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Taking Stock: 20 Years of the Periodic Survey

This article discusses the 20-year history of the Periodic Survey, a resource provided by the American Academy of Pediatrics (AAP) to gather accurate data on priority issues and examine the demographic and practice patterns of pediatricians. The survey reveals major trends such as an increase in part-time work and a decrease in hours worked, as well as the need for representation of underrepresented minorities in the field.

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Taking Stock: 20 Years of the Periodic Survey

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  1. Taking Stock: 20 Years of the Periodic Survey

  2. Disclosure I have documented that I have no relevant financial relationships to disclose or conflict of interests to resolve. Lynn Olson, PhD American Academy of Pediatrics

  3. Synopsis The Periodic Survey, started in 1987 is: • A random sample of US AAP members • Conducted 3-4 times annually • Comprised of core demographics with changing substantive topics • A resource to committees, sections and projects of the Academy

  4. Why was the Periodic Survey started? • Gather accurate data on priority issues • Create an enduring infrastructure • Scientifically done • Limit number of surveys • Result - a unique ability and willingness of profession to critically examine itself

  5. With THANKS! • To the thousands of participating pediatricians • 72 surveys since 1987 • 22,000 hours of volunteer time!

  6. With THANKS! • To our many collaborators • 46 sponsoring AAP groups • 45 presentations at PAS • 34 publications • To our funders • Primary AAP support • 12 other funders

  7. Taking Stock over 20 Years • Who are you? • How much are you working? • Where are you working? • How has this changed over 20 years?

  8. Methods • Demographic data across 69 surveys • 1987-2007, US AAP members • Random sample, mailed survey • Self reported data • Response rate: 49% - 81% • Pooled 4-year clusters of data • Sample of 9,500 to 19,000

  9. Methods • Who is included? • AAP Members = Board Certified • Generalists & Subspecialists • Retired members excluded • Residents included in most cases • With these caveats, will refer to as “Pediatricians”

  10. Mean Age of US Pediatricians by Survey Year(Includes Residents) Mean Age (y) 1987-91 1992-95 1996-99 2000-03 2004-07 Source: AAP Periodic Survey 1987-2007

  11. Age & Gender Distribution of US Pediatricians, 1987-91(Including Residents) > 71y Men Women 66-70y 61-65y 56-60y 51-55y 46-50y 41-45y 36-40y 31-35y < 30y 20 15 10 5 0 5 10 15 20 Percent of Membership Source: AAP Periodic Survey 1987-2007

  12. Age & Gender Distribution of US Pediatricians, 2004-07(Including Residents) > 71y Women 66-70y Men 61-65y 56-60y 51-55y 46-50y 41-45y 36-40y 31-35y < 30y 20 15 10 5 0 5 10 15 20 Percent of Membership Source: AAP Periodic Survey 1987-2007

  13. Age & Gender Distribution of US Pediatricians, 1987-91 Men Women 2004-07 Men Women

  14. Gender of Pediatricians by Year(Residents Included) % of Pediatricians 1987-91 1992-95 1996-99 2000-03 2004-07 Source: AAP Periodic Survey 1987-2007

  15. Pediatricians’ Average Reported Hours Worked Per Week by Age 1992-2007(excluding Residents) Hours Worked Per Week 1992-95 1996-99 2000-03 2004-07 Source: AAP Periodic Survey 1992-2007

  16. Pediatricians’ Self-Reported Part-Time Work (excluding Residents) % Working Part-time 1993 2000 2003 2006 Source: AAP Periodic Survey 1993-2007

  17. Race/Ethnicity of Male Pediatricians by Year (Including Residents) Percent of Male Pediatricians 1987-91 1992-95 1996-99 2000-03 2004-07 Source: AAP Periodic Survey 1987-2007

  18. Race/Ethnicity of Female Pediatricians by Year(Including Residents) Percent 1987-91 1992-95 1996-99 2000-03 2004-07 Source: AAP Periodic Survey 1987-2007

  19. Generalists’ Primary Practice Type 1987-2007 (excluding Residents) Percent Pediatricians 1987-91 1992-95 1996-99 2000-03 2004-07 Source: AAP Periodic Survey 1987-2007

  20. Summary Major Trends • Greater proportion of women • Increase in part-time work • Decrease in hours worked • Fewer solo-two person practice Slow to change: • Underrepresented minorities

  21. Looking to the Next Decade • The Academy remains highly committed to accurately assessing current pediatric practice and attitudes • We will also continue to monitor the changing demographic and practice patterns

  22. ACKNOWLEDGEMENTS Thanks to our: Dedicated research staff Karen O’Connor Sandy Sharp Responding pediatricians Collaborators Funders

  23. For more information visit our web site: www.aap.org/research/periodicsurvey

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