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Tips on...How to be child friendly
Srinivas Gada gives some tips that should make your contact with children more enjoyable for both parties
Do
- Smile (or look saddened) as appropriate; maintain good eye contact; being calm shows you are in control
- Acknowledge and greet the child; talking to parents or carers first gives the child time and space to relax
- Observe, wait, listen (remember OWL); careful observation and attentive listening can provide valuable information and improve cooperation
- Give simple and clear information; take time to state your expectations; the enemy of cooperation is hurry
- Act out; imitating with a doll what you want the child to do can be helpful
- Giving choice empowers children: "Do you want me to examine you on mummy's lap or on the bed?"
- Play; adapt yourself to the situation; children engage better while having fun
- Distract; talk about their interests, their school, their likes and dislikes, and so on while you examine: "I like Liverpool too, but I am sad because Michael Owen is injured." Make use of play therapists, nurses, parents, or carers to play and distract
- Children like to hear positive things about themselves; by giving enthusiastic praise you hit the emotional jackpot
- Acknowledge the child's feelings; appreciate his or her struggle with a word, for example, "Mmm," "I see"; congratulate the child on their effort
- Have some quick fixes up your sleeve--give rewards like stickers or superstar certificates, or play with a special toy
- Life is not perfect; if things do not work out, stand back; think; evaluate; and come back
Don't
- Stand over a child; do not use force
- Promise things you cannot deliver; be truthful
- Express your frustration; avoid blame and criticism.
- Expect same things at different ages; communicate on the child's level
- Rush; avoid too many questions; do not rush with answers
If you want to share your advice about anything relating to medicine or medical school, then please send at least 10 tips to Studentteditor@bmj.com
Srinivas Gada specialist registrar in paediatrics, Camden and Islington Primary Care Trust, London
Email: sri@doctors.org.uk
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