In Reply.—

We appreciate the comments from Drs Melgar, Brands, and Sharma. No internal medicine-pediatrics (med-peds)–trained physicians participated in our study focus groups, and this is a limitation of our study. We have initiated a second study on transition that will focus specifically on the perspectives and experiences of adult-oriented providers. Med-peds physicians were identified as a potential source of health care services and consultation, although this, along with many other findings from the study, was not included in the article because of space limitations.

We are aware of the important role that med-peds–trained physicians can play in addressing this significant health care systems issue and congratulate the efforts of the Medicine-Pediatrics Program Directors Association Committee on Transition Care to develop and promulgate new models and approaches that will help to assure a broad range of adult-oriented primary care providers who are confident and competent to address the needs...

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