The Committee on Pediatric Workforce has long antecedents that have dealt with individual concerns currently addressed by the Committee. The current Committee addresses work force issues pertinent to pediatrics including the supply and distribution of pediatricians, the demographics of the pediatrician population including the gender and racial/ethnic diversity within the pediatric workforce, pediatric graduate medical education, International Medical Graduates, and the provision of care by allied health personnel. One of the earliest Academy committees was the Committee on Pediatric Nursing Education
. It probably was established in 1930 or 1931, but does not appear in any minutes prior to the first annual meeting. At that time, it reported on its activities in February,1931. The Committee studied the pediatric education of nurses. Its name was shortened to Committee on Nursing Education
about 1941. It apparently was abolished in 1947 as it does not appear in Fellowship Directories
after that year.
Meanwhile, in 1941, the Academy established the Committee on Geographical Distribution of Pediatricians
. This Committee surveyed the distribution of pediatricians. The Committee noted the gradual shift in distribution of pediatricians from a concentration in the East, especially the Northeast, and the West Coast to a more even distribution throughout the country. Its findings proved very useful when the Academy redistricted in the late forties and in the fifties. For the first 10 years, Dr. Otto L. Goehle was a Committee of one, but in 1950, the Committee was expanded to nine members, eight of which represented Academy Districts. The Committee was sunset in 1957.
In October, 1963, the Executive Board decided to establish a Council on Pediatric Practice based on a recommendation of a Committee it appointed to study health insurance for children and other issues. The purpose of the Council was to establish standards for child health care. It does not appear in the 1964 Fellowship Directory
, but apparently started operating that year. The Council gradually set up a number of Subcommittees, one of which was a Subcommittee on Pediatric Manpower
, established in 1966. In 1969, it became a full Committee on Pediatric Manpower
. The Committee dealt with workforce issues including employment of pediatric nurses and other allied health personnel as well as pediatricians. The Committee had contacts with the AMA, and pediatric nurse practitioner and other nursing organizations. It held workshops for pediatricians and nursing personnel. The Academy also established a liaison relationship with the National Medical Association to cooperate on improving access to care in minority neighborhoods. In 1968, the Committee surveyed pediatricians on their use of allied health personnel in their practice. Pediatricians noted the use of nurse practitioners. In 1969, on the recommendation of the Committee, the Academy established an Office of Allied Health Manpower in the Department of Community Health Services. In 1970, the Committee set up a joint liaison committee with the American Nurses Association.
By 1973-1974, the Committee’s relations with pediatric nursing organizations were strained due to differences over training and certification of pediatric nurses. In 1972(?) the Executive Board set up an ad hoc Committee on AAP Policy on Manpower
headed by Dr. Bruce Graham to address the issue. The Committee on Pediatric Manpower
worked closely with the ad hoc Committee in developing a position on pediatric nurse practitioners. Later, another ad hoc Committee, headed by Dr. John C. MacQueen, was appointed to negotiate with NAPNAP, which it did in 1974. An ad hoc Committee on PNP Certification
made arrangements for the National Board of Medical Examiners to develop an exam for pediatric nurse practitioners. The Committee on Pediatric Manpower
also appointed an ad hoc Committee on Certification to develop standards for certification of nurse practitioners. The ad hoc Committee was a joint effort with pediatric nurse practitioner organizations. The Committee also worked on developing standards for certification of medical assistants.
In 1975, the broad range of allied health personnel in pediatric offices led ACBOC to recommend that the Committee on Pediatric Manpower be renamed and given a new directive to cope with new responsibilities. The Committee was not renamed, but it was given new responsibilities. Dr. MacQueen joined the Committee later in the year. Meanwhile, in the same year, the Board also appointed an ad hoc Committee on Mid-Career Opportunities
to address expanding opportunities for pediatricians in mid-career. At the request of the Committee, it was soon renamed the Ad Hoc Committee on Expanded Pediatric Careers
. It became a regular standing Committee in 1977. However, it only lasted until 1979 when it was discontinued. Its counseling functions were transferred to the Committee on Medical Education
. The Ad Hoc Committee on AAP Position on Manpower
completed its work in 1977 and made recommendations for a revision of the Committee on Pediatric Manpower
. The Board accepted the recommendations and a new Committee was appointed in 1978. In October, 1978, at the recommendation of an Ad Hoc Committee on Relations Between the AAP and NAPNAP, the Executive Board appointed a Provisional Committee on Nursing and Other Allied Health Personnel
. This Committee was discontinued in 1980, though the Board did decide to maintain a liaison relationship with nursing organizations. Its functions were transferred to the Committee on Pediatric Manpower
and to the Committee on Fetus and Newborn
By the 1980’s, there was strong interest in the increasing role of women in pediatrics. Dr. Jean Lockhart, head of the Department of Health Services & Government Affairs (now Committees and Sections), reported that there were only 7 women out of a total of 211 committee members. An AAP membership survey suggested that about 15% of AAP members were women, but Dr. Lockhart felt that it was probably higher than that. It was felt that the poor representation of women on committees was a serious enough subject that it should be discussed further. Dr. Lockhart reported again on the subject at the June, 1981 meeting of ACBOM. ACBOM recommended that a task force or ad hoc committee be formed to address the issue. The Board agreed at its meeting in July, 1981. The Task Force on Opportunities for Women in Pediatrics
published a report in 1982. In October, 1982, the Executive Board referred the report to ACBOC for action. ACBOC adopted all recommendations of the Task Force, including appointment of a Provisional Committee on Opportunities for Women in Pediatrics
in 1983. In 1986, staff suggested that this Provisional Committee and the Committee on Pediatric Manpower
be merged into one Provisional Committee on Careers and Opportunities
. ACBOPP agreed but was concerned that this would give the impression that the Academy was reneging on a promise made to the Task Force. At the suggestion of Dr. Lockhart, the new Provisonal Committee was given the same mission as the previous two committees with possible additional duties as appropriate. ACBOPP also took care to select a woman of stature to head the new Provisional Committee. Accordingly, they selected Dr. Antoinette Eaton as chair.
The new Provisional Committee became a full Committee on Careers and Opportunities
in 1989. The new Committee established a Subcommittee on Women in Pediatrics at its meeting in October, 1992. In 1996, ACBOPP recommended that the Committee be renamed Committee on Pediatric Workforce
to recognize the increasing scope of issues that came within its purview. The Board agreed to this at its meeting in February, 1996.