Pediatrician: Your Specialist in Children's Primary Care
What is a pediatrician?
A pediatrician specializes in the physical, developmental, emotional and social health needs of children from birth to 21 years. Pediatricians provide infants, children and adolescents with a wide scope of care that includes comprehensive well-child care as well as prevention, diagnosis and treatment of acute and chronic diseases and injuries.
A pediatrician typically:
Examines the patient and evaluates their medical history
Provides primary healthcare services and immunizations
Provides health risk assessments and counseling
Diagnoses and treats acute and chronic diseases and conditions
Assesses growth and development
Orders and interprets laboratory and imaging tests and prescribes medications
Educates patients and their caretakers about wellness and disease prevention
Consults with other members of the patient’s medical team
Provides ongoing pediatric care in the doctor’s office, clinic and hospital
Pediatricians may also be known by the following names: pediatric physician, pediatric doctor, children’s doctor, primary care doctor, kids doctor, and primary care physician.
Who should see a pediatrician?
You should take your child to an experienced pediatrician at least once a year to monitor your child’s physical, intellectual, emotional and behavioral development. These well-child visits are important to ensure that physical problems and developmental delays are identified and treated as soon as possible. Some health insurance plans cover well-child visits on a less frequent basis (such as every other year) as the child reaches age 10 or older. However, it is important to seek a pediatrician’s care for your child in case of injuries and persistent or unusual symptoms and conditions.
When should you see a pediatrician?
Consider seeking care from a pediatrician if your child develops any of the following symptoms or conditions:
High fever (from birth to 3 months: higher than 100.4 degrees Fahrenheit; ages 3 to 6 months: 101 degrees Fahrenheit; ages 6 months and up: higher than 103 degrees Fahrenheit)
Minor bone, muscle and skin injuries
Headaches that occur frequently and that are accompanied by other symptoms, such as fever and coughing
Abnormal weight gain or loss
Unusual behaviors along with anxiety, stress, sadness, or other emotional difficulties
You should also seek care from a pediatrician under the following situations:
Illegal drug or alcohol use
Possible verbal, physical or sexual child abuse
What conditions and diseases does a pediatrician treat?
A pediatrician treats conditions and diseases including:
Chronic diseases and conditions including asthma, allergies and diabetes
Infections including ear infections, bacterial infections, and viral infections such as influenza
Minor injuries including small lacerations as well as minor bone, muscle and joint injuries (sprains, strains and fractures)
Skin problems including minor burns, infections and rashes
Weight problems including obesity, underweight and malnutrition
What tests does a pediatrician perform or order?
A pediatrician can order or perform a wide variety of diagnostic and screening tests including:
Child abuse screening including evaluations for physical, sexual and mental abuse
General health tests including blood oxygen level (pulse oximetry) and blood pressure
Imaging tests including X-rays; computed tomography (CT) scans; and ultrasounds to check for blockages, structural abnormalities, infection, and malignancy
Laboratory tests including complete blood count (CBC), urinalysis, blood glucose (sugar) test, liver function tests, cholesterol panel, and thyroid hormone tests. Lab tests may include drug, alcohol and toxicology tests when you or your doctor suspects drug abuse or poisoning.
Physical growth and development assessment to analyze weight range and growth rate as well as age-appropriate developmental milestones, such as walking, talking, and fine motor skills
Reproductive health tests for adolescents including pelvic exam, breast exam, and sexually transmitted disease (STD) tests
Vision and hearing screening to determine children’s vision acuity and hearing levels
What procedures and treatments does a pediatrician perform or order?
