In Order to deal with the question1 in an intelligent manner it will be necessary to define both "new pediatrics" and "mixed group." It will be further illuminating to ask why the question should be asked: Can the new pediatrics be practiced?" It seems fair to state in answer that the question is asked chiefly because of the discrepancy between the type of patient who is seen in pediatric residency and the type of patient encountered in everyday pediatric practice. It should be pointed out that implicit in this discrepancy is a known change in the character of pediatric practice in general; the pediatrician of today sees few of the diseases considered both common and serious in the practitioner's office a generation ago.
The ex-resident entering practice today may find that the knowledge gained from the more difficult periods of his residency training is not put to frequent use. He might further find that he is at a loss to cope with some of the many questions a mother can ask regarding her child, which do not seem related to the child's organic illness; her attention may be focused on something which appears minor in the eyes of the pediatrician. He finds himself often in the position of health counselor and practitioner of preventive medicine rather than a physiologist delving into the newly-known metabolic disturbances or the fine techniques of cardiac catheterization. He must learn the truth of Dr. Wyman C. C. Cole, Sr.'s statement that, "We must think of the pediatrician as the child's physician, not merely as one who treats the diseases of childhood."2