I would have to say that is a tough question, because I don't have any facts to back up my statement. You mention seeing less adolecents outpatient, this is probably due to the fact that between 12-18, they really don't have anything to go to the doctor for. They are pretty much done with immunizations, (Except for HPV) there are really no screening catagories in that age group, so really, they only go to the doctor if they are sick. I still would have to assume that peds see more adolecents, based on the fact that they do get admitted to peds, so who are they to follow up with? I feel like the only time I see a teenager, is when either A) their parents have come to the clinic for years and want their children to come there. or B) There are no pediatricians in the area that take their insurance.