Pediatricians order or perform various procedures and treatments to manage children’s health conditions. Your pediatrician may provide referrals to pediatric surgeons and other pediatric specialists in some cases. Common procedures and treatments include:
Behavioral counseling related to behaviors including sleep, toilet training, and social interactions
Family planning prescriptions and treatments for adolescents including oral contraceptives, hormone patches and shots, and intrauterine devices (IUDs)
General health procedures including physical examination and immunization
Injury-related procedures including immobilizing sprains or setting small broken bones
Mental health counseling for a broad range of disorders including bipolar disorder, depression, autism spectrum disorders, and eating disorders
Minor surgical procedures including circumcision, removal of earwax impactions, removal of foreign bodies such as splinters, wart removal, minor laceration stitches, and stich or staple removal
Nutrition and weight counseling for normal weight and growth
Pediatrician training and certification
A doctor may practice pediatrics without becoming board certified in the specialty. However, education, training, experience and certification are key elements in establishing a doctor’s level of competence. Board certification verifies that a doctor has completed residency training in the pediatrics and has passed competency examinations.
A board-certified pediatrician has earned certification in pediatrics by the American Board of Pediatrics or the American Osteopathic Board of Pediatrics.
A board-certified pediatrician has:
Graduated from medical school or a college of osteopathic medicine, earning an MD or DO degree
Completed specialized residency training in pediatrics
Passed a written certification exam that validates the doctor’s specialized knowledge and skills in pediatrics
To maintain board certification in pediatrics, a doctor must participate in an ongoing certification program.
Doctors who earn board certification in pediatrics can pursue certification in a subspecialty. Board certification in a subspecialty requires additional training beyond the residency program, as well as passing an exam. The additional training is sometimes known as a fellowship. Subspecialties of pediatrics include:
Adolescent medicine focuses on the physical, mental and emotional health of teenagers.
Child abuse pediatrics focuses on the diagnosis and treatment of child abuse, as well as child abuse investigation and prevention.
Developmental and behavioral pediatrics focuses on the diagnosis, management and prevention of children’s behavior problems and developmental challenges.
Hospice and palliative medicine focuses on preventing and relieving the suffering of children with critical or life-limiting illnesses, such as cancer.
Medical toxicology focuses on the diagnosis, treatment and prevention of illnesses and injuries caused by exposure to toxic chemicals, drugs, radiation, and biological agents.
Neonatal and perinatal medicine focuses on the health of premature and newborn infants as well as women with high-risk pregnancies.
Neurodevelopmental disabilities subspecialty focuses on the diagnosis, evaluation and treatment of mental retardation, behavioral disorders, and cerebral palsy.
Pediatric cardiology focuses on children’s cardiovascular health including the heart and blood vessels.
Pediatric critical care medicine provides supportive care for critically ill and injured children, most often in intensive care units of hospitals.
Pediatric emergency medicine focuses on the treatment of injured or sick infants and children in emergency situations.
Pediatric endocrinology focuses on the diagnosis and treatment of children’s diseases and disorders involving the endocrine glands, which can include birth defects, diabetes, and thyroid disease.
Pediatric nephrology focuses on the kidney health of infants and children.
Pediatric transplant hepatology focuses on the care of children before and after they have liver transplants.
Sleep medicine focuses on diagnosing and managing health conditions that prevent sleep, occur during sleep, or result from a lack of sleep.
Sports medicine focuses on diagnosing, treating and preventing sports injuries as well as managing conditions that affect participation in sports and other physical activities.
Other specialty boards offer subspecialization in treating infants and children:
Pediatric anesthesiology focuses on managing children’s anesthesia and sedation during surgery and other procedures, such as imaging and biopsy procedures.
Pediatric dermatology focuses on treating diseases, disorders and injuries of children’s skin.
Pediatric otolaryngology focuses on diagnosing, managing and preventing ear, nose and throat problems in children.
Pediatric pathology focuses on finding the cause of disease and determining the ways in which diseases affect children’s physical health.
Pediatric radiology focuses on the interpretation of medical images, such as X-rays, magnetic resonance imaging (MRI), and ultrasounds, to diagnose and treat injury and disease in children.
Pediatric rehabilitation medicine focuses on the diagnosis, management and prevention of physical impairments in children.
Pediatric surgery focuses on the surgical treatment of diseases, disorders and conditions infants, children and adolescents.
Pediatric urology focuses on diagnosing and treating diseases, disorders and injuries involving children’s genitourinary system, such as urinary obstructions, genital malformations, and bladder control problems.