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Pediatricians and Primary Care Pediatrics

Iraj A. Kashani, MD
Am J Dis Child. 1987;141(6):598-599. doi:10.1001/archpedi.1987.04460060016004.
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Sir.—I have been following with interest the recent editorials in AJDC1 and other pediatric journals2,3 questioning pediatricians' involvement in pediatric primary care. In his excellent letter in AJDC, Dr Comerci4 made a nice rebuttal with which I happen to be in full agreement. What prompted me to write this letter was the reply of Dr Helfer.5 As a currently full-time academic practicing pediatrician with an

extensive academic subspecialty and general pediatric background, I wonder if such an attitude reflects a lack of contact with the reality of pediatrics as a specialty. Dr Helfer divided the practice of pediatrics into three tasks: yellow, green, and red. Unless all pediatricians hire a screening person, I cannot see how they will predetermine which of the patients sitting in the waiting room belong to which category and whether one is going to change category from yellow to red in


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