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Pediatrics 101 - Power Point Presentation


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Pediatrics 101 - Power Point Presentation

  1. 1. American Academy of Pediatrics Pediatrics 101
  2. 2. Pediatricians: <ul><li>Focus on the physical, emotional, and social health of infants, children, adolescents, and young adults from birth to 21 years. </li></ul><ul><li>Focus on prevention, detection, and management of physical, behavioral, developmental, and social problems that affect children. </li></ul><ul><li>Treat infections, injuries, and many types of organic disease and dysfunction. </li></ul><ul><li>Work towards reducing infant and child mortality, foster healthy lifestyles, and ease the day-to-day difficulties of those with chronic conditions. </li></ul>
  3. 3. General Pediatrician’s Responsibilities Include: <ul><li>Management of serious and life-threatening illnesses </li></ul><ul><li>Referral of more complex conditions as needed </li></ul><ul><li>Consultative partnerships with other care providers </li></ul><ul><li>Health supervision </li></ul><ul><li>Anticipatory guidance </li></ul><ul><li>Monitoring physical and psychosocial growth and development </li></ul><ul><li>Age-appropriate screening </li></ul><ul><li>Diagnosis and treatment of acute and chronic disorders </li></ul><ul><li>Community-based activities in sports medicine, school health, and public health </li></ul>
  4. 4. Pediatrics <ul><li>You have to do what will make you happy! </li></ul><ul><li>No other physician group can match pediatricians on career satisfaction </li></ul><ul><ul><li>96% of current graduating pediatric residents who are in the general practice job market report that if they did their residency over, they would choose pediatrics again </li></ul></ul><ul><ul><li>Pediatricians report higher satisfaction than internists on key satisfaction indicators including job, career, and specialty satisfaction </li></ul></ul>2003 AAP Third-Year Resident Survey, unpublished data
  5. 5. Pediatrics <ul><li>The opportunities for graduates of pediatric residencies are diverse and numerous </li></ul><ul><ul><li>80% of residents seeking a general practice position report obtaining their most desired position </li></ul></ul><ul><ul><li>Many pediatric subspecialties are currently experiencing workforce shortages </li></ul></ul>Pediatric training and job market trends: results from the American Academy of Pediatrics Third-Year Resident Survey, 1997-2002. Pediatrics. 2003;112:787-792
  6. 6. Pediatrics <ul><li>Flexible jobs are more common in pediatrics than any other specialty </li></ul><ul><ul><li>26% of pediatricians versus 14% of all physicians have worked part-time at some point in their careers </li></ul></ul><ul><ul><li>Pediatrics offers a broad spectrum of rewarding career options (variety of practice settings and styles) </li></ul></ul><ul><ul><li>There are many medically underserved communities seeking pediatricians </li></ul></ul>American Academy of Pediatrics Division of Health Policy Research. Pediatrics leads specialists in number of part-time physicians. AAP News . 2002,21:126
  7. 7. Pediatrics <ul><li>Employment settings </li></ul><ul><ul><li>Group practice: 45.3% </li></ul></ul><ul><ul><li>Solo/2-physician practice: 15% </li></ul></ul><ul><ul><li>Hospital or clinic: 14.5% </li></ul></ul><ul><ul><li>Medical school: 12% </li></ul></ul><ul><ul><li>Other: 9.9% </li></ul></ul><ul><ul><li>Health maintenance organization: 3.3% </li></ul></ul>Source: American Academy of Pediatrics. Socioeconomic survey of pediatricians. #57-60, 2004. <ul><li>Practice Location </li></ul><ul><ul><li>Suburbs: 40% </li></ul></ul><ul><ul><li>Urban practice (non-inner city): 28.2% </li></ul></ul><ul><ul><li>Urban practice (inner city): 20.5% </li></ul></ul><ul><ul><li>Rural: 11.3% </li></ul></ul>
  8. 8. Medical School <ul><li>Best resource on medical specialties is the American Board of Medical Specialties (ABMS) at </li></ul><ul><li>Most medical schools now have a pediatric special interest group. If there isn’t an interest group, speak to your clerkship director about starting one. </li></ul><ul><li>Get involved: summer externships, volunteering, physician shadowing </li></ul>
  9. 9. Choosing a Residency Program <ul><li>Resources for looking at pediatric residency programs: </li></ul><ul><ul><li>Accreditation Council for Graduate Medical Education (ACGME) at </li></ul></ul><ul><ul><li>Graduate Medical Education Directory from the American Medical Association (AMA) at </li></ul></ul><ul><ul><li>FREIDA Online (Fellowship and Residency Electronic Interactive Database) from the AMA at </li></ul></ul>
  10. 10. <ul><li>When evaluating residency programs consider the following: </li></ul><ul><ul><li>Diversity and complexity of patients </li></ul></ul><ul><ul><li>Number of locations in which rotations are conducted </li></ul></ul><ul><ul><li>Availability of faculty </li></ul></ul><ul><ul><li>Resident cadre (size and personality) </li></ul></ul><ul><ul><li>Etc.… </li></ul></ul>Choosing a Residency Program
  11. 11. <ul><li>Other things to consider: </li></ul><ul><ul><li>Big city or rural setting </li></ul></ul><ul><ul><li>Are there cultural activities available </li></ul></ul><ul><ul><li>Extracurricular activities </li></ul></ul><ul><ul><li>Good distance from family/friends </li></ul></ul><ul><ul><li>Etc.… </li></ul></ul>Choosing a Residency Program
