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I appreciate the opportunity to respond to Dr Levine's letter. As he did during his residency, he brings up relevant and insightful points with respect to the practice of otolaryngology. However, I think that he has missed the thrust and point of my commentary. My intention was to discuss the evolution of a subspecialty (equal to ones such as otology and facial plastic surgery) that enhances all of otolaryngology. Just as Dr Levine spent 6 months working with a facial plastic surgeon during his residency so that he can perform facial plastic surgery in his practice, he benefited from 9 months working with four pediatric otolaryngologists to develop the skills and knowledge that allow him to properly care for the "bread and butter of general otolaryngology." I believe that Dr Levine is better equipped to care for these patients as a result of his pediatric otolaryngologic training. The
HANDLER SD. Why Pediatric Otolaryngology?-Reply. Arch Otolaryngol Head Neck Surg. 1991;117(8):932–933. doi:10.1001/archotol.1991.01870200126026
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