The US Pediatric Nephrology Workforce: A Report Commissioned by the American Academy of Pediatrics

Primack, William A.; Meyers, Kevin; Kirkwood, Suzanne; Ruch‐Ross, Holly S.; Radabaugh, Carrie L.; Greenbaum, Larry A.

doi:10.1053/j.ajkd.2015.03.022

Cited by 41 publications

(33 citation statements)

References 15 publications

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“…Due to lagging numbers of fellows entering training, changes in the gender composition have lagged also. Other pediatric subspecialities (nephrology, cardiology, and critical care) also are predominately male based on recent workforce studies . Minorities make up a larger percentage of the field, but the profession is still largely a group of Caucasian men.…”

Section: Discussionmentioning

confidence: 99%

US pediatric pulmonology workforce

Harris

Katkin

Cataletto

et al. 2019

Pediatric Pulmonology

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Aim: Children with respiratory conditions benefit from care provided by pediatric pulmonologists. As these physicians are a small portion of the overall pediatric workforce, it is necessary to understand the practices and career plans of these specialists.Results: Responses were received from 485 physicians and were compared to the results of a similar survey done in 1997. Of those completing the survey, 63% were male and 37% female, with increased number of females since the earlier poll. The average calculated age was 56 years. They worked 54 h per week, down from 59 h in the prior survey. Pediatric pulmonologists are overwhelmingly clinicians (92%) with major responsibilities for administration (79%), teaching (78%), and research. Basic science research was rarely reported (7%). Pediatric pulmonologists felt that referrals had become more complicated in the recent past. Nearly all planned to maintain Pediatric Pulmonology Sub-board certification, though one third planned to cut back on clinical workload in the next decade. Many were concerned that the number needed in the profession in a decade would be inadequate with significant concerns about funding for those positions.Conclusion: Overall, these results reflect the current state of the workforce and the need to monitor the supply of practitioners in the future. K E Y W O R D S fellowship training, pediatric pulmonology, shortage, workforce

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Section: Discussionmentioning

confidence: 99%

US pediatric pulmonology workforce

Harris

Katkin

Cataletto

et al. 2019

Pediatric Pulmonology

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“…Predictology as an important technical discipline, plays an increasingly important role in all walks of life today [20][21]. The 1990-2017 Health Human Resources Data are derived from the 2018 China Health Statistics Yearbook.More people/population ratio method, index smoothing method, gray prediction principle and method to predict the absolute demand of health manpower [22][23][24][25][26][27][28][29]. Kalman and Bucy began to study the uneven process of time series in the early 1960s, but did not form a certain system, prompting researchers to find ways to solve these problems [30][31].…”

Section: Methodsmentioning

confidence: 99%

Forecast and Analysis of China's Health Human Resources and Medical Higher Education Development Demand

Liu

et al. 2019

Preprint

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Background: Statistics show that as of the end of December 2017, there were 11.749 million health workers and 898.82 million health technicians in China. In recent years, with the rapid development of the economy, the rapid expansion of the health manpower, which requires more scientific and rational health manpower forecasting, health manpower planning.It is important to strengthen and study the forecast of the future demand of the health workforce.Methods: On the basis of analyzing the current situation, changing trend and problems of China's human resources allocation and higher medical education, this study uses ARIMA model to forecast the demand of health workers in China from 2018 to 2024, and compares the difference smaller supply and demand of China's total health manpower.To determine the future development trend of China's health manpower, and finally explore the scientific and reasonable forecasting method of human resources for health. Results: China's total health manpower is relatively adequate, the proportion of medical care is unreasonable, medical staff is inadequate. The ARIMA model predicts an improvement in the inversion of health care in China and a continued increase in the demand for health care.By 2024, China's demand for health personnel will reach 17.4563 million, but the health manpower supply is still not keeping pace with the growth rate of demand, and the quantitative gap is still gradually widening in the short term, the gap between supply and demand in 2024 reached 1.4859 million people, medical and health institutions and medical education institutions are under greater pressure. Conclusion: In view of the forecast results of China's health human resources in this study, policy makers and health managers should pay more attention to and support the forecastplanning of health human resources, strengthen the government's macro-control, and actively solve the shortage of health manpower. Actively explore scientific models or methods for forecasting the demand of health workers, guide the planning practice of health manpower, guide the training of health personnel in colleges and universities, moderately expand the scale of medical education and training, and vigorously improve the quality of medical education.

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“…Pediatric nephrologists across the US are active in research, education, advocacy, and other scholarly work. 11 Academic work is important for career satisfaction, career development, and faculty retention. The American Academy of Pediatrics pediatric nephrology workforce survey reported that 63% of pediatric nephrologists participate in clinical research, 14% in basic science research, and 3% in health science research.…”

Section: Physician Academic Effortmentioning

confidence: 99%

“…In addition, almost onehalf of US pediatric nephrologists practice in a division that offers a nephrology fellowship. 11 For those divisions, a robust academic program is especially important to provide fellows training in research and scholarship and to maintain Accreditation Council for Graduate Medical Education certification. Nephrologists who serve as fellowship, residency, or course directors require time to satisfy corresponding administrative and educational responsibilities to meet regulatory requirements.…”

Section: Physician Academic Effortmentioning

confidence: 99%

“…[8][9][10] A 2013 American Academy of Pediatrics survey of the pediatric nephrology workforce showed that nearly one-half of all pediatric nephrologists work in small practices with #3 partners, and approximately 1 in 10 are the sole pediatric nephrologist in his or her center. 11 Given the needs of this patient population, pediatric nephrologists require the support of a complete multidisciplinary team to ensure optimal patient outcomes and to prevent burnout and departure of pediatric nephrologists from clinical practice. 2,8,[10][11][12] The American Society of Pediatric Nephrology endorses the following services and resources as essential to support all pediatric nephrology divisions, regardless of the number of physicians, to provide quality patient care to children with kidney disease and optimize pediatric services in a children's medical center (Table II).…”

mentioning

confidence: 99%

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