Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Is perfect attendance what we really want in school?

Justin Smith, MD
Physician
April 26, 2014
Share
Tweet
Share

It’s coming up on that time of year again. Spring break is here, next comes school assemblies leading up to the end of the school year.

It’s that inevitable time of year where I see news story after news story where children are rewarded Oprah-style for their awesome record of perfect attendance:

“You get a bike and you get a bike and you get a bike.”

Yeah! It’s pretty heart-warming and exciting, right?

There are kids (and families) that blew their perfect attendance the first week of school and didn’t think twice about it, but there are some that are holding out hope that maybe this year will be their year to win the drawing for $100 or an iPad or a trip to Hawaii (I haven’t actually seen this one, but I want my kids to go to that school) or whatever their school dreams up.

I do have a question though. Is perfect attendance really the point?

You need to be at school to learn. I get that. Missing school for frivolous reasons is harmful to the student and the school. So incentives to get kids to school make sense from that standpoint. But, at what cost?

There is a tension going on right now in the minds of parents throughout our community. It might go something like this:

“He’s only coughing a little bit.  He did get a few hours sleep last night. His fever is only 101 and if I give him Tylenol maybe he won’t have fever at school.”

Does this sound right?

Has this line of thought ever happened in your house?

Do you think it really happens at other houses?

I can assure you it does. Parents say something like this all the time, “Well, he was having fever last night, but I gave him some Motrin this morning so he hopefully wouldn’t have one at school. But sure enough, he did and the nurse called me to pick him up.”

This clearly misunderstands the whole point of not wanting your child at school if he has fever. Not having fever is not the goal. Keeping your child away from others when they are sick is the goal. Whether your child’s fever is masked by medicine or not doesn’t make them less contagious.

ADVERTISEMENT

What can we do about it?

What if we changed the goal from perfect attendance to responsible attendance?

Perfect attendance implies that you go to school no matter what.

Responsible attendance implies that you go to school when it is appropriate and don’t when it isn’t.

Perfect attendance puts your child’s classmates health at risk.

Responsible attendance puts your child’s and their classmate’s health above another goal.

I am an optimist, but not unrealistic. I’m pretty sure that we can’t change the school’s policies regarding perfect attendance awards.  Besides, how would you reward responsible attendance anyway?  But, we can make a decision to practice responsible attendance with our kids and teach them to do the same.

Justin Smith is a pediatrician who blogs at DoctorJSmith.  He can be reached on Twitter@TheDocSmitty.  This article originally appeared on Checkup Daily.

Prev

Kids in foster care end up on antipsychotic medication for ADHD

April 25, 2014 Kevin 2
…
Next

How technology can save the craft of medicine

April 26, 2014 Kevin 15
…

Tagged as: Pediatrics

Post navigation

< Previous Post
Kids in foster care end up on antipsychotic medication for ADHD
Next Post >
How technology can save the craft of medicine

ADVERTISEMENT

More by Justin Smith, MD

  • a desk with keyboard and ipad with the kevinmd logo

    3 ways patients can help reduce wait times

    Justin Smith, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Reasons why your wait time at the doctor’s office is so long

    Justin Smith, MD
  • a desk with keyboard and ipad with the kevinmd logo

    What would a flipped checkup look like?

    Justin Smith, MD

More in Physician

  • Physician grief and patient loss: Navigating the emotional toll of medicine

    Francisco M. Torres, MD
  • Is primary care becoming a triage station?

    J. Leonard Lichtenfeld, MD
  • Violence against physicians and the role of empathy

    Dr. R.N. Supreeth
  • Finding meaning in medicine through the lens of Scarlet Begonias

    Arthur Lazarus, MD, MBA
  • Profit vs. patients in the U.S. health care system

    Banu Symington, MD
  • Why medicine needs military-style leadership and reconnaissance

    Ronald L. Lindsay, MD
  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How should kratom be regulated? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why senior-friendly health materials are essential for access

      Gerald Kuo | Conditions
    • Why humanity in medicine requires peace with a spine

      Kathleen Muldoon, PhD | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions
    • Physician asset protection: a guide to entity strategy

      Clint Coons, Esq | Finance
    • Understanding factitious disorder imposed on another and child safety

      Timothy Lesaca, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How should kratom be regulated? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why senior-friendly health materials are essential for access

      Gerald Kuo | Conditions
    • Why humanity in medicine requires peace with a spine

      Kathleen Muldoon, PhD | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions
    • Physician asset protection: a guide to entity strategy

      Clint Coons, Esq | Finance
    • Understanding factitious disorder imposed on another and child safety

      Timothy Lesaca, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...