RT Journal A1 Tuason, Dominick A1 Hohl, Justin B. A1 Levicoff, Eric A1 Ward, W. Timothy T1 Urban Pediatric Orthopaedic Surgical Practice Audit: Implications for the Future of This Subspecialty JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD December 1 VO 91 IS 12 SP 2992 OP 2998 DO 10.2106/JBJS.H.01708 UL http://dx.doi.org/10.2106/JBJS.H.01708 AB 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.