A self-selected group of pediatric surgeons from children’s hospitals across the country, determined to improve pediatric surgical care, formed an ad hoc “Task Force for Children’s Surgical Care,” which conducted a series of meetings between 2012 and 2013. Several prominent pediatric anesthesiologists from various academic practices and other “leaders in relevant disciplines” were also invited to participate. The American College of Surgeons (ACS) and the Children’s Hospital Association provided support for these meetings. Ultimately, the task force developed a draft titled “Optimal Resources For Children’s Surgical Care in the United States,” which was circulated for review and comment in mid-2013 to the ASA Committee on Pediatric Anesthesia (COPA), the board of directors of the Society for Pediatric Anesthesia (SPA) and the Section on Anesthesiology and Pain Medicine of the American Academy of Pediatrics (AAP). The document purported to identify “a mismatch between individual patient needs and available clinical resources for...

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