The level I pediatric trauma center shall: Have an organized pediatric trauma research program with a designated physician director and a documented research plan; Hold regular meetings of the research group; Show evidence of productivity; Have research proposals reviewed by an institutional review board; Conduct clinical research designed to enhance the trauma system’s ability to resuscitate, stabilize, and treat trauma patients in the most cost-effective manner; Present research study results at local, regional, and national meetings; and Produce publications in peer-reviewed journals on an average of seven times per year.