A Florida pediatrician’s TikTok video has sparked conversation about an important healthcare milestone. Gabriella Dauer, MD, explained that when children reach ages 10 to 18, pediatricians begin requesting one-on-one time with young patients during appointments.
This standard practice, recommended by the American Academy of Pediatrics, helps older kids develop independence in managing their own health, and provides privacy to talk about potentially sensitive topics with an experienced healthcare professional. Dr. Dauer emphasizes that building a foundation of trust is “the greatest gift you can have with patients and their parents.”
What happens after a parent steps out of the exam room?
During private conversations, another healthcare professional is typically present, and no physical examinations occur without parents in the room. The practice is grounded in research showing that adolescents are capable of making health-related decisions and sharing their medical concerns in many circumstances.
Studies reveal that teens who avoid medical care due to confidentiality concerns are less likely to use birth control and may neglect other aspects of their health. Dr. Dauer explains that young people often feel embarrassed discussing sensitive topics with their parents present, including mental health, sexual health, puberty, gender identity, and substance use. These private conversations with a trusted healthcare professional create a safe space for accurate health information and guidance.
During private sessions, pediatricians conduct comprehensive wellness checks covering home life, education, bullying, activities, and social connections. They discuss drug and alcohol use, sexual activity, eating habits, sleep, exercise, and relationships. Dr. Dauer also encourages children to open up a conversation with their parents, noting that their parents will likely find out anyway through insurance notifications.
What if parents aren’t comfortable leaving the exam room?
The practice has generated mixed reactions among parents. Some support giving children privacy to ask trusted adults questions, while others oppose it, arguing doctors aren’t automatically trusted individuals. This divide reflects the challenge parents face balancing protective instincts with their children’s growing need for independence.
Parents and children can decline private appointment time, and doctors respect these decisions. The American Academy of Pediatrics notes that often when parents say their child won’t be comfortable with them leaving, it often signals that the child may especially need that private time. This practice represents a developmental milestone preparing young people to manage their own healthcare as they transition into adulthood.
