1. Why Choose A Career in Pediatrics? Kishore Vellody, MD Assistant Professor of Pediatrics Children’s Hosp of Pittsburgh

2. Job Satisfaction 96% of graduating pediatric residents who are in the job market for a general pediatric job state that they would choose Pediatrics again if they had to do it all over. 96% of graduating pediatric residents who are in the job market for a general pediatric job state that they would choose Pediatrics again if they had to do it all over. 2003 AAP Survey Data 2003 AAP Survey Data

3. Job Satisfaction Pediatricians rated higher satisfaction than internists in job, career, and specialty satisfaction Pediatricians rated higher satisfaction than internists in job, career, and specialty satisfaction General pediatricians more satisfied than all other physicians regarding their relationship with patients and personal time General pediatricians more satisfied than all other physicians regarding their relationship with patients and personal time More likely to recommend their specialty to students seeking advice More likely to recommend their specialty to students seeking advice Shugerman, et. al. 2001, Leigh et. al. 2002 Shugerman, et. al. 2001, Leigh et. al. 2002

4. Job Opportunities 80% of residents seeking a general practice position report obtaining their most desired position 80% of residents seeking a general practice position report obtaining their most desired position Workforce shortages in a variety of pediatric subspecialties mean more job opportunities for graduates Workforce shortages in a variety of pediatric subspecialties mean more job opportunities for graduates

5. Job Flexibility 26% of pediatricians (as opposed to 14% of all other specialties) have worked part time at some point in their career 26% of pediatricians (as opposed to 14% of all other specialties) have worked part time at some point in their career Multiple types of jobs offered ranging from part-time to more demanding hours Multiple types of jobs offered ranging from part-time to more demanding hours

6. Serving the Underserved Estimated that 48% of health care markets do not have a pediatrician Estimated that 48% of health care markets do not have a pediatrician ~ 290,000 children live in markets without a pediatrician or family practitioner ~ 290,000 children live in markets without a pediatrician or family practitioner 51 million people (1/5 th ) in the US lives in a rural area and only 10% of all U.S. physicians live there. 51 million people (1/5 th ) in the US lives in a rural area and only 10% of all U.S. physicians live there.

7. Pediatrics Training 3 year training (203 programs avail.) 3 year training (203 programs avail.) Inpatient Inpatient Outpatient clinic Outpatient clinic General and subspecialty exposure General and subspecialty exposure NICU, PICU NICU, PICU ER ER

8. Combined Peds/Adult Residency Training Pediatrics/Internal Medicine (4 yrs) Pediatrics/Internal Medicine (4 yrs) Pediatrics/Derm (5 yrs) Pediatrics/Derm (5 yrs) Pediatrics/ER (5 yrs) Pediatrics/ER (5 yrs) Pediatrics/Genetics (5 yrs) Pediatrics/Genetics (5 yrs) Pediatrics/PM&R (5 yrs) Pediatrics/PM&R (5 yrs) Pediatrics/Adult Psych/Peds Psych (5 yrs) Pediatrics/Adult Psych/Peds Psych (5 yrs)

9. What are the options? General Pediatrics General Pediatrics Clinic Based Clinic Based Community Community Academic Academic Hospital Based Hospital Based Community Community Academic Academic

10. General Pediatrics - background Focus on the physical, mental, social health of children from birth to 21 years. Focus on the physical, mental, social health of children from birth to 21 years. Prevention, detection, and management of these issues Prevention, detection, and management of these issues Major advocates for children (i.e. health/safety policies, education) Major advocates for children (i.e. health/safety policies, education)

11. General Pediatrics - Scope Health supervision Health supervision Anticipatory guidance Anticipatory guidance Monitoring physical and psychosocial growth and development Monitoring physical and psychosocial growth and development Diagnosis and treatment of acute and chronic disorders Diagnosis and treatment of acute and chronic disorders Management of serious and life-threatening illnesses Management of serious and life-threatening illnesses Referral of complex conditions Referral of complex conditions Consultative partnerships Consultative partnerships Community based activities (i.e. sports, schools, etc) Community based activities (i.e. sports, schools, etc)

12. Subspecialty Pediatrics Most require 2-3 years of post-residency fellowships Most require 2-3 years of post-residency fellowships Some require training in another discipline before becoming more focused on pediatrics such as: surgery, pathology, radiology Some require training in another discipline before becoming more focused on pediatrics such as: surgery, pathology, radiology Pediatric neurology and psychiatry can be done with 2 years of general pediatric training followed by 2 years of fellowship Pediatric neurology and psychiatry can be done with 2 years of general pediatric training followed by 2 years of fellowship

13. Subspecialty Pediatrics Adolescent Medicine Adolescent Medicine Allergy/Immunology Allergy/Immunology Cardiology Cardiology Clinical Genetics Clinical Genetics Critical Care Medicine Critical Care Medicine Dermatology Dermatology Developmental Developmental Emergency Medicine Emergency Medicine Endocrinology Endocrinology Gastroenterology Gastroenterology Hematology/Oncology Hematology/Oncology Infectious Disease Infectious Disease Medical Toxicology Medical Toxicology Neonatology Neonatology Nephrology Nephrology Pulmonology Pulmonology Rheumatology Rheumatology Sports Medicine Sports Medicine

14. Research Those in subspecialties or in academic environments can choose between more research intensive goals or patient care/clinical goals or a combination of the two Those in subspecialties or in academic environments can choose between more research intensive goals or patient care/clinical goals or a combination of the two

15. Questions?