1. So, You Want To Go Into Pediatrics? Jennifer Trainor, MD Career Advising Coordinator in Pediatrics January 16, 2013

2. What’s the attraction? Kids: are cuter than adults get better faster than adults don’t whine as much as adults usually don’t cause their own illness Don’t you want to take care of me?

3. Common Myths All pediatricians do is see kids with runny noses & vomiting/diarrhea If you are AOA with great board scores, you shouldn’t “waste” your hard work by going into an easy-to-match specialty All pediatricians have low salaries A career in pediatrics won’t offer enough intellectual stimulation Only women go into pediatrics

4. Pediatricians can: Be primary care providers Have longitudinal relationships with children and families Resuscitate newborns in the delivery room & counsel adolescents on substance abuse & sexually transmitted illness both in the same day

5. Pediatricians can: Be subspecialty care providers Perform procedures multiple days per week OR never perform procedures

6. Pediatricians can: Work exclusively in hospital- based practice  In an academic environment  In a community environment Work exclusively in an outpatient-based practice  As clinicians  As clinician-educators  As clinician-educator, researcher Combine the two

7. Pediatricians can: Focus on public health Focus on advocacy Participate in international health opportunities

8. Pediatricians can: Serve important leadership roles in US government, public policy, industry Richard Besser was acting director of the CDC in 2009

9. Board certified subspecialty training opportunities Adolescent Medicine Neonatal-Perinatal Medicine Pediatric Cardiology Pediatric Critical Care Medicine Pediatric Emergency Medicine Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology- Oncology Pediatric Infectious Diseases Pediatric Nephrology Pediatric Pulmonology Pediatric Rheumatology Pediatric Sports Medicine Sleep Medicine Medical toxicology Neurodevelopmental Disabilities Pediatric Transplant Hepatology

10. Breakdown of Primary v. Subspecialty Care By Gender

11. What do we know about recent residency graduates? ABP Workforce Data 2009

12. How many pediatricians do we train per year ? ABP

13. How many pediatricians do we train per year?

14. How many men go into pediatrics?

15. What percent of peds residents go into subspecialties?

16. What subspecialties did pediatricians choose?

17. Who’s out in the workforce?

18. Where are the pediatricians?

19. Are pediatricians happy?

20. How old are pediatricians? ABP 2009

21. Now let’s get to what you really want to know…

22. Median total compensation for primary care providers Medical Economics August 1,2008 Exclusive Survey: Good news for primary care income: Supply and demand lead to higher reimbursement, but for how long?

23. Average salary by pediatric subspecialty Annual Salary ($) Endocrinology185,901 Gastroenterology236,700 Hematology/Oncology205,999 Intensive Care265,913 Nephrology217,767 Neurology209,955 Pulmonology176,974 Infectious Disease199,165 Cardiology244,944 2009 Physician Compensation Survey by the American Medical Group Association

24. Loan Repayment Options NIH Extramural Pediatric Research Loan Repayment Program  http://www.lrp.nih.gov/about_the_programs/pediatric.aspx http://www.lrp.nih.gov/about_the_programs/pediatric.aspx  Pediatric investigators, up to $35,000/year National Health Service Corps  http://www.idph.state.il.us/about/rural_health/NHSC_State_LR_pro gram_app.pdf http://www.idph.state.il.us/about/rural_health/NHSC_State_LR_pro gram_app.pdf  Up to $120,000 total for 4 year commitment  Primary care pediatrics Indian Health Service  www.ihs.gov www.ihs.gov  Up to $20,000/yr, min 2 year commitment, plus additional 20% to offset tax liability

25. What do we know about the match in pediatrics?

26. NRMP Data Warehouse 2011

27. Distribution of USMLE Step 1 Scores

28. Distribution of USMLE Step 2 Scores

29. Numbers of programs students rank

30. Is it important to be AOA?

31. How many have published?

32. Done research?

33. Some comparative data

36. How do program directors select people to interview?

37. What’s important?

38. What about the personal statement?

39. Commitment & Research

40. Applicant Ranking What’s important?

41. Mean importance ratings…

43. What about USMLE?

44. USMLE Step 2

45. When are interviews offered?

46. How many applications did students submit?

47. Where do Feinberg Students Go? Matches in Pediatrics 1999-2012 Children’s Memorial/Lurie37Lutheran General, Loyola6 Milwaukee Children’s16Oakland Children’s6 University of Chicago10Boston Children’s, Denver Children’s5 St. Louis Children’s/Wash U8University of Pittsburg5 Los Angeles Children’s8Rush5 Indiana U-Riley Children’s8NY Presbyterian Weill Cornell, Baylor4 Cincinnati Children’s Hospital7Duke, University of Arizona4 DC Children’s7 Denver Children’s, Seattle Children’s, Rainbow Babies, UC Irvine 4 CHOP (3), Einstein (3), Stanford, Johns Hopkins, Georgetown, Minnesota, UCLA, Harbor UCLA (3), Nationwide-Columbus, UVermont 2-3 Mt. Sinai, Yale, UC Davis, UCSF, UW Madison, Cleveland Clinic, U Tennessee, UT Houston, UC San Diego, U Maryland, Loma Linda, USC, Miami Children’s, Natl Capital Consortium 1

48. Planning for next year Sign up for an advisor if you think you may be interested in pediatrics, note if you have a previous relationship/special interest Set up a meeting in February to discuss plans Bring transcript, narrative evaluations for clerkships Sign up for pediatric subinternship if you are sure about peds Avoid taking all pediatric electives

49. Planning for residency match Plan at least one elective over the summer to allow a pediatric faculty member to get to know you well for LOR Work on essay and CV over the late spring/early summer Get your application materials into ERAS as early as possible, especially if you are a weaker applicant GOAL SEPT 1 Unclear when programs will grant interviews based on new timing of MSPE, September 1

50. Bibliography

54. American Board of Pediatrics 2009-2010 Workforce Data Available online at https://www.abp.org/https://www.abp.org/ Lots of other interesting information available on this site as well ABP Research Publications ABP Research Publications https://www.abp.org/abpwebsite/ https://www.abp.org/abpwebsite/publicat/res earchpub.pdf

55. Specific Citations of Interest