To the Editor.—In the May 1969 edition of the American Journal of Diseases of Children, the article by Drs. Thorpe and Rousseau1 ends with the comment, "The concept of total care as published in recent references, is not fully understood, appreciated or practiced in any of the hospitals visited." The article pointed up that 20 years ago there was a great deal of concern in the literature about children ill and in hospitals. It also noted a distinct recent hiatus in the appearance of such articles as well as a distinct decline in descriptions of experimental ways of caring for children in hospitals.
To some extent, this experience has been duplicated by a variety of events in the child-care field. My own experience as a teaching consultant to a special demonstration project nearly 20 years ago suggested that a very excellent way of teaching pediatric residents was through