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Objectives To evaluate a Kaiser Permanente Northern California physician-training-tool entitled "Effective Communication without Confrontation" (ECC) aimed at improving communication with vaccine-hesitant parents, building trust, and alleviating physician stress surrounding vaccination visits. Study design Trainings were held May - July 2015. Pre- and post-training surveys assessed physician comfort and perceived effectiveness in communicating with vaccine-hesitant parents. We measured vaccination coverage at two, four, and six-month w
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