The Pediatric Workforce: Recent Data Trends, Questions, and Challenges for the Future

Robert J Vinci1

  • 1Department of Pediatrics, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts bob.vinci@bmc.org.

Pediatrics
|March 11, 2021
PubMed

Insights

The pediatric workforce faces challenges meeting population demands, with declining interest from some medical students and increasing unfilled residency positions. Strategic planning and collaboration are crucial to ensure adequate pediatric care for children.

Area of Science:

  • Medical Education
  • Pediatrics
  • Health Workforce Studies

Background:

  • Significant concerns exist regarding the pediatric workforce's capacity to meet growing pediatric population demands.
  • Trends show a decline in Doctor of Osteopathic Medicine (DOM) students entering pediatrics, alongside an increase in DOM students and international medical graduates filling pediatric positions.
  • Despite an increase in pediatric residency positions, the National Resident Matching Program has seen a rise in unfilled positions over the last four years.

Purpose of the Study:

  • To analyze current pediatric workforce data and address concerns about meeting future demands.
  • To highlight the need for strategic planning and collaborative efforts to ensure a robust pediatric physician pipeline.

Main Methods:

  • Analysis of trends in medical student career choices in pediatrics.
  • Examination of National Resident Matching Program data for pediatric positions and fill rates.
  • Review of existing literature and dialogue on the pediatric workforce.

Main Results:

  • A decrease in the percentage of DOM students pursuing pediatrics.
  • An increase in unfilled pediatric residency positions, with some subspecialties having 20-40% fewer applicants than available positions.
  • Growing challenges in filling pediatric training positions.

Conclusions:

  • The pediatric workforce requires a comprehensive strategic planning process involving multiple organizations across the educational continuum.
  • Addressing pediatric workforce data requires careful planning and thoughtful analysis.
  • A collaborative effort between pediatric academic and professional organizations is essential for the future of pediatric care.

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