So, You Want To Go Into Pediatrics? Jennifer Trainor, MD Career Advising Coordinator in Pediatrics...
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So, You Want To Go Into Pediatrics?
Jennifer Trainor, MDCareer Advising Coordinator in PediatricsJanuary 16, 2013
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What’s the attraction?
Kids:• are cuter than adults
• get better faster than adults
• don’t whine as much as adults
• usually don’t cause their own illness
Don’t youwant to takecare of me?
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Common Myths
• All pediatricians do is see kids with runny noses & vomiting/diarrhea
• If you are AOA with great board scores, you shouldn’t “waste” your hard work by going into an easy-to-match specialty
• All pediatricians have low salaries• A career in pediatrics won’t offer enough intellectual stimulation
• Only women go into pediatrics
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Pediatricians can:
• Be primary care providers
• Have longitudinal relationships with children and families
• Resuscitate newborns in the delivery room & counsel adolescents on substance abuse & sexually transmitted illness both in the same day
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Pediatricians can:
• Be subspecialty care providers
• Perform procedures multiple days per week
• OR never perform procedures
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Pediatricians can:
• Work exclusively in hospital-based practice In an academic
environment In a community
environment• Work exclusively in an
outpatient-based practice As clinicians As clinician-educators As clinician-educator,
researcher• Combine the two
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Pediatricians can:
• Focus on public health
• Focus on advocacy
• Participate in international health opportunities
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Pediatricians can:
• Serve important leadership roles in US government, public policy, industry
• Richard Besser was acting director of the CDC in 2009
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Board certified subspecialty training opportunities
• Adolescent Medicine • Neonatal-Perinatal
Medicine • Pediatric Cardiology • Pediatric Critical
Care Medicine • Pediatric Emergency
Medicine • Pediatric
Endocrinology • Pediatric
Gastroenterology
• Pediatric Hematology-Oncology
• Pediatric Infectious Diseases
• Pediatric Nephrology • Pediatric Pulmonology • Pediatric Rheumatology • Pediatric Sports
Medicine• Sleep Medicine• Medical toxicology• Neurodevelopmental
Disabilities• Pediatric Transplant
Hepatology
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Breakdown of Primary v. Subspecialty Care
By Gender
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What do we know about recent residency
graduates?
ABP Workforce Data 2009
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How many pediatricians do we train per year?
ABP
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How many pediatricians do we train per year?
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How many men go into pediatrics?
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What percent of peds residents go into subspecialties?
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What subspecialties did pediatricians choose?
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Who’s out in the workforce?
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Where are the pediatricians?
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Are pediatricians happy?
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How old are pediatricians?
ABP 2009
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Now let’s get to what you really want to know…
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Median total compensation for primary care providers
Medical Economics August 1,2008 Exclusive Survey: Good news for primary care income: Supply and demand lead to higher reimbursement, but for how long?
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Average salaryby pediatric subspecialty
Annual Salary ($)
Endocrinology 185,901
Gastroenterology 236,700
Hematology/Oncology 205,999
Intensive Care 265,913
Nephrology 217,767
Neurology 209,955
Pulmonology 176,974
Infectious Disease 199,165
Cardiology 244,9442009 Physician Compensation Survey by the American Medical Group Association
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Loan Repayment Options
• NIH Extramural Pediatric Research Loan Repayment Program http://www.lrp.nih.gov/about_the_programs/pediatric.aspx
Pediatric investigators, up to $35,000/year
• National Health Service Corps http://www.idph.state.il.us/about/rural_health/NHSC_State_LR_program_app.pdf
Up to $120,000 total for 4 year commitment Primary care pediatrics
• Indian Health Service www.ihs.gov Up to $20,000/yr, min 2 year commitment, plus additional 20% to offset tax liability
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What do we know about the match in pediatrics?
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NRMP Data Warehouse 2011
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Distribution of USMLE Step 1 Scores
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Distribution of USMLE Step 2 Scores
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Numbers of programs students rank
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Is it important to be AOA?
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How many have published?
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Done research?
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Some comparative data
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Some comparative data
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How do program directors select people to interview?
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What’s important?
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What about the personal statement?
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Commitment & Research
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Applicant RankingWhat’s important?
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Mean importance ratings…
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Mean importance ratings…
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What about USMLE?
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USMLE Step 2
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When are interviews offered?
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How many applications did students submit?
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Where do Feinberg Students Go?
Matches in Pediatrics 1999-2012
Children’s Memorial/Lurie 37 Lutheran General, Loyola 6
Milwaukee Children’s 16 Oakland Children’s 6
University of Chicago 10Boston Children’s, Denver Children’s
5
St. Louis Children’s/Wash U 8 University of Pittsburg 5
Los Angeles Children’s 8 Rush 5
Indiana U-Riley Children’s 8NY Presbyterian Weill Cornell, Baylor
4
Cincinnati Children’s Hospital
7 Duke, University of Arizona 4
DC Children’s 7Denver Children’s, Seattle Children’s, Rainbow Babies,UC Irvine
4
CHOP (3), Einstein (3), Stanford, Johns Hopkins, Georgetown, Minnesota, UCLA, Harbor UCLA (3), Nationwide-Columbus, UVermont
2-3
Mt. Sinai, Yale, UC Davis, UCSF, UW Madison, Cleveland Clinic, U Tennessee, UT Houston, UC San Diego, U Maryland, Loma Linda, USC, Miami Children’s, Natl Capital Consortium
1
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Planning for next year
• Sign up for an advisor if you think you may be interested in pediatrics, note if you have a previous relationship/special interest
• Set up a meeting in February to discuss plans
• Bring transcript, narrative evaluations for clerkships
• Sign up for pediatric subinternship if you are sure about peds
• Avoid taking all pediatric electives
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Planning for residency match
• Plan at least one elective over the summer to allow a pediatric faculty member to get to know you well for LOR
• Work on essay and CV over the late spring/early summer
• Get your application materials into ERAS as early as possible, especially if you are a weaker applicant GOAL SEPT 1
• Unclear when programs will grant interviews based on new timing of MSPE, September 1
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Bibliography
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Bibliography
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Bibliography
• American Board of Pediatrics 2009-2010 Workforce Data
• Available online at https://www.abp.org/
• Lots of other interesting information available on this site as well
• ABP Research Publications https://www.abp.org/abpwebsite/publicat/researchpub.pdf
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Specific Citations of Interest