Planning for a baby can be one of the most exciting times of your life, but
also one of the most demanding. Pondering names, redesigning spaces in your
home, and getting all of the equipment an infant needs are just a few of the
things that will consume many hours during pregnancy.
But what will you do once the baby is born and wakes up with a fever? Who will
you call with important health and developmental questions? Choosing the right
health care provider should be included on your list of things to do before your
baby is born.
What Are Your Options?
When it comes to medical
care for your child, there are three types of qualified providers:
pediatricians, family physicians, and pediatric nurse practitioners.
Pediatricians
Pediatrics is the medical specialty fully focused on
the physical, emotional, and social health of children from birth through
adolescence. The primary focus of pediatrics is on preventive health care.
Pediatricians complete 4 years of medical school, followed by 3 years of
pediatric residency. To become board-certified, a pediatrician must pass a
written examination given by the American Board of Pediatrics. Pediatricians
must recertify by taking examinations every 7 years. This means pediatricians
keep up-to-date on changes in children's health care. A pediatrician also must
take a certain number of continuing medical education courses each year to be
eligible for license renewal in the state where he or she practices.
Some pediatricians have additional training in a subspecialty
area such as cardiology, critical care or emergency medicine, or hematology.
These specialists usually have between 1 to 3 years of additional training after
their residency to be board-certified in their subspecialty.
Family Physicians
Family physicians must complete 3 years of
residency after medical school. Family medicine residents train in pediatrics
and several other areas such as internal medicine, orthopedics, and obstetrics
and gynecology. They usually spend several months training in each area.
Afterwards, they are eligible to take the certifying examination of the American
Board of Family Medicine. They are also required to earn continuing medical
education credits and take periodic recertification examinations.
Because they train in many areas, family physicians are qualified to care for
patients of all ages. This means your child would be able to see the same doctor
from birth through adulthood. It also means that all members of your family can
receive their primary care from him or her. A family physician will know the
medical histories of all family members and may also be more aware of the
emotional and social issues within your family that can affect your child's
health.
When seeking a family physician, be sure to ask about age policies - some
family physicians see only a few children or don't see children younger than a
certain age.
Pediatric Nurse Practitioner
Another type of child health care
provider is the pediatric nurse
practitioner (PNP). These professionals generally have earned a master's
degree in nursing and have special training in obtaining medical histories,
performing physical examinations on children, making medical diagnoses, and
providing counseling and treatment. Like pediatricians, PNPs may specialize in a
particular area, such as neurology or endocrinology. PNPs work closely with
doctors in hospitals, clinics, and private practices. The numbers of PNPs is
growing each year, and approximately 10,000 PNPs actively practice in the United
States.
Some parents may be hesitant to have their child receive care from a PNP,
possibly worrying that the PNP is less extensively trained in children's health
care. These feelings are largely unwarranted. The presence of PNPs in the
practice can have many advantages. Parents often find that PNPs spend more time
with them than doctors discussing health and child care issues. Plus, if a PNP
encounters a more complex medical problem, he or she is trained to consult the
doctor. Still, if you want to see only the doctor or feel the doctor should
be consulted after the PNP has seen your child, most practices will honor your
request.