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Urban Pediatric Orthopaedic Surgical Practice Audit: Implications for the Future of This Subspecialty
Dominick Tuason, MD1; Justin B. Hohl, MD1; Eric Levicoff, MD1; W. Timothy Ward, MD2
1 Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Pittsburgh, PA 15213
2 Children's Hospital of Pittsburgh, 45th Street and Penn Avenue, Pittsburgh, PA 15201. E-mail address: wardtw@chp.edu
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Dec 01;91(12):2992-2998. doi: 10.2106/JBJS.H.01708
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The growth and development of the physis distinguishes the child from the adult. There are historical lines of referral that direct a substantial amount of elective procedures for adolescent idiopathic scoliosis and for hip and foot pathology in children and adolescents to pediatric orthopaedic surgeons. Over twenty million children are injured each year, with an incidence of one of every four children1,2. Trauma is the leading cause of death and disability in children3-6. Coincident with an ever-expanding amount of pediatric trauma, many general hospitals have terminated their pediatric trauma services7-9. These factors have resulted in increasing numbers of children presenting to pediatric orthopaedic surgical outpatient clinics and to pediatric hospitals, particularly those with active pediatric trauma programs. Trauma call responsibility has become an important quality-of-life issue for many pediatric orthopaedic surgeons8,10-15.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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