Name:
Address:
Date of interview:
Why did you become an pediatrician?
Are you board-certified?
Do you have any sub-specialty training?
Do you have any special medical interests?
How long have you been practicing?
Are you taking any new patients?
Do you have any children?
How much time do you allow for appointments?
On average, how long is the wait in your office?
Do you have a sick-child waiting room to prevent my child catching any contagious illnesses?
If my child is sick, will you see it here in your office?
When would you refer my child to the emergency room?
With which hospitals are you affiliated?
Which hospital would you use and recommend for my child?
What type of parents do you work best with?
What are your hours?
Are any evening or weekend hours available?
How do I reach you in an emergency?
If I call with routine questions between visits, how will you handle them?
Do you use email to receive and answer questions?
Do you have a website through which I can get information about your practice or medical information?
(circle one) Are you in a SOLO or GROUP practice?
If Solo: Who covers for you when you are not available?
If Group: How often will I see other practitioners?
Do your colleagues share the same philosophy about child-rearing as you?
Do you have any nurses, PNP's (pediatric nurse practitioners), resident physicians or medical students on staff in your office?
Will any of your office staff be available to answer questions or care for my child?
What is your philosophy on raising a child?
What are your views about feeding?
What are your views about sleeping?
What are your views about antibiotics, or other medication for children who have colds or other ailments?
What are your views about infant vaccinations?
What are your views about circumcision?
What are your views about recommending alternative, complementary or integrative medical approaches?
When is the first examination of the newborn in the hospital performed?
Will you be performing the examination?
When do you recommend scheduling the first office visit?
How frequently do you want to see my baby during the first twelve momths?
Are your office staff knowledgeable and willing to answer questions about breastfeeding?
NOTE: Since time is often short during initial consultations, you may wish to save the following questions for the office manager or billing department.
What is your fee?
Am I covered by my insurance company?
What other costs may I encounter?
Do you charge for phone calls?
Do you return every call or are basic questions answered by your office staff?
Were you kept waiting for long before meeting the pediatrician?
Were you comfortable with the pediatrician?
If he attended did the pediatrician involve your partner in the discussion?
Did the pediatrician listen to your questions and concerns?
Were you asked important questions about your child-rearing philosophy, home and family?
Did you feel rushed?
Did you feel a sense of trust?
Were the offices clean and tidy?
Were toys and books to occupy your child available in the waiting room?
Were the support staff and nurses at the office helpful in answering your questions?
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