The experience of a two-man pediatric practice with a pediatric nurse practitioner indicates that this is an economically sound means of partially relieving the immediate manpower shortage and of improving medical care to children. The pediatric nurse practitioner provides skill and competent services to patients and their parents which is well accepted by them. Having the pediatric nurse practitioner in the office is an economic asset. She is a valuable associate in managing a variety of day-to-day problems. Her presence has resulted in an increase in the number of patients seen and an overall improvement of services provided.