Abstract

To the Editor.— Dr Joseph W. St Geme, Jr, has expressed an understandable concern about the direction of the field of pediatrics, with particular emphasis on the "subspecialty" movement.1 He voices discomfort about the growing number of subspecialists and sees a potential surfeit of "special care hospital subspecialist" competing with and draining clinical opportunities from the sphere of the general pediatric specialist. We do not seek to minimize the challenge to the general pediatrician to retain a meaningful place in the care of the hospitalized child.

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