Volume 86, Number 9 www.aafp.org/afp American Family Physician 861 Case Scenario A family physician in her mid-30s was a member of an established group practice. She worked three days per week in the practice and two days per week in an urban clinic for children and adolescents with developmental disorders (e.g., cerebral palsy, mental retardation, Down syndrome). She had been the medical direc...