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The Pediatric Forum
October 2003

Pediatric Referral Patterns

Author Affiliations

Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Pediatr Adolesc Med. 2003;157(10):1033. doi:10.1001/archpedi.157.10.1033-a

The article by Forrest et al,1 and the commentary by Ferris,2 do not mention the main reason for the disparity in subspecialty consultations. The reason is a shift in the training philosophy of the pediatric resident. Years ago, pediatric house officers were taught: "You will be a specialist in the care of children." Today's pediatric resident, however, receives a different, double message: "You will be a specialist in the care of children but you will not be good enough to care for complex problems in infectious disease, neurology, cardiology, gastroenterology, developmental medicine, and so on. Complicated (interesting) patients must be referred for diagnosis and care to the pertinent subspecialist."

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