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Sir.—Congratulations to you, Dr Gellis and Dr Schmitt, for finally putting in print what many workers at the school-medical interface have recognized for some time (Am J Dis Child 129:1313-1324, 1975). I would add one comment, however, to Dr Schmitt's article lest the pediatrician reader sit back, relax, and find an excuse for retreating from the arena of "something uncomfortable." Truly, the physician need not "coordinate" such problems, but he or she should prepare themselves in this area. With some effort, "average practicing pediatricians" are capable of helpful counseling to the child and family, as well as consultation to schools on something he or she should know about—children. Those interested in testing the effectiveness of counseling performed solely by school personnel for parents facing this problem might ask: "As you understand it, what exactly is the problem with John's learning and what is being done to help?"
NADER PR. The Minimal Brain Dysfunction Myth. Am J Dis Child. 1976;130(7):779. doi:10.1001/archpedi.1976.02120080101013
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