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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.

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Why Choose A Career in Pediatrics?

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  1. Why Choose A Career in Pediatrics? Kishore Vellody, M.D. Associate Professor of Pediatrics Children’s Hospital of Pittsburgh

  2. 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)

  3. 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 (2822% 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

  4. What are the options? • General Pediatrics • Clinic Based • Community • Academic • Hospital Based • Community • Academic

  5. Health supervision Anticipatory guidance Monitoring physical and psychosocial growth and development Diagnosis and treatment of acute and chronic disorders Management of serious and life-threatening illnesses Referral of complex conditions Consultative partnerships Community based activities (i.e. sports, schools, etc) General Pediatrics - Scope

  6. 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), med-peds (#5),“other” pediatric subspecialties (#6), and neonatal-perinatal medicine (#7).

  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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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)

  14. 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

  15. 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 Subspecialty Pediatrics

  16. 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

  17. SOURCES http://www.aap.org/profed/career.htm http://www.aap.org/profed/Peds101book.pdf http://www.aap.org/profed/PEDS101charts.PDF

  18. Questions?

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