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The future of careers in pediatric infectious diseases: a call to action
Paul Spearman1, Yvonne J Bryson2
1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Insights
The field of pediatric infectious diseases faces challenges in recruitment and recognition. Strategies to highlight the value of infectious disease services and support new talent are crucial for the specialty
Area of Science:
- Pediatrics
- Infectious Diseases
- Medical Subspecialties
Background:
- Pediatric infectious disease fellowship programs struggle with recruitment, filling only about half of available positions.
- Salaries in pediatric infectious diseases are among the lowest compared to other medical subspecialties.
- Research careers face funding challenges due to low National Institutes of Health paylines for development awards.
Purpose of the Study:
- To outline current challenges in pediatric infectious diseases.
- To discuss strategies for improving the recognition of infectious disease services.
- To explore methods for recruiting new professionals to the field.
Main Methods:
- This is a review article, synthesizing current information and expert concerns.
- It discusses challenges based on fellowship match rates, salary data, and funding landscapes.
- Strategies are proposed based on expert opinion and analysis of the field's needs.
Main Results:
- Pediatric infectious disease programs face significant recruitment and financial hurdles.
- The value of cognitive infectious disease services is often underestimated and underreimbursed.
- Emerging opportunities exist in areas like transplant infectious diseases and antimicrobial stewardship.
Conclusions:
- Enhancing the perceived and actual value of pediatric infectious disease services is essential.
- Systematic data collection and sharing of success stories can bolster program support.
- Targeted initiatives at local and societal levels are needed to attract and retain talent in pediatric infectious diseases.
Purpose Of Review:
The purpose of this review is to describe some current challenges facing the field of pediatric infectious diseases and discuss strategies for enhancing recognition of the value of infectious disease services and for recruiting new talent to the field.
Recent Findings:
Pediatric infectious disease programs are currently filling approximately half of their fellowship positions, and salaries are among the lowest in medical subspecialties. Research-intensive careers in pediatric infectious diseases are threatened by low the National Institutes of Health paylines for career development awards. Despite this, there are new opportunities in pediatric infectious diseases in growing areas, such as transplant infectious diseases and antimicrobial stewardship.
Summary:
Pediatric infectious disease practitioners are concerned that infectious disease services are often undervalued by the healthcare system. Some of the contributions made by this cognitive specialty to overall patient outcomes are difficult to quantify and are not fully reimbursed. Strategies to enhance value and program support are needed, including sharing individual success stories and collecting data from programs nationally to generate some standards for support of pediatric infectious disease programs in areas, such as antimicrobial stewardship, transplant infectious diseases, and infection prevention. Recruitment of top talent to the field can be enhanced by a number of initiatives that can be implemented at the local level with encouragement and leadership from the pediatric infectious diseases society.
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