• Pediatricians commonly have patients with multiple physical and/or mental handicaps. Though many such children receive care at a multispecialty center, the role of the pediatrician is an important one, not only in providing primary care but also in helping to manage ongoing care of a multisystem disorder. Spina bifida is one such disorder, and children with this condition have many medical needs (pediatric, neurosurgical, orthopedic, urologic, gastrointestinal), as well as potential educational, emotional, and psychosocial problems. The pediatrician can effectively promote optimal interaction between patient, family, and community.
(Am J Dis Child 1981;135:854-858)