Abstract
This communication represents an effort to discharge the obligation implied by Spence: "The care of patients in hospitals is a subject which demands scientific study, and experience based on such study. . . . The need for this is greatest of all in children's hospitals." The program presented here attempts to deal with a number of current problems in patient care and pediatric education through the development of an adequately staffed and equipped diagnostic center in the outpatient department, a new arrangement for domiciliary care, and reorganization of the inpatient service for the provision of intensive medical, surgical and nursing care.
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