0
The Pediatric Forum |

A Need for Pediatric Genetics

Golder N. Wilson, MD, PhD
Arch Pediatr Adolesc Med. 2007;161(10):1010. doi:10.1001/archpedi.161.10.1010-a.
Text Size: A A A
Published online

Extract

In his review of The American Pediatric Society History of Pediatric Subspecialties,1 Nelson mentions genetics as one of those subspecialties “not yet (nor likely to be) graced by an ABP [American Board of Pediatrics] subboard certifying examination . . . [as it is] a very new clinical focus.” He is absolutely correct in these statements and goes on to excerpt some trials and benefits of pediatric subspecialty evolution from editors Finberg and Stiehm.2 I would suggest that the escape of medical genetics from this paradigm of pediatric subspecialty development should be recognized as an unfortunate deviation that damages programs, trainees, and patients. Although most genetic disease presents in childhood (approximately 5 per 100 births with a defect, disability, or metabolic error), academic medical genetics and its governing board are heavily influenced by researchers and low-volume clinicians with minimal pediatric skills. Our certifying examinations require sparse knowledge of development, dysmorphology, or disability care with the result that qualifying faculty extol laboratory techniques at the expense of clinical recognition and anticipatory guidance. Most residents instinctively discern good pediatrician-teachers and thus grow into physicians who are rightfully skeptical about genetics as they are subjected to new obligations (like expanded newborn screening) without ready access to pediatrician geneticists. Nelson1 reviews accurately, but it is rather sad that he and the distinguished book editors do not define an important priority: pediatrics should recapture its portion of genetics and restore the precious and special perspective of child medicine.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Clinical Scenario

brightcove.createExperiences();