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Pediatric subspecialty training, certification, and practice: who's doing what
1Division of Research on Health Policy, American Academy of Pediatrics, Elk Grove Village, IL 60009-0927.
Pediatrics
|July 1, 1994
Summary
Pediatrician subspecialty training and practice vary widely. Workforce supply estimates need to account for diverse career paths beyond just certification and training.
Area of Science:
- Pediatrics
- Medical Workforce Studies
Background:
- Subspecialty training and certification are key factors in pediatric physician roles.
- Understanding the diversity of pediatric careers is crucial for accurate workforce analysis.
Purpose of the Study:
- To assess the extent of pediatric subspecialty training, certification, and practice.
- To determine how career diversity impacts physician workforce supply estimates.
Main Methods:
- Survey of 4,000 pediatricians and pediatric subspecialists from the American Medical Association's Physician Masterfile.
- Analysis of practice characteristics, training, and demographics from a 76% response rate.
Main Results:
- Two-thirds of pediatricians lack subspecialty training; 15.1% are certified subspecialists.
- Subspecialty training doesn't always dictate practice; some without training practice subspecialties, and some trained practice general pediatrics.
- Practice patterns are linked to certification status and training-practice consistency.
Conclusions:
- Pediatric workforce supply projections require more than just training and certification data.
- Diverse and integrative practice styles in general and subspecialty pediatrics must be considered for accurate estimates.