Clinical Inactivity Among Pediatricians: Prevalence and Perspectives

Freed, Gary L.; Dunham, Kelly M.; Switalski, Kara E.

doi:10.1542/peds.2008-1067

Cited by 14 publications

(21 citation statements)

References 16 publications

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“…Increasing demands from the public for documentation of competence will have to be addressed, particularly considering only 37.5% of reentered physicians reported having any retraining before returning to practice. Freed et al found that pediatricians who had been clinically inactive were less likely compared to those who had been continuously active to agree that a formal reentry program be required after an absence of 2 years [8]. Although this could be the result of over-confidence in one's ability, this could also reflect the difficulty of finding accessible programs.…”

Section: Discussionmentioning

confidence: 99%

“…A state-level study by Rimsza in Arizona and a survey of physicians over age 50 by the Association of American Medical Colleges (AAMC) and several specialty societies have provided some important data [5-7]. In addition, Freed et al conducted studies on clinical inactivity among pediatricians and state medical board licensure policies for active and inactive physicians, reporting that 5% of pediatricians were currently inactive, and 12% had at some point experienced a period of clinical inactivity of 12 months or more [8,9]. Because of numerous data gaps identified by the AAP Reentry Project, a survey was fielded in early 2008 on physician reentry into the workforce.…”

Section: Introductionmentioning

confidence: 99%

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A national survey of 'inactive' physicians in the United States of America: enticements to reentry

Jewett

Brotherton

Ruch‐Ross³

2011

Hum Resour Health

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BackgroundPhysicians leaving and reentering clinical practice can have significant medical workforce implications. We surveyed inactive physicians younger than typical retirement age to determine their reasons for clinical inactivity and what barriers, real or perceived, there were to reentry into the medical workforce.MethodsA random sample of 4975 inactive physicians aged under 65 years was drawn from the Physician Masterfile of the American Medical Association in 2008. Physicians were mailed a survey about activity in medicine and perceived barriers to reentry. Chi-square statistics were used for significance tests of the association between categorical variables and t-tests were used to test differences between means.ResultsOur adjusted response rate was 36.1%. Respondents were fully retired (37.5%), not currently active in medicine (43.0%) or now active (reentered, 19.4%). Nearly half (49.5%) were in or had practiced primary care. Personal health was the top reason for leaving for fully retired physicians (37.8%) or those not currently active in medicine (37.8%) and the second highest reason for physicians who had reentered (28.8%). For reentered (47.8%) and inactive (51.5%) physicians, the primary reason for returning or considering returning to practice was the availability of part-time work or flexible scheduling. Retired and currently inactive physicians used similar strategies to explore reentry, and 83% of both groups thought it would be difficult; among those who had reentered practice, 35.9% reported it was difficult to reenter. Retraining was uncommon for this group (37.5%).ConclusionAvailability of part-time work and flexible scheduling have a strong influence on decisions to leave or reenter clinical practice. Lack of retraining before reentry raises questions about patient safety and the clinical competence of reentered physicians.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A national survey of 'inactive' physicians in the United States of America: enticements to reentry

Jewett

Brotherton

Ruch‐Ross³

2011

Hum Resour Health

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“…1,8,9 Despite hospital medicine's increasing popularity, most pediatric hospitalist programs require fi nancial support from their affi liated institutions. 10,11 Seventy percent of hospitals surveyed reported that hospitalists do not generate enough revenue to cover their costs. 6 Our need for fi nancial reimbursement from the hospital mirrors this trend.…”

Section: Discussionmentioning

confidence: 99%

Successful Implementation of a Referral-based Academic Pediatric Hospitalist Service

Hrach

Smith

Shah

et al. 2013

Hospital Pediatrics

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SHARP approaches financial independence and provides a cost savings to SLCH. LOS decreased by a statistically significant amount compared with GM with no change in readmission rate. Referring physician satisfaction was high, likely allowing for growth in referrals to SLCH. SHARP hospitalists' collaboration with referring physicians, ensuring excellent follow-up, provides decreased duration of hospitalization and resource utilization. Our availability throughout the day to reassess patients increases efficiency. We project that we must average 12.6 daily encounters to be financially independent.

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“…8 In addition to part-time practice, increased numbers of pediatricians are temporarily suspending their clinical practice or assuming nonclinical roles in medicine or other fields, which may affect the availability of pediatric physicians to meet demands for clinical care. 11,12 If pediatric physician work environments do not provide the opportunity for pediatric physicians to adjust their clinical workload so that they have sufficient time to manage other responsibilities (eg, child or elder care) and pursue other interests outside of medicine, more pediatric physicians may abandon clinical practice completely. Therefore, removing barriers to part-time practice and enabling more physicians to reenter clinical practice after periods of inactivity could improve the future supply of pediatric physicians.…”

Section: Changes In the Pediatrician Workforcementioning

confidence: 99%

Pediatrician Workforce Policy Statement

Basco¹,

Rimsza²

2013

Pediatrics

118

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This policy statement reviews important trends and other factors that affect the pediatrician workforce and the provision of pediatric health care, including changes in the pediatric patient population, pediatrician workforce, and nature of pediatric practice. The effect of these changes on pediatricians and the demand for pediatric care are discussed. The American Academy of Pediatrics (AAP) concludes that there is currently a shortage of pediatric medical subspecialists in many fields, as well as a shortage of pediatric surgical specialists.

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Clinical Inactivity Among Pediatricians: Prevalence and Perspectives

Cited by 14 publications

References 16 publications

A national survey of 'inactive' physicians in the United States of America: enticements to reentry

A national survey of 'inactive' physicians in the United States of America: enticements to reentry

Successful Implementation of a Referral-based Academic Pediatric Hospitalist Service

Pediatrician Workforce Policy Statement

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