title: [Pediatrics at an academic medical center: organization of university pediatric services].
abstract: Pediatric medicine is one of the most important activities of any teaching hospital. Its internal organization depends on the size of the hospital and must take into account not only its missions of advice, reference and proximity, but also economic issues. Regional networking with general hospitals, private clinics and community pediatricians is necessary, if only to regulate use of the emergency department. The activity of pediatric units fluctuates over time and is not always controllable, involving both rapid turnover and extended stays. Cost of health is often underestimated or unadapted, and many units are in financial deficit despite their best efforts. University pediatrician training is highly demanding in order to ensure the quality of recruitment, but it must be sufficiently flexible if it is to attract a suficient number of candidates. As with other specialties, research is relatively easy to evaluate, contrary to teaching and clinical activity.
authors: Olivier
authors: O
authors: Claris
mesh_terms: D000046:Academic Medical Centers; D005602:France; D006801:Humans; D010372:Pediatrics / Q000193:education / Q000458:organization & administration*