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Arch Pediatr Adolesc Med. 1998;152:209-210.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I am responding to the article by Camp et al¹ published in the January 1997 ARCHIVES. I completed my internship (at Children's Hospital, Boston, Mass) and residency (at Children's Hospital of Philadelphia in Pennsylvania) in 1990 and have been involved in the primary care practice of pediatrics in rural north central Pennsylvania since then. The closest tertiary care medical center for children is approximately 3 hours away. As did many of the graduates surveyed in this study, I too felt inadequately prepared to handle issues in developmental and behavioral pediatrics, learning disabilities, and orthopedics early in my practice experience. However, I have found that the past 7 years have been a continuing learning experience for me; through reading, telephone consultation, referral of patients to specialists, working with the local school system, and simple experience—seeing several patients with the same presentation or clinical course—I have come to feel much more comfortable . . . [Full Text of this Article]

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