TY - CHAP M1 - Book, Section TI - Chapter 67. The Adolescent Visit A1 - Irwin Jr., Charles E. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - Establishing herself or himself as the primary care physician for an adolescent patient is a formidable task for a pediatrician. A transition interview with patients and their families at approximately 10 years of age is an effective approach for developing a new relationship. During this interview, the pediatrician must inform the parents and the patient about the changing nature of the relationship with the doctor: the need for the doctor to have time alone with the patient, the need to query the young person directly, the need for the patient to be examined alone, and the need of the patient to be encouraged to generate his or her own questions for the doctor. These changes are best done through a discussion of normal adolescence and the need for adolescents to begin to make some decisions in a more independent manner with guidance and support from their families. During this transition interview, the clinician should provide the adolescent and family with some general information regarding the normal physiological and psychosocial changes of adolescence. Depending on the age and psychosocial functioning of the adolescent, the clinician may want to encourage the young person to come to the next clinical visit alone. As the adolescent completes the second decade of life, the pediatrician wants the young adult to be capable of assuming responsibility for his or her own health care.1-3 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6736923 ER -