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Pediatrics 101 Charts


2005

American Academy of Pediatrics

Quick Facts Table 1

Specialty Choice
According to data from the American Medical Association, primary care specialists and subspecialists in the United States are distributed as follows:
Internal medicine: 42.3%
Family medicine: 22.3%
Pediatrics: 19.8%
Obstetrics and gynecology: 11.8%
General practice: 3.7%

Source: American Medical Association. Physician Characteristics and Distribution in the US, 2005 Edition. Chicago, IL: American Medical Association; 2005:27, 283


Average Percentage of Time in General Pediatrics and Subspecialty Pediatrics
Pediatricians' time spent doing general pediatrics*: 70.8%
Pediatricians' time spent doing subspecialty pediatrics: 29.2%

Source: American Academy of Pediatrics Division of Health Services Research. Periodic survey of pediatricians #57-60, 2004. AAP Web site. Available at: http://www.aap.org/research/periodicsurvey/practicecharacter2004color.htm#Table2


Quick Facts Table 2

Duty Hours*
Duty hours are limited to 80 hours per week, averaged over a 4-week period, inclusive of in-house call activities and in-house moonlighting.
Residents must be provided with 1 day in 7 free from all educational and clinical responsibilities, averaged over a 4-week period, inclusive of call.
Residents must have 10 hours for rest and personal activities between all daily duty periods and after in-house call.
In-house call must occur no more often than every third night, averaged over a 4-week period.
Continuous on-site duty, including in-house call, must not exceed 24 consecutive hours, although residents may remain on duty for up to 6 additional hours to participate in didactic activities, maintain continuity of medical and surgical care, transfer care of patients, or conduct outpatient continuity clinics. No new patients may be accepted after 24 hours of continuous duty. Additional language about at-home call (pager call) can be obtained from the source below.

Source: Accreditation Council for Graduate Medical Education. ACGME Web site. Available at: http://www.acgme.org/acwebsite/dutyhours/dh_Lang703.pdf

*Duty hour restrictions apply to all medical specialties and are not limited to pediatrics.


Training Programs in Categorical Pediatrics and Med-Peds, Academic Year 2004–2005
Number of accredited training programs in general pediatrics: 203
Number of participating residents: 7,894
Length of training: 3 years
Number of accredited training programs in internal medicine-pediatrics: 105
Number of participating residents: 1,473
Length of training: 4 years

Source: Accreditation Council for Graduate Medical Education. Number of all programs for a specific academic year (including combined programs) (Ending 6/30/2005). ACGME Web site. Available at: http://www.acgme.org/adspublic/reports/accredited_programs_all.asp.


Curriculum Guidelines for 36-Month Residency in General Pediatrics
The current guidelines for 36-month residency in general pediatrics are being revised. For the most recent set of guidelines, visit the Accreditation Council for Graduate Medical Education (ACGME) Web site at http://www.acgme.org/

Source: Accreditation Council for Graduate Medical Education. Program requirements for residency education in pediatrics. ACGME Web site. Available at: at http://www.acgme.org/.


Quick Facts Table 3

Board Certification
Board certification is accomplished through the American Board of Pediatrics (ABP) after completion of 3 years of training in an accredited residency program and successful completion of a comprehensive written examination. Evidence of maintenance of certification is required every 7 years.
New applicant registration to take the certifying examination in general pediatrics in 2005 is $1,295.*

*American Board of Pediatrics. Application, registration and fees. ABP Web site. Available at: http://www.abp.org/datefee/certdate.htm.


Increases in Number of Board-Certified General Pediatricians*
Number certified in 1970: 788
Number certified in 1988: 2,121
Number certified in 1997: 2,754
Number certified in 2000: 2,586
Number certified in 2003: 2,656

Sources

*American Board of Medical Specialties. General Certificates issued. ABMS Web site. Available at: http://www.abms.org/downloads/statistics/table2.pdf.


