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Funding Sources and Perceived Financial Insecurity in Pediatric Subspecialty Fellowship Programs
Pnina Weiss1, Angela L Myers2, Kathleen A McGann3
1Yale University School of Medicine (P Weiss), New Haven, Conn.
Academic Pediatrics
|June 15, 2019
Summary
Financial insecurity in pediatric fellowship programs impacts training and resources. Stable funding is crucial for maintaining the pediatric subspecialist workforce and ensuring adequate patient care.
Area of Science:
- Medical Education
- Pediatrics
- Health Policy
Background:
- Pediatric subspecialist shortages are a growing concern, exacerbated by insufficient recruitment of new fellows.
- Current graduate medical education funding models are often inadequate to support fellowship programs.
Purpose of the Study:
- To examine funding sources for pediatric fellowship trainees.
- To assess the effects of funding constraints on fellowship programs.
- To identify program characteristics associated with financial insecurity.
Main Methods:
- A national survey of pediatric fellowship program directors (FPD) was conducted.
- Multivariable logistic regression was used to analyze associations between financial insecurity, program characteristics, and funding sources.
Main Results:
- Funding limitations restricted program size and educational resources in 22% and 36% of programs, respectively.
- Nineteen percent of FPD reported perceived funding insecurity.
- Factors associated with greater financial insecurity included reliance on extramural or division funding and subspecialties with high unfilled positions.
Conclusions:
- Financial insecurity in pediatric fellowship programs is linked to program size, funding sources, and unfilled positions.
- These insecurities limit trainee recruitment and essential educational resources.
- Securing stable funding for fellowship programs is vital for sustaining the pediatric subspecialty workforce.
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