Why Choose A Career in Pediatrics
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Transcript Why Choose A Career in Pediatrics
Why Choose A Career in
Pediatrics?
Kishore Vellody, M.D.
Associate Professor of Pediatrics
Children’s Hospital of Pittsburgh
General Pediatrics - background
Focus on the physical, mental, social health
of children from birth to 21 years.
Prevention, detection, and management of
these issues
Major advocates for children (i.e.
health/safety policies, education)
Why do we need Pediatricians?
In other countries, pediatricians are
specialists with general practitioners seeing
most kids
FP’s in U.S. are seeing less kids (2822% of
FP visits)
Care of children is becoming increasingly
complex as we learn to diagnose and treat
their illnesses more effectively
26.6% of kids have a chronic health condition
AAP data, August 2013
What are the options?
General Pediatrics
Clinic Based
Community
Academic
Hospital Based
Community
Academic
General Pediatrics - Scope
Health supervision
Management of serious
Anticipatory guidance
and life-threatening
illnesses
Referral of complex
conditions
Consultative
partnerships
Community based
activities (i.e. sports,
schools, etc)
Monitoring physical and
psychosocial growth
and development
Diagnosis and
treatment of acute and
chronic disorders
Job Satisfaction
94% of graduating pediatric residents state
that they would choose pediatrics again if
they had to do it all over.
2008 AAP Survey Data
Job satisfaction survey of 6,600 physicians in
42 specialties. Four of the “top 10” were
pediatric specialties: pediatric emergency
medicine (#1), general pediatrics (#4), medpeds (#5),“other” pediatric subspecialties
(#6), and neonatal-perinatal medicine (#7).
Job Satisfaction
Pediatricians rated higher satisfaction than
internists in job, career, and specialty
satisfaction
General pediatricians more satisfied than all
other physicians regarding their relationship
with patients and personal time
More likely to recommend their specialty to
students seeking advice
Shugerman, et. al. 2001, Leigh et. al. 2002
Job Opportunities
96% of pediatric residents secure a job
before the conclusion of training.
84% of pediatric residents who completed
training in the years 2006-2010 received an
offer for their most desired general practice
position.
AAP Survey
Job Opportunities
Workforce shortages general pediatrics and
subspecialties mean more job opportunities
for graduates
In 2010, 33% of general pediatric residency
graduates planned on subspecializing
Neonatal medicine
Pediatric hematology-oncology
Pediatric emergency medicine
Pediatric cardiology
Pediatric critical care.
6
Job Flexibility
38% of graduating residents apply for a part
time position and 23% eventually accept one
29% of pediatricians (as opposed to 14% of
all other specialties) have worked part time at
some point in their career
8% of part time positions are males
AAP August 2013
Multiple types of jobs offered ranging from
part-time to more demanding hours
Majority work in group practices
Serving the Underserved
Estimated that 52% of health care markets do
not have a pediatrician
Another 20% do not have a family practitioner
~ 650,000 children live in markets without a
pediatrician or family practitioner
51 million people (1/5th) in the US lives in a
rural area and only 10% of all U.S. physicians
live there.
93% of those physicians say they plan to
continue working in their practices long term
Pediatrics Training
3 year training (201 programs avail.)
Inpatient
Outpatient clinic
General and subspecialty exposure
NICU, PICU
ER
8123 Pediatric Residents nationwide
>90% of first year pediatric residency
positions fill each year
AAP August 2013
Combined Peds/Adult Residency
Training
Pediatrics/Internal Medicine (4 yrs)
Pediatrics/Derm (5 yrs)
Pediatrics/ER (5 yrs)
Pediatrics/Genetics (5 yrs)
Pediatrics/PM&R (5 yrs)
Pediatrics/Adult Psych/Peds Psych (5 yrs)
Subspecialty Pediatrics
Most require 2-3 years of post-residency
fellowships
Some require training in another discipline
before becoming more focused on pediatrics
such as: surgery, pathology, radiology
Pediatric neurology, rheumatology, and
psychiatry can be done with 2 years of
general pediatric training followed by 2-3
years of fellowship
Subspecialty Pediatrics
Adolescent Medicine
Allergy/Immunology
Cardiology
Clinical Genetics
Critical Care Medicine
Dermatology
Developmental
Emergency Medicine
Endocrinology
Gastroenterology
Hematology/Oncology
Infectious Disease
Medical Toxicology
Neonatology
Nephrology
Pulmonology
Rheumatology
Sports Medicine
Research
Those in subspecialties or in academic
environments can choose between more
research intensive goals or patient
care/clinical goals or a combination of the two
SOURCES
http://www.aap.org/profed/career.htm
http://www.aap.org/profed/Peds101book.pdf
http://www.aap.org/profed/PEDS101charts.PDF
Questions?