From the American Academy of Pediatrics, Elk Grove Village, Ill The views expressed in this report are those of the authors and do not necessarily represent those of the USDepartment of Health andHuman Services, the Agency for Healthcare Research and Quality or the American Board of Pediatrics Foundation. The authors declare that they have no conflict of interest. Publication of this article was supported by the Agency for HealthcareResearch andQuality and the American Board of Pediatrics Foundation. Address correspondence to ThomasK.McInerny,MD, FAAP, Department of Pediatrics, Children’s Hospital at Strong, 601ElmwoodAve, Box 777, Rochester, NY 14642 (e-mail: Thomas_McInerny@urmc.rochester.edu).