Questions to Ask When Interviewing a New Pediatrician

August 23rd, 2011 by Dionna | 8 Comments
Posted in natural parenting, Pregnancy and Birth

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If you are pregnant and looking for a pediatrician or family doctor, or you are moving and losing your old physician, it’s helpful to interview several candidates before deciding whom to entrust with your family’s health concerns. As a natural-minded parent, you might only rarely visit a doctor. But it’s nice to know that when you do need to make an appointment, you won’t get hassled for your family’s choices or be confronted with a doctor who is unfamiliar with things like child-led weaning or an intact male.

But what do you ask a potential family doctor? What should you look for in his or her demeanor and office? Below is a long list of questions and other factors you might want to consider.1 This list is mainly aimed at expectant parents, but many questions also apply to a family moving practices.

Desperately Seeking “Natural Parenting”-Friendly Pediatrician

The following questions are roughly organized by Natural Parents Network’s list of topics relevant to “natural parenting.” For more on natural parenting, visit the Natural Parents Network Resource Pages.2

Pregnancy, Birth, and Parenting

  • What books do you recommend for new parents, and why? (This will give you an impression of what “school of thought” they adhere to.)
  • What parenting/health books do you disagree with, and why?
  • What are your views on homebirth (or other birthing options)?
  • Will your initial meeting with my baby be at the hospital (if you are birthing at a hospital) or the first checkup? How soon does the first meeting need to be scheduled?
  • What testing do you provide for newborns who were born at home/in a birth center?

Breastfeeding and Beyond

  • Do you ever take continuing education classes on breastfeeding topics?
  • What percentage of your patients are breastfed?
  • Do you provide formula samples/literature to your expectant mothers?
  • If a breastfed baby seems to have trouble gaining weight, what would you suggest the mother do?
  • What are your views on bottle feeding? Nipple confusion?
  • Do you ever recommend putting baby on a feeding schedule?
  • What care do you recommend for a baby who appears to be jaundiced?
  • Under what conditions do you suggest a breastfeeding mother supplement with formula?
  • What do you recommend to breastfeeding mothers who are returning to work?
  • What is your family’s breastfeeding experience?
  • When do you recommend a baby start solid foods?
  • At what age do you feel a baby should be weaned from the breast? Why?
  • Are you supportive of child led weaning?
  • Do you have working relationships with any lactation consultants?
  • What are your views on childhood obesity?
  • What are your views on vegan/vegetarian/etc. lifestyles?

Sleep, Nurturing Touch, and Discipline

  • Are you supportive of families who cosleep?
  • How old do you think a baby should be when he can “sleep through the night”? What is your definition of “sleeping through the night”?
  • What would you recommend to a mother who said her baby was waking frequently in the night?
  • What are your views on babywearing? Do you recommend mothers put their babies on the floor for any certain amount of time?
  • What are your views on discipline? Corporal punishment?
  • How do you recommend parents respond to temper tantrums? Night waking from toddlers? Boundary testing?
  • Will you discuss my child’s general growth and issues like discipline and social development?

Holistic Health Practices

  • What are your views on alternative/natural/holistic medicine? (Chiropractors, acupuncture, etc.)
  • What is your policy on antibiotics? (Does the doctor try alternatives before prescribing antibiotics?)
  • Do you welcome patients who do not vaccinate or vaccinate on a delayed/alternative schedule?
  • Do you feel there are adverse reactions to vaccines? If so, do you report them to VAERS?
  • What percentage of your patients are circumcised?
  • Do you provide parents with information about circumcision (the functions of the foreskin, possible problems associated with circumcision, the AAP’s stance, etc.)?
  • Do you perform circumcisions on males? Why or why not?
  • Do you perform circumcisions on females? Why or why not?
  • Do you feel it is helpful to retract (or “pull back just a little”) a boy’s foreskin for any reason?
  • Have you been educated on the proper care of intact boys?
  • Have you ever recommended circumcision for an intact boy later in life?

General Practice

*Many of these questions can be asked over the phone before you even set up an appointment to interview the physician, or can be gleaned from the physician’s website.

