1 Department of Pediatrics, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, California
Pediatrics has become more complex in the last two decades, matched by similar sophistication throughout all of medicine. We have more medical schools, more students, and more physicians, and teaching hospitals are corporate academic medical centers engaged in fierce competition with community hospitals and innovative medical systems for the health care dollar. New, expanded 3-year curricula for pediatric residents are firmly set, but some pediatricians and, unfortunately, some medical students are skeptical about the future of the discipline and wonder appropriately what kind of pediatrics these young men and women will practice. Pediatric subspecialization has increased, particularly in neonatology, yet more than half of recently surveyed residents will engage in private or group practice.1
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