Why Choose A Career in
Pediatrics?
Kishore Vellody, MD
Assistant Professor of Pediatrics
Childrens Hosp of Pittsburgh
Job Satisfaction
96% of graduating pediatric residents who are
in the job market for a general pediatric job
state that they would choose Pediatrics again if
they had to do it all over.
2003 AAP Survey Data
Job Satisfaction
Pediatricians rated higher satisfaction than
internists in job, career, and specialty
satisfaction
General pediatricians more satisfied than all
other physicians regarding their relationship
with patients and personal time
More likely to recommend their specialty to
students seeking advice
Shugerman, et. al. 2001, Leigh et. al. 2002
Job Opportunities
80% of residents seeking a general practice
position report obtaining their most desired
position
Workforce shortages in a variety of pediatric
subspecialties mean more job opportunities for
graduates
Job Flexibility
26% of pediatricians (as opposed to 14% of all
other specialties) have worked part time at
some point in their career
Multiple types of jobs offered ranging from
part-time to more demanding hours
Serving the Underserved
Estimated that 48% of health care markets do
not have a pediatrician
~ 290,000 children live in markets without a
pediatrician or family practitioner
51 million people (1/5th) in the US lives in a
rural area and only 10% of all U.S. physicians
live there.
Pediatrics Training
3 year training (203 programs avail.)
Inpatient
Outpatient clinic
General and subspecialty exposure
NICU, PICU
ER
Combined Peds/Adult Residency
Training
Pediatrics/Internal Medicine (4 yrs)
Pediatrics/Derm (5 yrs)
Pediatrics/ER (5 yrs)
Pediatrics/Genetics (5 yrs)
Pediatrics/PM&R (5 yrs)
Pediatrics/Adult Psych/Peds Psych (5 yrs)
What are the options?
General Pediatrics
Clinic Based
Community
Academic
Hospital Based
Community
Academic
General Pediatrics - background
Focus on the physical, mental, social health of
children from birth to 21 years.
Prevention, detection, and management of these
issues
Major advocates for children (i.e. health/safety
policies, education)
General Pediatrics - Scope
Health supervision
Anticipatory guidance
Monitoring physical and
psychosocial growth
and development
Diagnosis and treatment
of acute and chronic
disorders
Management of serious
and life-threatening
illnesses
Referral of complex
conditions
Consultative
partnerships
Community based
activities (i.e. sports,
schools, etc)
Subspecialty Pediatrics
Most require 2-3 years of post-residency
fellowships
Some require training in another discipline
before becoming more focused on pediatrics
such as: surgery, pathology, radiology
Pediatric neurology and psychiatry can be
done with 2 years of general pediatric training
followed by 2 years of fellowship
Subspecialty Pediatrics
Adolescent Medicine
Allergy/Immunology
Cardiology
Clinical Genetics
Critical Care Medicine
Dermatology
Developmental
Emergency Medicine
Endocrinology
Gastroenterology
Hematology/Oncology
Infectious Disease
Medical Toxicology
Neonatology
Nephrology
Pulmonology
Rheumatology
Sports Medicine
Research
Those in subspecialties or in academic
environments can choose between more
research intensive goals or patient care/clinical
goals or a combination of the two
Questions?