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July 1987

Residency Training in General Pediatrics: The Role of Federal Funding

Author Affiliations

From the Department of Pediatrics, Boston University School of Medicine and Boston City Hospital.

Am J Dis Child. 1987;141(7):754-757. doi:10.1001/archpedi.1987.04460070056023

The pediatrician's role as a generalist has been an important and controversial educational issue for the past two decades. Since the mid-1960s, a period of national emphasis on access to care for all people, the need for primary care physicians, and the recognition that general practitioners and subspecialists were being inequitably produced and distributed have been recognized. Subspecialists had increased dramatically in numbers along with the biomedical advances of the post–World War II period and the research-based economic interdependence between medical schools and the National Institutes of Health.1

During the last two decades, at least three major initiatives have been undertaken that are important to pediatric education. First, the federal government, through section 784 of the Public Health Service Act of 1976 (Title VII), provided support for residency training in general internal medicine and general pediatrics. Second, the pediatric residency requirements were modified in 1978 to encourage training programs

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