  • Are you accepting new patients?
  • How long have you been practicing?
  • Why did you decide to become a pediatrician?
  • Do you have any areas of specialty?
  • What journals or other publications do you read regularly?
  • How many children do you have?
  • What are your office hours? Do you offer evening or weekend appointments?
  • Do you offer same-day sick appointments? How far in advance do check-ups (“well baby/child visits”) need to be scheduled?
  • What if my baby gets sick when the office is closed? Who covers in an emergency if you aren’t on call?
  • Is this a solo or group practice? If it’s solo, who covers when you are gone? If it’s a group, how often will we see you, and how often will we see other members?
  • Do you have separate sick and well waiting rooms?
  • How long does a patient typically wait in the waiting room?
  • How long does a patient typically wait in the exam room?
  • On average, how long do you spend with each patient?
  • Do you accept calls for routine and non-emergency questions? If I leave a message, how long does it usually take you to return the call?
  • Do you respond to questions by e-mail?
  • What hospitals do you work with?
  • Do you take my insurance? Is there an extra charge for: 1) Advice calls during the day? 2) Advice calls after hours? 3) Medication refills? 4) Filling out forms? What other fees will apply?
  • What tests are handled in the office, and what is done elsewhere? Where?
  • What are your policies for insurance claims, lab policies, payments and billing?
  • What is your schedule for well baby checkups? Are you comfortable with families who do not follow the recommended schedule?
  • Are you familiar with the signs of sexual and other abuse?
  • Have you ever felt one of your pediatric patients was being abused? If so, what did you do?

Other Factors of Note

  • If you have children, consider bringing them. Notice how the office staff and physician respond to your children.
  • Listen for whether the physician is “accepting” of alternative practices (i.e., delayed vaccinations) or whether s/he actually “welcomes” them. You want a physician who will support you in your choices, not harass you to do something differently every time you step foot in the office.
  • Before you start interviewing physicians, talk to other natural parents in your area and get recommendations. You can find local parenting groups through the NPN Facebook page (look at the “Find Your Local Support Group” sticky), the NPN Forums, Mothering’s “Finding Your Tribe” section, Attachment Parenting International, or even through Yahoo Groups.
  • Remember to trust your gut. If something seems off in the interview, do not feel obligated to hire the physician. You are in charge of your health care – don’t be afraid to find someone who will fit your family’s needs!

What did you look for when finding a pediatrician or family doctor? Would you add any questions to my list?

  1. Many thanks to the wise women in the Mothering.com forums, who helped me make my own list before Kieran was born. Many of these questions were borrowed from lists other mamas have shared on Mothering.
  2. You can also find information on finding a new doctor at: Ten Tips for Finding a Medical Professional for Your Child and How to Know a Healthcare Professional Is Not Supportive of Breastfeeding.

8 Responses to:
"Questions to Ask When Interviewing a New Pediatrician"

  1. Dionna, these are excellent questions, and so thorough. It makes me so sad about our last visit with a pediatrician (anti breastfeeding, appauled at my lack of vaccs) I have a funny feeling the only “pediatrician” who would do really well on this “exam” is a great naturopathic one (we have one but with odd health problems, she had asked for a second opinion).

  2. Charise@I Thought I Knew Mama   ithoughtiknewma

    I REALLY wish I had this list when I was pregnant. These are great questions. We ultimately found a perfect pediatrician (after becoming completely infuriated with our initial ped) thanks to recommendations in the Mothering forums, but it would have been nice to start with the right person.

  3. Alicia C.   amccrenshaw

    In a perfect world…
    We’ve been “fired” from the only two doctors who were “accepting” of our vaccination choices withing a week after our appointments. The first thought she could bully us into getting shots with the “You have to, it’s the law” routine. The second thought he could be a “hero” and educated us stupid parents about how good shots are for our kids. My little guy, who is going to be 3 soon, has only been to the doctor’s twice since birth. He’s healthy and happy, but I worry tremendously about what would happen in an emergency. It’s possible for CPS to step in and say that we’ve been neglectful of our children’s health care. :(
    (Yes, we’ve called every pediatrician and family doctor on our lists and keep looking for new ones to pop up. Our area is filled with the kind of doctors who know all and patients should listen to them – no questioning allowed.)

  4. This is extremely helpful. If only we had an actual choice in pediatrician in our town without traveling an hour or more to go to another city. :/ Luckily, our family doctor is accepting (though not necessarily knowledgeable) of our selective vax schedule and breastfeeding.

    Do you happen to have one of these lists for finding an OB/GYN? I homebirth and have a midwife (four hours away) and a great, supportive OB/GYN for parallel care, but I’m going to be a surrogate soon and birthing in another state for parents who would prefer a hospital birth. I am so nervous about picking out an OB! (Maybe I’ll go check Mothering too. :) )

  5. Maria

    This helped me so much thank you!

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