I normally love The Refusers' blog, but I really don't see anything scandalous about this BMJ article. Brady Bunch-style dialogues notwithstanding
, I like how it details personal relations skills that can frankly be hard to find in the field of medicine. Though an outspoken skeptic of the CDC vaccine schedule, I would be elated to find a physician who took all of the advice about listening, validation, empathy, patience...and above all knowing when to back off. This article should be required reading for pediatricians.
One thing I wonder, however, is if part of the problem is the US health care system being for-profit and allowing for only 10-15 minute pediatric visits. Doctors have a lot to cover in that short time, so they just give a 30-60 second elevator speech on the wonders of vaccination. Some of those sample dialogues simply couldn't take place in a US exam room because doctors are in such a hurry. And there's no way that private insurance will pay for that extra visit, (as suggested in the article), to come back another day and just talk about vaccines!