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Variation in Part-Time Work among Pediatric Subspecialties
Gary L Freed1, Debra M Boyer2, Kenton D Van3
1Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI; Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI; Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI.
Approximately 9.6% of pediatric subspecialists work part-time, with significant variations across specialties. Many part-time pediatric subspecialists work 40 hours weekly, impacting workforce assessments.
Area of Science:
- Pediatric Subspecialty Workforce Analysis
- Physician Employment Trends
Background:
- Understanding the pediatric subspecialist workforce is crucial for healthcare planning.
- Part-time employment and work hours significantly influence workforce capacity.
Purpose of the Study:
- To assess the prevalence of part-time work and average weekly hours among pediatric subspecialists.
- To identify variations in employment patterns across different pediatric subspecialties.
Main Methods:
- Analysis of survey data from pediatric subspecialists certified by the American Board of Pediatrics (2009-2015).
- Categorization of providers into full-time and part-time roles.
- Calculation of average weekly hours dedicated to clinical, research, education, and administrative tasks.
Main Results:
- Overall, 9.6% of pediatric subspecialists reported part-time employment.
- Part-time rates varied widely, from 3.8% in critical care to 22.9% in developmental-behavioral pediatrics.
- A significant proportion of part-time physicians, particularly in hematology/oncology, pulmonology, and transplant hepatology, worked 40+ hours per week.
Conclusions:
- Simple headcounts are insufficient to determine the effective pediatric subspecialist workforce due to complex work patterns.
- Findings highlight unique employment dynamics within pediatric subspecialties, impacting workforce evaluation.
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