Factors Influencing Medical Students’ Career Choice to Pursue Pediatrics

Azok, Jill; OʼDonnell, Katherine A.; Long, Michele; Wang, Helen C.; Crook, Travis W.; Pogemiller, Mark I.; Momotaz, Hasina; Knight, Abena B.; Burns, Rebekah; Harrison, Virginia A.; Schmidt, Suzanne M.; Opstal, Elizabeth R. Van; Weinstein, Adam

doi:10.1016/j.jpeds.2023.113525

The Journal of Pediatrics

2024

DOI: 10.1016/j.jpeds.2023.113525

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Factors Influencing Medical Students’ Career Choice to Pursue Pediatrics

Jill Azok¹,

Katherine A. OʼDonnell²,

Michele Long³

et al.

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2024

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Cited by 5 publications

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“…However, suggesting that increasing the number of large programs would enhance recruitment into the subspecialty is based on no evidence. In fact, in the work by Nelson and colleagues, the decision to pursue pediatric pulmonology occurs early in the second year of pediatric residency, so strategies to enhance recruitment should occur more proximally in the educational pipeline, such as early exposure in residency or in the preclinical medical school curriculum ( 11 , 12 ). Efforts to decrease the disparities in compensation between adult and pediatric providers ( 13 ) and reduce debt may help enhance recruitment of medical students into pediatric residencies ( 12 ).…”

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“…In fact, in the work by Nelson and colleagues, the decision to pursue pediatric pulmonology occurs early in the second year of pediatric residency, so strategies to enhance recruitment should occur more proximally in the educational pipeline, such as early exposure in residency or in the preclinical medical school curriculum ( 11 , 12 ). Efforts to decrease the disparities in compensation between adult and pediatric providers ( 13 ) and reduce debt may help enhance recruitment of medical students into pediatric residencies ( 12 ). Decreasing the duration of fellowship to 2 years (from its present 3 years) has also been proposed, but even though it would reduce trainee debt ( 14 ) and the cost of training, it is unclear whether it would actually increase recruitment into the subspecialty.…”

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Recruitment into Pediatric Pulmonary Fellowship Programs: The Bigger the Better?

Weiss

2023

ATS Scholar

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confidence: 99%

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confidence: 99%

Recruitment into Pediatric Pulmonary Fellowship Programs: The Bigger the Better?

Weiss

2023

ATS Scholar

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Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology

Soranno,

Amaral,

Ashoor

et al. 2024

Pediatr Nephrol

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Importance Pediatric patients with complex medical problems benefit from pediatric sub-specialty care; however, a significant proportion of children live greater than 80 mi. away from pediatric sub-specialty care. Objective To identify current knowledge gaps and outline concrete next steps to make progress on issues that have persistently challenged the pediatric nephrology workforce. Evidence review Workforce Summit 2.0 employed the round table format and methodology for consensus building using adapted Delphi principles. Content domains were identified via input from the ASPN Workforce Committee, the ASPN’s 2023 Strategic Plan survey, the ASPN’s Pediatric Nephrology Division Directors survey, and ongoing feedback from ASPN members. Working groups met prior to the Summit to conduct an organized literature review and establish key questions to be addressed. The Summit was held in-person in November 2023. During the Summit, work groups presented their preliminary findings, and the at-large group developed the key action statements and future directions. Findings A holistic appraisal of the effort required to cover inpatient and outpatient sub-specialty care will help define faculty effort and time distribution. Most pediatric nephrologists practice in academic settings, so work beyond clinical care including education, research, advocacy, and administrative/service tasks may form a substantial amount of a faculty member’s time and effort. An academic relative value unit (RVU) may assist in creating a more inclusive assessment of their contributions to their academic practice. Pediatric sub-specialties, such as nephrology, contribute to the clinical mission and care of their institutions beyond their direct billable RVUs. Advocacy throughout the field of pediatrics is necessary in order for reimbursement of pediatric sub-specialist care to accurately reflect the time and effort required to address complex care needs. Flexible, individualized training pathways may improve recruitment into sub-specialty fields such as nephrology. Conclusions and relevance The workforce crisis facing the pediatric nephrology field is echoed throughout many pediatric sub-specialties. Efforts to improve recruitment, retention, and reimbursement are necessary to improve the care delivered to pediatric patients. Graphical Abstract

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Raising the Bar: The Need for Increased Financial Support to Sustain and Expand the Community of Pediatric Subspecialists

Lakshminrusimha,

Cheng,

Leonard

et al. 2024

The Journal of Pediatrics

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Factors Influencing Medical Students’ Career Choice to Pursue Pediatrics

Cited by 5 publications

References 16 publications

Recruitment into Pediatric Pulmonary Fellowship Programs: The Bigger the Better?

Recruitment into Pediatric Pulmonary Fellowship Programs: The Bigger the Better?

Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology

Raising the Bar: The Need for Increased Financial Support to Sustain and Expand the Community of Pediatric Subspecialists

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