The health care reform debates of 2009-2010 focused attention on a problem unique to pediatrics: in marked contrast to adult medicine and surgery, the pediatric workforce does not have sufficient subspecialists to serve the needs of our population.1 As one of the many pediatric professional groups identifying the need for more pediatric subspecialists, the American Academy of Pediatrics describes the reality familiar to all pediatric chairs, practicing community pediatricians, and parents of children needing pediatric care in the United States.