* Abbreviations: IBD — : inflammatory bowel disease ICN — : ImproveCareNow PAC — : Patient Advisory Council There is a high level of variability in inflammatory bowel disease (IBD) transition programming, practices, and policies around the country.1 ImproveCareNow (ICN) is a learning health network devoted to improving outcomes in pediatric IBD through collaborative quality improvement.2,3 Among the 109 ICN centers in the United States, Europe, and the Middle East, there has been wide variation in the availability of patient resources for transition and transfer. In addition, although some ICN centers use educational materials to guide patients to become more independent and engaged in their health care (ie, transition), few are available for young people and adults getting ready to transfer into adult care. As a pediatric network dedicated to improving care quality and outcomes for children with IBD, this disparity limits our ability to successfully launch young people and adults into appropriate adult care. As an adolescent diagnosed with IBD at age 14 (S.T.K.), I received what my family considered to be excellent guidance in anticipating the eventual transfer of my care from pediatric to adult gastroenterology. My pediatric gastroenterologist encouraged me to voice my needs, understand the basic details of my care, and be engaged in interactions with my hospital, pharmacy, and insurance company. After transfer, however, I found that my adult care unexpectedly relied far more than my pediatric care on my voice to proactively raise and follow-up on my health concerns. Although I had been led to expect some shift in responsibility, the differences in communication style and practices between my pediatric and … Address correspondence to Samantha T. Kennedy, BA, Cooper Medical School, Rowan University, 401 South Broadway, Camden, NJ 08103. E-mail: stkennedy93{at}gmail.com