To the Editor.—

We read the article by Reiss et al on health care transition (in the January 2005 issue of Pediatrics) with great interest. The authors discuss the practical perspectives of patients, their families, and their pediatric care providers. Their work and discussion astutely identify obstacles that limit successful transition to providers of adult medical care. However, we were disappointed to note that there was no identifiable inclusion of combined internal medicine-pediatrics (med-peds) trained physicians in the study. Today in the United States 1 of every 8 pediatricians graduates from a combined med-peds residency program. Med-peds physicians are a logical part of the solution to successfully transitioning children, adolescents, and young adults with chronic conditions to adult care providers and settings. The benefits of med-peds training as it pertains to health care transition has been recognized in the Future of Pediatric Education II. Their training...

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