  12. 12. <ul><li>The application process: </li></ul><ul><ul><li>Electronic Residency Application Service (ERAS) – a services that transmits applications to residency programs over the Internet </li></ul></ul><ul><ul><li>Interviews – ask about strength and weaknesses of the program, program flexibility, call schedules, policies on leave, medical liability, insurance benefits, etc. </li></ul></ul><ul><ul><li>The Match – National Resident Matching Program (NRMP) which offers uniform dates of appointment to residency program sin the US </li></ul></ul>Choosing a Residency Program
  13. 13. Residency Training <ul><li>Consists of a 3-year program of core pediatric experiences and elective rotations </li></ul><ul><li>All programs must provide experiences in: </li></ul><ul><ul><li>Inpatient pediatric care </li></ul></ul><ul><ul><li>Emergency and acute illness care </li></ul></ul><ul><ul><li>Continuity care </li></ul></ul><ul><ul><li>Normal/term baby care </li></ul></ul><ul><ul><li>Subspecialty care </li></ul></ul><ul><li>Residents also participate in: </li></ul><ul><ul><li>Regular scheduled teaching </li></ul></ul><ul><ul><li>Attending rounds and conferences </li></ul></ul><ul><ul><li>Procedural skills </li></ul></ul><ul><ul><li>Scholarly experiences (journal club, research, etc.) </li></ul></ul>
  14. 14. Combined Training Programs <ul><li>Internal medicine-pediatrics (4 years) </li></ul><ul><li>Pediatrics/dermatology (5 years) </li></ul><ul><li>Pediatrics/emergency medicine (5 years) </li></ul><ul><li>Pediatrics/medical genetics (5 years) </li></ul><ul><li>Pediatrics/physical medicine and rehabilitation (5 years) </li></ul><ul><li>Pediatrics/psychiatry/child and adolescent psychiatry (5 years) </li></ul><ul><li>More information: American Board of Pediatrics (ABP) at </li></ul>
  15. 15. Licensure and Board Certification <ul><li>Medical license – 3-part examination during medical school and residency </li></ul><ul><ul><li>Pass all 3 parts and eligible to apply for medical license </li></ul></ul><ul><ul><li>Links to individual state boards can be found on the AMA web site at </li></ul></ul><ul><li>Board certification requirements (renewed every 7 years) </li></ul><ul><ul><li>Graduate from an accredited medical school </li></ul></ul><ul><ul><li>Complete 3 year residency training program </li></ul></ul><ul><ul><li>Verify satisfactory completion of residency training </li></ul></ul><ul><ul><li>Acquire a valid, unrestricted state license to practice medicine </li></ul></ul><ul><ul><li>Pass the 2-day written examination for certification </li></ul></ul><ul><li>Fellow of the American Academy of Pediatrics (FAAP) </li></ul>
  16. 16. Post-residency Training <ul><li>A pediatric subspecialist is an individual who, as a result of training and experience, is qualified to provide patient care and education and to conduct research in a defined or organ-specific area of medical or surgical care </li></ul><ul><li>Currently most pediatric subspecialists practice within academic medical systems </li></ul><ul><li>Most pediatric subspecialists are board-certified general pediatricians who are subspecialty boarded through the American Board of Pediatrics (ABP) </li></ul><ul><li>Most post-residency training is 3 years in length </li></ul>
  17. 17. Post-residency Training <ul><li>Current list of pediatric specialties include: </li></ul><ul><ul><li>Adolescent medicine </li></ul></ul><ul><ul><li>Cardiology </li></ul></ul><ul><ul><li>Child abuse </li></ul></ul><ul><ul><li>Critical care medicine </li></ul></ul><ul><ul><li>Dermatology </li></ul></ul><ul><ul><li>Developmental/behavioral </li></ul></ul><ul><ul><li>Emergency medicine </li></ul></ul><ul><ul><li>Endocrinology </li></ul></ul><ul><ul><li>Gastroenterology </li></ul></ul><ul><ul><li>Hematology/oncology </li></ul></ul><ul><ul><li>Hospice and palliative medicine </li></ul></ul><ul><ul><li>Infectious disease </li></ul></ul><ul><ul><li>Medical toxicology </li></ul></ul><ul><ul><li>Neonatal-perinatal medicine </li></ul></ul><ul><ul><li>Nephrology </li></ul></ul><ul><ul><li>Neurodevelopmental disabilities </li></ul></ul><ul><ul><li>Pulmonology </li></ul></ul><ul><ul><li>Rheumatology </li></ul></ul><ul><ul><li>Sleep medicine </li></ul></ul><ul><ul><li>Sports medicine </li></ul></ul><ul><ul><li>Transplant hepatology </li></ul></ul>Fellowship opportunities in the Journal of Pediatrics at
  18. 18. Pediatric Subspecialties <ul><li>Most pediatric subspecialties have a “section” of their own with in the AAP that provides a forum for education and dialogue </li></ul><ul><ul><li>Include both medical and surgical subspecialties </li></ul></ul><ul><ul><li> /sections </li></ul></ul>
  19. 19. Resources from the AAP <ul><li>Medical student membership: $16/year </li></ul><ul><li>YoungPeds Network at </li></ul><ul><li>National Conference & Exhibition (NCE) FREE to medical students </li></ul><ul><ul><li>October 11-14, 2008 in Boston, MA </li></ul></ul><ul><li>NCE Clinical Case Program – submit abstract on interesting cases from medical school (due April of each year) </li></ul><ul><li>Residents as Teachers Handbook – PDF only at </li></ul>