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Anticipatory guidance is a mainstay of the pediatric well-child visit. You’ve been doing this your entire career, using the same teaching scripts (probably ones you developed years ago), every well-child visit, day in and day out.

It gets a little dull, doesn’t it?

Believe me, it does for our patients as well—if it’s the same information for the same family, again and again, child after child. Sitting across from a sixth-time mom at her child’s 2-year appointment, I started my anticipatory guidance conversation with my usual “Let’s talk about safety”…at which point she slumped in her chair and waved her...

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