The General Academic Pediatrician (GAP) may act as a consultant to both primary care pediatricians and tertiary care subspecialists. The authors surveyed a consultation service staffed by three GAP's in a tertiary care children's hospital. The service was financially successful and generated new sources of referrals for its parent institution. The increasing complexity of the role of a GAP within a department of pediatrics in regards to clinical, teaching, and research activities is explored.
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