The new vice president of the American Academy of Pediatrics intends to work with the academy's leadership to improve access to care for children by fighting to enhance payments to pediatricians under Medicaid and SCHIP, the self-described “in-the-trenches type pediatrician” said in an interview. Dr. David Tayloe Jr. of Goldsboro, N.C., said “our goal is for every child to have access to comprehensive child health services and a medical home that's directed by a board-certified pediatrician—a member of the academy.” Dr. Tayloe defeated Dr. James Shira of Denver, Colo. The number of votes per candidate was not given, but the total number cast was 13,177, according to a spokeswoman for AAP. Dr. Tayloe will become the president-elect this month and will serve as the 2008–2009 AAP president.