The need to train primary care physicians to meet the health needs of our nation continues to make frontpage news. The reasons why we, as a nation, have fallen short in this area are multiple.1,2 Likewise, the means by which we can correct this deficiency include a multipronged approach.3 The key in this approach is the training of house staff in a curriculum focusing on the health care needs of the underserved.4 That such a formalized curriculum is missing from most training programs was confirmed by a recently conducted survey of pediatric program directors in the United States and Canada. The survey consisted of 36 items, all related to the utility of a formal residency curriculum on the care of underserved populations. One hundred twenty-two programs completed the survey. Surveys were grouped according to answers to the following three questions:
Are underserved children cared for in