Transcript So, You Want To Go Into Pediatrics?

So, You Want To Go Into
Pediatrics?
Jennifer Trainor, MD
Career Advising Coordinator in
Pediatrics
January 16, 2013
What’s the attraction?
Kids:
you
• are cuter than adults Don’t
want to take
care of me?
• get better faster than
adults
• don’t whine as much
as adults
• usually don’t cause
their own illness
Common Myths
• All pediatricians do is see kids with runny noses
& vomiting/diarrhea
• If you are AOA with great board scores, you
shouldn’t “waste” your hard work by going into
an easy-to-match specialty
• All pediatricians have low salaries
• A career in pediatrics won’t offer enough
intellectual stimulation
• Only women go into pediatrics
Pediatricians can:
• Be primary care providers
• Have longitudinal
relationships with children
and families
• Resuscitate newborns in
the delivery room &
counsel adolescents on
substance abuse &
sexually transmitted
illness both in the same
day
Pediatricians can:
• Be subspecialty care
providers
• Perform procedures
multiple days per
week
• OR never perform
procedures
Pediatricians can:
• Work exclusively in hospitalbased practice
 In an academic environment
 In a community environment
• Work exclusively in an
outpatient-based practice
 As clinicians
 As clinician-educators
 As clinician-educator,
researcher
• Combine the two
Pediatricians can:
• Focus on public
health
• Focus on advocacy
• Participate in
international health
opportunities
Pediatricians can:
• Serve important
leadership roles in US
government, public
policy, industry
• Richard Besser was
acting director of the
CDC in 2009
Board certified subspecialty training
opportunities
•
•
•
•
Adolescent Medicine
Neonatal-Perinatal Medicine
Pediatric Cardiology
Pediatric Critical Care
Medicine
• Pediatric Emergency Medicine
• Pediatric Endocrinology
• Pediatric Gastroenterology
• Pediatric HematologyOncology
• Pediatric Infectious Diseases
• Pediatric Nephrology
• Pediatric Pulmonology
• Pediatric Rheumatology
• Pediatric Sports Medicine
• Sleep Medicine
• Medical toxicology
• Neurodevelopmental
Disabilities
• Pediatric Transplant
Hepatology
Breakdown of Primary v. Subspecialty
Care
By Gender
What do we know about recent
residency graduates?
ABP Workforce Data 2009
How many pediatricians do we train
per year?
ABP
How many pediatricians do we
train per year?
How many men go into
pediatrics?
What percent of peds residents go into
subspecialties?
What subspecialties did pediatricians
choose?
Who’s out in the workforce?
Where are the pediatricians?
Are pediatricians happy?
How old are pediatricians?
ABP 2009
Now let’s get to what you really want to
know…
Median total compensation for primary care
providers
Medical Economics August 1,2008 Exclusive Survey: Good news for primary care
income: Supply and demand lead to higher reimbursement, but for how long?
Average salary
by pediatric subspecialty
Annual Salary ($)
Endocrinology
185,901
Gastroenterology
236,700
Hematology/Oncology
205,999
Intensive Care
265,913
Nephrology
217,767
Neurology
209,955
Pulmonology
176,974
Infectious Disease
199,165
Cardiology
244,944
2009 Physician Compensation Survey by the American Medical Group Association
Loan Repayment Options
• NIH Extramural Pediatric Research Loan Repayment
Program
 http://www.lrp.nih.gov/about_the_programs/pediatric.aspx
 Pediatric investigators, up to $35,000/year
• National Health Service Corps
 http://www.idph.state.il.us/about/rural_health/NHSC_State_LR_pro
gram_app.pdf
 Up to $120,000 total for 4 year commitment
 Primary care pediatrics
• Indian Health Service
 www.ihs.gov
 Up to $20,000/yr, min 2 year commitment, plus additional 20% to
offset tax liability
What do we know about the
match in pediatrics?
