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The Pediatrician, Sports Medicine, and Managed Care

Paul G. Dyment, MD
Arch Pediatr Adolesc Med. 1996;150(2):133. doi:10.1001/archpedi.1996.02170270015001.
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SURELY, IT is no surprise to most pediatricians in the United States today that the practice of pediatrics has been changing steadily over the last few decades. Need I remind any of the older pediatricians of the countless hours spent during their residency training in the neonatal intensive care unit? Residencies then emphasized the management of critically ill children and neonates; however, the newly minted pediatrician usually went into the private practice of general pediatrics and was unprepared for the "new pediatrics" with its largesse of school problems, behavioral disorders, adolescent medicine issues including contraception, minor acute soft-tissue injuries, and problems of office practice management, all areas of health care that had been more or less ignored by their training programs. A survey in 1990 of recent pediatric residency graduates in San Diego1 revealed that sports medicine, orthopedics, and the economics of pediatric practice were the top three areas

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