Slow Steps Toward Transition

It was just over 35 years ago that Giulio Barbero, MD, a pediatrician, penned a letter in the Annals of Internal Medicine encouraging internists to concede that they might learn something from pediatricians and exhorting pediatricians to trust their patients to internists.1 At that time, transition was described as occurring by default, rather than by design.2 Surgeon General C. Everett Koop at a conference in 1984 in Wayzata, Minnesota, and then a follow-up convocation in 1989 in Jekyll Island, Georgia, addressed some of the shortfalls of transition, not the least of which was a recognition that there was a lack of research on the developmental milestones to direct the optimal time for transition between the child-focused care setting and the adult world.

https://ift.tt/2wmp775