Pediatricians must look the part.

The most recent Jackson & Coker physician compensation survey shows that pediatricians have again lost ground.

We are now the lowest-paid specialty--behind even nurse anesthetists--and we make half of what dermatologists earn and a third of what radiologists earn. There are several reasons for this, but I will focus on a few.

Pediatricians used to be highly valued members of society. After all, we provide comprehensive care for patients-from birth to age 21. Think of famous pediatricians you've seen: They acted, talked, and looked professional. My mentor wore a suit, white shirt, and tie to the office every day, Everything about him commanded admiration and respect. The only suits you see today are on pharmaceutical reps, because their companies understand the importance of a professional appearance.

Pediatric department meetings resemble collections of homeless individuals. Too many of us just want to be one of the girls or guys, and have taken casual attire to extremes. Yes, I realize that other qualities, such as compassion and communication, are vital. No, I didn't go into pediatrics to make money. But when many pediatricians now have trouble paying basic expenses no matter how hard they work, it is time to reevaluate everything we are doing. We had better start looking professional if we want society to compensate us appropriately. Others will stop devaluing us when we stop devaluing ourselves.

Rodney N. Kreider, M.D.

Stockbridge, Ga.