Using a Delphic poll procedure, we surveyed pediatric psychologists who wer
e established in either clinical practice or empirical research in pediatri
c psychology. Three rounds of expert responses were logically combined in o
rder to identify domains of importance to the future of pediatric psycholog
y and to determine to what extent research and clinical aims concur. Overal
l, researchers and clinicians did not differ in the types of issues deemed
important to the field. The top three domains for the next decade are conce
rned with pediatric psychology's ability to demonstrate viability, to integ
rate psychologists into primary care settings, and to demonstrate need for
changes in reimbursement systems within managed care. Implications of the t
en priority issues are discussed.