Grossman, a practicing pediatrician for 33 years in Berkeley, Calif, wrote this book as a how-to guide for graduates of pediatric residency programs and pediatric nurse practitioners who are beginning office practice. Grossman clearly is a wise clinician who has a chatty, engaging writing style and a sense of humor, making for easy reading.
He strives to contrast the role of generalist clinicians with that of hospital-based subspecialists under whom the graduated residents have just spent 3 or more years in training. He assumes that all training programs are so structured. In doing so, he overlooks the trend of the last decade to increase the experience of residents with everyday problems by the mandate of weekly continuity clinics and increased timein the outpatient department. Many training programs have done this well; others have just begun to do so under pressure from state governments as well as the Residency Review Committee.