We commend Adil and colleagues1 for their analysis and description of a novel manner of balancing the competing demands of practicing in a large pediatric academic center in our current health care environment. As such, we believe it important to emphasize some parts of their study and perhaps add clarity to other aspects of their innovative model.
Adil et al1 rightfully acknowledge the chief of service rotation as being conceived and implemented by Gerald B. Healy, MD, the previous director of the service.