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The
Division of Workforce and Medical Education
Policy guides the Academy in the advocacy and development of public
policy related to the health care workforce and the education of physicians.
Issues
under the Division's purview include the funding of medical education, the regulation
of the physician workforce through federal legislation and appropriations, the
scope of practice of nonphysicians, the diversity of the physician and patient
populations, physician retirement patterns, and physician reentry into practice.
The Division addresses these issues through collaboration with federal agencies,
regulatory authorities, and other health care organizations engaged in policy
development. The Division also staffs the Committee
on Pediatric Workforce (COPW),
which formulates AAP workforce policy, and the Committee
on Pediatric Education (COPE), which serves as thinktank of content
experts on educational issues, from medical school through continuing medical
education.
NEW!
National Resident Matching Program (NRMP) - Match Day 2008
Thursday,
March 20, 2008 is Match Day, when graduates of medical schools are matched to
their residency programs. Click
here for a Powerpoint with charts and graphs illustrating the
performance of pediatrics in the Match, . A short summary also appears online
in AAP
News. A full-feature article will follow in the May 2008 issue.
Physician Reentry into the
Workforce Many physicians, particularly women, leave practice,
and then wish to reenter the physician workforce after an extended period of time
away from clinical medicine. The reasons range from childbearing and caring for
elderly relatives to substance abuse and loss of licensure. When a physician wishes
to return to practice, what kind of retraining is needed? How is the person's
clinical competence evaluated? What role in the workforce should the individual
pursue? How should licensure and credentialing issues be addressed? The Academy,
in collaboration with 20 other medical organizations, is exploring these and many
other important questions related to physician reentry into the workforce. To
learn more about what the Academy and its partners are doing in this area, visit
the Reentry Web
page. Women in Pediatrics With
women comprising over 50% of pediatricians and 60% of pediatric residents, gender
has a important influence on the pediatrician
workforce. The issues range from part-time practice and balancing professional
and personal lives to building leadership skills and advancement within academic
medicine. Working with partners, such as the American Medical Association Women
Physicians Congress and the Association of American Medical Colleges, the Division
has undertaken a number of activities to study this critical issues. More information
on these issues can be found on the Women
in Pediatrics Web page.
Pediatric
Subspecialty Workforce Fact Sheets (2007)
Other Workforce Resources International
Medical Graduates (IMG) Fact Sheet
(2007) Suggested
Links to Workforce Information
(2008)
Frequently Asked Questions
- How many pediatricians are there in the United States?
According
to the American Medical Association Masterfile, there were 57,200 general
pediatricians in the United States in 2006, the most recent year for which data
are available. There were also an additional 3,904 physicians trained jointly
in internal medicine-pediatrics. Finally, there were 21,160 pediatric medical
subspecialists, pediatric surgical specialists, and other specialist physicians
who provide care to children. This accounts for an overall pediatric workforce
(not counting care provided by family physicians) of 82,264.
Smart DR, Sellers J, eds. Physician Characteristics
and Distribution in the US, 2008 Edition. Chicago, Ill: American Medical Association,
2008.
- How many
children are there in the United States?
The US Census Bureau estimates
that as of July 1, 2006, the most recent year for which data are available, there
were approximately 82,079,106 children between
0-19 in the United States. US Bureau of the Census.
Table 2: Annual Estimates of the Population by Selected Age Groups and Sex for
the United States: April 1, 2000 to July 1, 2006. Available at: http://www.census.gov/popest/national/asrh/NC-EST2006-sa.html.
Accessed February 15, 2008.
- What
is the ideal pediatrician-to-population ratio?
As the circumstances of
each local health market vary widely, there is no ideal ratio. Many factors dictate
the appropriate ratio between physicians and patients, including number of uninsured
patients in the market, referral patterns, the presence of nonphysician clinicians,
commuting patterns for subspecialty care, disease burden of the community, the
presence of an academic medical center, and number of physicians.
- How
much do pediatricians earn?
A number of physician compensation surveys
have been conducted and are available for purchase from the organizations that
sponsored them. For example, Cejka Search, a national health care executive and
physician search firm, has placed the mean salary for pediatricians in 2007 at
$125,000 for physicians just starting practice, and at $185,913 for pediatricians
overall. However, reported salaries vary considerably by search firm, part of
the country, practice arrangement, career stage and other factors. Available
at: http://www.cejkasearch.com/compensation/amga_physician_compensation_survey.htm
Accessed February 15, 2008.
- Is
there a pediatrician shortage?
Although there has been considerable coverage
in the medical and secular press on an impending shortage of physicians, pediatrics
does not seem to be experiencing such a shortage. According to policy developed
by the AAP Committee on Pediatric Workforce, pediatrics is training an adequate
number of residents to meet the needs of the pediatric patient population. The
Committee notes that "the current pediatrician workforce seems adequate to
meet the health needs of US children, although significant regional variations
may result in local shortages or oversupply, and subspecialty gaps remain to be
addressed." In the case of pediatrics, the most pressing issues are the geographic
maldistribution of physicians, particularly in rural and urban underserved areas,
and the number of pediatric subspecialists in most specialty disciplines, although
recent data from the American Board of Pediatrics suggests that the supply of
subpecialists is improving. AAP Committee
on Pediatric Workforce. Pediatrician Workforce Statement. Pediatrics. 2005
Jul;116(1):263-269.
For
more information and resources on workforce and educational policy issues, please
visit the Web pages for the Committee
on Pediatric Workforce and the Committee
on Pediatric Education. Division Staff: Holly
J. Mulvey, MA Director Division of Workforce and Medical Education Policy (847)
434-7915 hmulvey@aap.org Ethan Alexander
Jewett, MA Senior Health Policy Analyst Division of Workforce and Medical
Education Policy (847) 434-7914 ejewett@aap.org
Diamond Lanier Department Assistant (847) 434-4771 dlanier@aap.org
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