| If the dislocation is irreducible or unstable after reduction, referral to an orthopedic or hand subspecialist is advised. |
| When the subspecialist found nothing, the pediatrician sent mother and daughter to the local hospital for I. V. fluids and further evaluation. |
| Children are struggling to get timely medical care, with some waiting almost four months for subspecialist appointments even in communities served by a children's hospital. |
| During their training, candidates will acquire the knowledge base and clinical expertise expected of a subspecialist. |
| With the 10-year-old girl, I was trying hard not to refer her to a subspecialist. |
| The problem is twofold: low Medicaid payments to providers and a nationwide pediatric subspecialist work force shortage. |
