1 Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut
2 Department of Pediatrics, Indiana University School of Medicine
The following comments on the two preceding letters were received from the contributors referred to above:
By emulating great pediatricians in betterorganized outpatient departments, Dr. Brem suggests the art of pediatrics may be taught better. Paradise et al. seem to agree when they state that teaching and patient care are better when properly supported "ambulatory faculties" of "full-time, pediatric generalists . . . are available."
Lacking such faculties, Paradise et al. describe an accommodation, also used at Yale, in which students with faculty support often act as "primary physicians."