PEDIATRICS Vol. 3 No. 1 January 1949, pp. 119-124
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REPORT TO EXECUTIVE BOARD FROM THE COMMITTEE FOR IMPROVEMENT OF CHILD HEALTH

The findings of the Study of Child Health Service clearly indicate the need for (1) the strengthening of pediatric training in medical schools so that all doctors, not only specialists, may be thoroughly prepared to care for children and (2) the development of systems of decentralized training and rural extension services so that better medical care may be available in outlying areas. The Committee proposes:

1. The visit pediatric departments and arrange meetings of pediatric educators in order to provide opportunity for discussion of the information collected during the Study in relation to content, curriculum and technics of teaching.

2. To Study and evaluate decentralized systems of pediatric education and hospital services. Rotation of hospital residents, fellows or other physicians-in-training through periods of service in outlying community hospitals affiliated with the teaching center, brings the skills and services of medical centers to the very areas where deficiencies in medical care have been shown to exist. Such decentralization of teaching and service also helps the general practitioner in rural areas to keep abreast of the new advances in medicine. A compilation of the experiences of systems already in operation should prove a valuable guide for definitive planning and not only raise the standards of pediatric education but also bring immediate improvement of care to children.

3. To keep a current roster of approved pediatric residencies and postgraduate courses.

4. To make available to the AMA the findings of the study and, without prejudice to the justification of federal grants for pediatric education, hold in abeyance action to seek federal aid pending current action of the AMA to raise necessary funds from other sources.

5. To continue the collection and analysis of data and assist state chairmen in the completion of their reports and the development of state programs for the improvement of child health.

6. To assist the Rheumatic Fever Committee to evaluate state and local rheumatic fever programs. 7. To recommend a committee to promote pediatric nursing education.