Pediatric Telephone Medicine: Principles, Triage, and Advice

Orest Dubynsky, MD
JAMA. 1990;263(6):894-895. doi:10.1001/jama.1990.03440060142053.
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This book tackles a very important, frustrating, and potentially litigious area with which every pediatrician must wrestle on a daily basis. It is hard enough for the experienced physician to make a correct judgment call on the basis of a caller's often frightened observations and bias. Imagine how our office staff feel when they have to handle all those calls, all day long!

We are all individualistic in our approach to telephone advice, and that is why many of the telephone advice books just don't come close enough to reflecting that personal practice style that we have all cultivated. Although I have the temerity to raise a few challenges to the advice given in this book, I do give it very high marks for both content and organization.

Pediatric Telephone Medicine comes as a plastic spiral—bound, softcover book of medium size, spanning 237 pages. There are six chapters covering general


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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