Child Health Needs and the Pediatric Endocrinology Workforce: 2020-2040

Area of Science:

• Pediatric Endocrinology
• Medical Workforce Analysis
• Healthcare Policy

Background:

• The United States pediatric endocrinology (PE) workforce is currently insufficient to meet the growing demand for specialized care.
• Previous evaluations of the PE workforce have been updated to analyze current and future capacity and geographic distribution.

Purpose of the Study:

• To model the current and future clinical pediatric endocrinology workforce and its geographic distribution through 2040.
• To identify factors impacting PE workforce capacity, including demographics, training, and practice patterns.

Main Methods:

• Utilized a subspecialty workforce supply model projecting national, regional, and divisional headcount and clinical workforce equivalents through 2040.
• Incorporated data from the American Board of Pediatrics and the National Resident Matching Program.

Main Results:

• Identified significant challenges including an aging provider base, part-time appointments, and uneven geographic distribution.
• Noted factors affecting trainees such as limited exposure, financial concerns, and lifestyle perceptions.
• Highlighted the impact of complex cases, reliance on international medical graduates, research career focus, and recent policy changes on gender-affirming care.

Conclusions:

• The PE workforce faces multifaceted challenges that diminish capacity and affect geographic distribution.
• Proactive strategies in education, training, clinical practice, and policy are essential to address current and future workforce needs.
• Future research is needed to further understand and mitigate workforce challenges in pediatric endocrinology.