Experience has shown that if sustained and serious efforts are made resources are forthcoming. A few of the large corporate hospitals in the private sector have attempted to establish pediatric specialities with some success. Such centers would seem to be ideally placed for that purpose, since costly equipment and other facilities need not be provided exclusively for children and their use for adult patients would justify the heavy investment. However, financial considerations dictate patient care at such hospitals, where pediatric patients are often treated by adult specialists. More unfortunately, pediatricians do not refer their patients to pediatric specialists.
General physicians are mostly unaware of pediatric subspeciality facilities.
A team approach must be developed in which the specialist manages the organ system disorder and the general pediatrician takes care of other problems, both sharing the total responsibility. Pediatric Specialities A training programme in neonatology leading to a degree of DM has been established at four centers. In no other subspeciality such a facility exists. Pediatric specialists and general pediatricians are at par when being considered for academic positions. This unfortunate situation will exist until speciality divisions are established requiring to be manned by those with a qualification of DM or its equivalent.