NRMP Data Warehouse 2011
Distribution of USMLE Step 1 Scores
Distribution of USMLE Step 2 Scores
Numbers of programs students
rank
Is it important to be AOA?
How many have published?
Done research?
Some comparative data
Some comparative data
16
14
12
10
8
6
Independent Applicants
Ph
ys
ic
Matched
Not Matched
8
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16
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er
es
D
An
Chart
4
Median Number of Contiguous Ranks
by Preferred Specialty, Applicant Type, and Match Status
Not Matched
16
11
8
3
4
How do program directors select
people to interview?
What’s important?
What about the personal
statement?
Commitment & Research
Applicant Ranking
What’s important?
Mean importance ratings…
Mean importance ratings…
What about USMLE?
USMLE Step 2
When are interviews offered?
0
How many applications did
students submit?
Median number of
applications submitted
Median number of
interviews offered
Median number of
interviews attended
Matched
Median number of
programs ranked
Not Matched
50
48
40
Pediatrics (Categorical)
Percentage of Applicants Citing Different Ranking Strategies
by Applicant Type
Figure PD-3
30
30
Independent Applicants
U.S. Seniors
60
20
50
10
40
7
4
0
30
Median number of
applications submitted
20
20
17
Median number of
interviews offered
14 Matched15
6
4
Median number of
interviews attended
Not Matched
10
11
10
*Match outcome is based on preferred specialty (i.e., specialty listed first on rank order list of programs).
6
4
Median number of
programs ranked
9
10
0
Median number of
applications submitted
Median number of
interviews offered
Matched
50 Applicant Survey 48
NRMP
Results, 2011
Median number of
interviews attended
Not Matched
95 Applicants
Independent
Median number of
programs ranked
Where do Feinberg Students Go?
Matches in Pediatrics 1999-2012
Children’s Memorial/Lurie
37
Lutheran General, Loyola
6
Milwaukee Children’s
16
Oakland Children’s
6
University of Chicago
10
Boston Children’s, Denver Children’s
5
St. Louis Children’s/Wash U
8
University of Pittsburg
5
Los Angeles Children’s
8
Rush
5
Indiana U-Riley Children’s
8
NY Presbyterian Weill Cornell, Baylor
4
Cincinnati Children’s Hospital
7
Duke, University of Arizona
4
7
Denver Children’s, Seattle Children’s,
Rainbow Babies,
UC Irvine
4
2-3
Mt. Sinai, Yale, UC Davis, UCSF, UW
Madison, Cleveland Clinic, U
Tennessee, UT Houston, UC San
Diego, U Maryland, Loma Linda, USC,
Miami Children’s, Natl Capital
Consortium
1
DC Children’s
CHOP (3), Einstein (3), Stanford,
Johns Hopkins, Georgetown,
Minnesota, UCLA, Harbor UCLA (3),
Nationwide-Columbus, UVermont
Planning for next year
• Sign up for an advisor if you think you may be
interested in pediatrics, note if you have a
previous relationship/special interest
• Set up a meeting in February to discuss plans
• Bring transcript, narrative evaluations for
clerkships
• Sign up for pediatric subinternship if you are
sure about peds
• Avoid taking all pediatric electives
Planning for residency match
• Plan at least one elective over the summer to
allow a pediatric faculty member to get to know
you well for LOR
• Work on essay and CV over the late spring/early
summer
• Get your application materials into ERAS as
early as possible, especially if you are a weaker
applicant GOAL SEPT 1
• Unclear when programs will grant interviews
based on new timing of MSPE, September 1
Bibliography
Results of the 2011
NRMP Applicant Survey
by Preferred Specialty and Applicant Type
September 2011
www.nrmp.org
Bibliography
Bibliography
• American Board of Pediatrics 2009-2010
Workforce Data
• Available online at https://www.abp.org/
• Lots of other interesting information
available on this site as well
• ABP Research Publications
https://www.abp.org/abpwebsite/publicat/res
earchpub.pdf
Specific Citations of Interest