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Updated: Jul 4, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Child Health and the Neonatal-Perinatal Medicine Workforce: 2020-2040.
Eric Horowitz1, Mark L Hudak2, Michelle-Marie Peña3
1St Peter's Hospital, Albany, New York.
The neonatal-perinatal medicine (NPM) workforce is growing but may face future geographic shortages. Projections show a need for increased sustainable clinical capacity to meet rising demand for neonatologist care.
Area of Science:
- Neonatal-Perinatal Medicine (NPM)
- Pediatric Subspecialty Workforce Planning
Background:
- The Neonatal-Perinatal Medicine (NPM) workforce has expanded significantly to meet increasing clinical demand.
- Newborn medicine faces growing complexity and demands for advanced care.
Purpose of the Study:
- To analyze the history and current status of the NPM workforce.
- To project future workforce needs and configurations using an analytical model.
- To identify potential future trends and challenges for neonatologists.
Main Methods:
- Utilized an analytical model to forecast neonatologist workforce growth from 2020 to 2040.
- Employed data on neonatologist numbers and clinical work equivalents per 100,000 children.
- Simulated future workforce supply under various theoretical scenarios by modifying baseline parameters.
Main Results:
- The model confirms a need for greater sustainable clinical capacity within the NPM workforce.
- Future trends suggest potential geographic shortages of neonatologists.
- Workforce size targets are not addressed due to variability in care needs and geographic distribution.
Conclusions:
- The NPM workforce must grow in numbers, capability, discovery, and leadership.
- Anticipated geographic shortages highlight the need for strategic workforce planning.
- Addressing future neonatologist needs requires considering regional variations and risk-appropriate care.
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