Abstract
The traditions of pediatrics dictate that a pediatrician move from concern for the quality of care of each individual patient to the concern for the welfare of a group of children who might share a common illness, condition or life circumstance.1,2 This broader concern and translating the concern into action are what we define as advocacy. Pediatricians should move through a progression of attitude and skill attainment in order to become effective child advocates. Fundamental to becoming an effective child advocate is the understanding of systems and how they work, because ultimately, the advocate must be able to understand systems and how to change them.
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