In Reply.—

Dr DiBona expresses legitimate concern regarding the different classification systems used for pediatric and neonatal units. This concern was shared by the American Medical Association Commission in its deliberations. Discussions were held with the Perinatal Section regarding changing the classification for perinatal care. The pediatric emergencies document was drafted as part of a comprehensive classification of emergency capabilities encompassing multiple disciplines. There were already precedents in trauma, spinal cord injury, burns, and general emergency medicine for level I to the highest level of care.

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