Letters to the Editor

Berger does not appear to have an appropriate concept of how pediatricians manage private practices. I believe that all pediatricians are aware of the proper utilization of ancillary personnel to assist them in providing anticipatory guidance and preventive health care and that the vast majority employ such aides. I have trained and employed pediatric nurse associates. However, the original subject under discussion was the actual time spent by pediatricians and not by their staffs. The increasing cost of employing such personnel also adds to the expense of meadical care.