We appreciate Dr Benjamin's interest in our article and welcome an opportunity to respond to his comments. He wonders why pediatricians and family physicians use office laboratories differently. We believe that there are 2 major reasons for the differences: patients and location. The frequency of testing and types of tests necessary for efficient care differs between adults and children. Pediatricians develop an office laboratory strategy focused on children, while family physicians must also consider the needs of adult patients. More family physicians practice in less-populated areas and may be farther from a referral laboratory. This distance may increase the necessity for in-office testing. Although we believe that exposure to laboratory management during residency training has less influence, we applaud the American Academy of Family Physicians' recommendation to provide office laboratory training during residency. Current American Academy of Pediatrics residency curriculum guidelines do not address office laboratory training.
Binns H, LeBailly S, Gardner HG. Waived Testing in the Physicians' Office Laboratory—Reply. Arch Pediatr Adolesc Med. 1998;152(12):1249. doi: