Enhancing the Role of Internists in the Transition From Pediatric to Adult Health Care
Authors: M. Carol Greenlee, Lawrence D'Angelo, Stacey R. Harms, Alice A. Kuo, Michael Landry, Margaret McManus, Gregg M. Talente, Patience White
Journal: Annals of Internal Medicine (2017)

Letters5 September 2017Enhancing the Role of Internists in the Transition From Pediatric to Adult Health CareM. Carol Greenlee, MD, Lawrence D'Angelo, MD, MPH, Stacey R. Harms, MSJ, Alice A. Kuo, MD, PhD, Michael Landry, MD, MSc, Margaret McManus, MHS, Gregg M. Talente, MD, MS, and Patience White, MD, MA, for the American College of Physicians Council of Subspecialty Societies Pediatric to Adult Care Transitions Initiative Steering CommitteeM. Carol Greenlee, MDFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., Lawrence D'Angelo, MD, MPHFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., Stacey R. Harms, MSJFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., Alice A. Kuo, MD, PhDFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., Michael Landry, MD, MScFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., Margaret McManus, MHSFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., Gregg M. Talente, MD, MSFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., and Patience White, MD, MAFrom Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC., for the American College of Physicians Council of Subspecialty Societies Pediatric to Adult Care Transitions Initiative Steering CommitteeAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0323 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate Dr. Dhanvanthari and colleagues' input and agree that clinicians trained in Med-Peds and family medicine have a perspective that can be helpful when considering the transition process for young adults. However, we disagree with their implication that their respective training alone would eliminate the need to address the serious transition issues that all young adults with chronic conditions since childhood experience, regardless of who their clinicians and care teams are. Transition is a process that includes more than transfer of care. It includes evaluating and educating the young adult on acquiring knowledge of and skills for ...References1. Cooley WC, Sagerman PJ; American Academy of Pediatrics. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2011;128:182-200. [PMID: 21708806] doi:10.1542/peds.2011-0969 CrossrefMedlineGoogle Scholar2. Heath G, Farre A, Shaw K. Parenting a child with chronic illness as they transition into adulthood: a systematic review and thematic synthesis of parents' experiences. Patient Educ Couns. 2017;100:76-92. [PMID: 27693084] doi:10.1016/j.pec.2016.08.011 CrossrefMedlineGoogle Scholar3. Hislop J, Mason H, Parr JR, Vale L, Colver A. Views of young people with chronic conditions on transition from pediatric to adult health services. J Adolesc Health. 2016;59:345-53. [PMID: 27287962] doi:10.1016/j.jadohealth.2016.04.004 CrossrefMedlineGoogle Scholar4. Okumura MJ, Kerr EA, Cabana MD, Davis MM, Demonner S, Heisler M. Physician views on barriers to primary care for young adults with childhood-onset chronic disease. Pediatrics. 2010;125:e748-54. [PMID: 20231189] doi:10.1542/peds.2008-3451 CrossrefMedlineGoogle Scholar5. Garvey KC, Telo GH, Needleman JS, Forbes P, Finkelstein JA, Laffel LM. Health care transition in young adults with type 1 diabetes: perspectives of adult endocrinologists in the U.S. Diabetes Care. 2016;39:190-7. [PMID: 26681724] doi:10.2337/dc15-1775 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Western Slope Endocrinology, Grand Junction, Colorado; Children's National Medical Center, Washington, DC; American College of Physicians, Washington, DC; University of California, Los Angeles, Los Angeles, California; Tulane University School of Medicine and Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana; The National Alliance to Advance Adolescent Health, Washington, DC; University of South Carolina, Columbia, South Carolina;The National Alliance to Advance Adolescent Health and the George Washington University School of Medicine and Health Sciences, Washington, DC.Acknowledgment: Neil Kirschner, PhD, is also a member of the American College of Physicians Council of Subspecialty Societies Pediatric to Adult Care Transitions Initiative Steering Committee.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0514. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEnhancing the Role of Internists in the Transition From Pediatric to Adult Health Care M. Carol Greenlee , Lawrence D'Angelo , Stacey R. Harms , Alice A. Kuo , Michael Landry , Margaret McManus , Gregg M. Talente , Patience White , and Enhancing the Role of Internists in the Transition From Pediatric to Adult Health Care Sonya Dhanvanthari , Gina Riccardi , Rohit Shah , Varun Shetty , and Henry Ng Metrics Cited byBarriers to the Successful Health Care Transition of Patients with Kidney Disease: A Mixed-Methods Study on the Perspectives of Adult NephrologistsYounger Adults Initiating Hemodialysis: Antidepressant Use for Depression Associated With Higher Health Care UtilizationSeriously Ill Pediatric Patients Who Transition to Adulthood #346 5 September 2017Volume 167, Issue 5Page: 363-364KeywordsAdolescentsChild healthConflicts of interestDisclosureHealth careHealth care qualitySub-specialty careYoung adults ePublished: 5 September 2017 Issue Published: 5 September 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...