Technologic advances in the care of children with congenital heart disease have resulted in improved care, younger ages at completion of treatment, and improved outcomes. A gap between what the pediatrician needs to do to identify a child with congenital heart disease and the specialized care provided by a cardiologist has developed over time. This has altered physician roles and the training needs for general pediatricians. This article outlines a model for training that emphasizes the skills necessary for pediatricians to identify infants and children early in life with congenital heart disease consistent with advances in diagnosis and management.
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