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Pediatrician, Family Physician, or Nurse Practitioner: Choosing Your Baby’s Clinician

Key takeaways: Pediatricians specialize in children; family physicians care for all ages, including newborns; nurse practitioners, especially pediatric nurse practitioners, provide well and sick care. All can provide high-quality care for healthy babies. Consider training, availability, after-hours access, and fit with your family.

You’ll see your baby’s clinician often in the first year. Here’s how to choose.

Pediatricians

  • Training: medical school plus a 3-year pediatric residency.
  • Board certification through the American Board of Pediatrics.
  • Focus: only infants, children, and teens.
  • Good fit for: any family, and especially babies with medical complexity.

Family Physicians

  • Training: medical school plus a 3-year family medicine residency, including pediatrics.
  • Board certification through the American Board of Family Medicine.
  • Focus: all ages.
  • Good fit for: families who want one clinician for everyone, and rural areas where pediatricians are less available.

Nurse Practitioners

  • Pediatric nurse practitioners (PNPs) and family nurse practitioners (FNPs) are advanced practice registered nurses with graduate degrees.
  • Certification: PNPs are certified through the Pediatric Nursing Certification Board; FNPs through other national boards.
  • Scope: NPs can provide well-child care, sick visits, and prescriptions. Scope of practice varies by state.
  • Often work in practices with physicians.

Physician Assistants

PAs also see children in many practices, working with physicians.

What to Consider

  • Office hours and after-hours advice.
  • Same-day sick visits.
  • Hospital affiliation.
  • Approach to vaccines, breastfeeding support, and communication.
  • Insurance coverage.
  • Location.

The Bottom Line

Pediatricians, family physicians, and NPs can all care for your baby well. Choose a clinician and practice that fit your family’s needs.

Want more support for your baby’s first year? My book, From First Breath to First Birthday, is available on Amazon.

Sources

  1. American Board of Pediatrics. https://www.abp.org
  2. American Board of Family Medicine. https://www.theabfm.org
  3. Pediatric Nursing Certification Board. https://www.pncb.org
  4. American Academy of Pediatrics. How to choose a pediatrician. HealthyChildren.org. https://www.healthychildren.org

This article is for general education and is not a substitute for individualized medical advice. Always talk with your baby’s health care provider or your own provider about your specific situation. If you think your baby or you may have a medical emergency, call 911.

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