laboratory reports without
correlating with the patients’ condition. In other words, the
clinical picture is paramount.
9. One important way to learn is to get feedback
about a patient who was lost to follow-up with you and went to
another colleague. In that case, you need to also give feedback to
the doctor from whom the patient came to you — this is critical in
learning from one another as well as from patients.
10. The continuous training of teachers and a
feedback mechanism must be developed.
The focus has to remain on delivering quality
service. Rewards and recognition will follow.