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Related Experiment Videos

Subspecialization within pediatric practice: a broader spectrum.

B W McCrindle1, B Starfield, C DeAngelis

  • 1Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, Maryland.

Pediatrics
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

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Many pediatricians blend general and subspecialty care, challenging assumptions about physician supply. This practice pattern requires reassessment of pediatric workforce models.

Area of Science:

  • Pediatrics
  • Medical Workforce Analysis
  • Healthcare Practice Patterns

Background:

  • Ongoing debate exists regarding a potential oversupply of general pediatricians.
  • Subspecialty characteristics and practice patterns within pediatrics require detailed description.

Purpose of the Study:

  • To characterize the subspecialty practices of pediatricians.
  • To inform the ongoing discussion on pediatric physician supply and demand.

Main Methods:

  • A national random sample of 1620 office-based pediatricians in the United States was surveyed.
  • A questionnaire was mailed, achieving a 63% response rate.
  • Respondents were categorized into general pediatrics, general pediatrics with subspecialty interest, and subspecialty practice.

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Main Results:

  • 70% identified as general pediatricians, 17% as general with subspecialty interest, and 13% as subspecialty.
  • Pediatricians with subspecialty interest showed intermediate fellowship training (63%) and board certification (16%) compared to general (14%, 2%) and subspecialty (92%, 62%) practitioners.
  • These intermediate practitioners' practices resembled general pediatricians in setting and primary care focus but utilized more specialized procedures.

Conclusions:

  • A significant proportion of pediatricians integrate subspecialty elements into their general practices.
  • Current and projected pediatric physician supply models need reevaluation considering this blended practice model.
  • This finding has implications for pediatric residency training and workforce planning.