To the Editor.
—We are concerned about the views expressed by Drs Fulginiti and Lewy1 on the future of the field of pediatrics. They exclusively discuss recombinant DNA technology and its role in preventing inherited disorders. We take joy in the prospect of preventing diseases such as cystic fibrosis. However, we take issue with the authors' neglect of other issues and the narrowing of the purview of pediatrics to problems affecting a small minority of children.If pediatricians are "children's internists," a fair comparison would be to the synopsis on general internal medicine,2 which contains topics such as gender-related issues, back pain, and health care delivery and access. Similarly, family medicine addresses pediatric screening and primary disease prevention.3 We commend family practitioners for applying pediatric developments and are chagrined that the pediatrics article does not mention lead and cholesterol screening or the hepatitis B vaccine. Also not
Shapiro BS, Schwarz DF, Ludwig S. Contempo: Pediatrics. JAMA. 1994;271(2):106. doi:10.1001/jama.1994.03510260030022