Subspecialty Board Certification
Subspecialty certification by the ABP 
Certificates of special qualifications require 3 more years of training after completion of a general pediatric residency. These subspecialty certificates are available in
Adolescent medicine
Developmental/behavioral pediatrics
Pediatric cardiology
Pediatric critical care medicine
Pediatric emergency medicine
Pediatric endocrinology
Pediatric gastroenterology
Pediatric hematology/oncology
Pediatric infectious diseases
Neonatal/perinatal medicine
Pediatric nephrology
Pediatric pulmonology
Pediatric rheumatology
Certificates of added qualifications are issued by the ABP in conjunction with another certifying board. These subspecialty certificates are available in
Medical toxicology
Neurodevelopmental disabilities
Sports medicine

Source: American Board of Pediatrics. Certification in the pediatric subspecialties. ABP Web site. Available at: http://www.abp.org/.


Quick Facts Table 4

Employment Settings
Those responding to the 2004 Periodic Surveys of Fellows spent the following average percentages of time in these employment settings:
Group practice: 45.3%
Solo/2-physician practice: 15%
Hospital or clinic: 14.5%
Medical school: 12%
Other: 9.9%
Health maintenance organization: 3.3%

Source: American Academy of Pediatrics. Socioeconomic survey of pediatricians: #57-60, 2004. AAP Web site. Available at: http://www.aap.org/research/periodicsurvey/practicecharacter2004color.htm#Table3


Quick Facts Table 5

Physician Demographics: Age
Pediatrics has a higher proportion of physicians younger than 35 years than any other specialty. 
Proportion of US physicians younger than 35 years: 16%
Proportion of US pediatricians younger than 35 years: 24%
Proportion of US pediatricians younger than 45 years: 51%

Source: American Medical Association. Physician Characteristics and Distribution in the US, 2005 Edition. Chicago, IL: American Medical Association; 2005:v, 9


Pediatrician Demographics: Gender
Number of female pediatricians, 2003: 35,143*
Proportion of categorical pediatric residents who are female, 2005: 67%‡

Sources

*American Medical Association. Physician Characteristics and Distribution in the US, 2005 Edition. Chicago, IL: American Medical Association; 2005:2

‡American Medical Association Fellowship and Residency Electronic Interactive Database. AMA Web site. Available at: http://www.ama-assn.org/vapp/freida/spcstsc/0,1238,320,00.html


Quick Facts Table 6

How Pediatricians Divide Their Time
Practicing pediatricians* responding to the 2004 Periodic Survey of Fellows reported that they worked an average of 45.8 hours per week. 
Direct patient care: 34.5 hours
Administrative time: 4.6 hours
Teaching: 2.9 hours
Research: 2.0 hours
Fellowship training: 1.9 hours

Source: American Academy of Pediatrics Division of Health Services Research. Periodic survey of fellows #57-60, 2004. AAP Web site. Available at: http://www.aap.org/research/periodicsurvey/practicecharacter2004color.htm#Table1


Part-time Pediatricians
Percentage of pediatricians* reporting they are practicing part-time (average 25 hours in direct patient care)
1993: 10.9%
2000: 14.9%
2003: 20.4%

*Excluding residents and those in fellowship training

Source: American Academy of Pediatrics Division of Health Services Research. Periodic Survey of Fellows # 21,34,54,2004. Available at: http://www.aap.org/research.html


Physicians With Part-time Experience by Specialty
Proportion of physicians in a specialty who report having practiced part-time at some point in their careers
Pediatrics: 26.1%
Psychiatry: 22.2%
Family practice: 22.1%
Obstetrics and gynecology: 18.4%
Internal medicine: 16%
All other specialties: 14.4%

Source: American Academy of Pediatrics Department of Health Policy Research. Pediatrics leads specialties in number of part-time physicians. AAP News. 2002;21:126


Quick Facts Table 7

Practice Location, 2004
Suburbs: 40%
Urban practice (non-inner city): 28.2%
Urban practice (inner city): 20.5%
Rural: 11.3%

Source: American Academy of Pediatrics Division of Health Services Research. Periodic survey of fellows, #57-60, 2004. AAP Web site. Available at: http://www.aap.org/research/periodicsurvey/practicecharacter2004color.htm#Table4


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