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Dr Schor's call for "a single authoritative source of standards for well-child care"1 has stirred considerable angst and soul searching about primary care pediatrics in both the academic and private sectors. Half a century ago, Dr Ed Shaw, Chair of Pediatrics at the University of California San Francisco, discussed the concept of well-child care at a local meeting. His basic premise was that we needed to get the children into the office so that, "among other things," they would get their immunizations; thus, the genesis of the "well-child visits." The issue has