The pediatric encounter requires skillful communication between patient and physician, expert communication with parents and other family members, and an understanding of family dynamics and the child's cognitive and developmental stage. There is a direct association between the physician's interpersonal and communication skills and ability to reflect, and health care quality and outcomes. All encounters between patients and health care professionals, and among members of health care teams, take place within a broader moral universe that includes personal integrity, professionalism, and the everyday ethics of practice.
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