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Choosing a Medical Specialty:
A Look at Pediatrics
Presented by American University of the
Caribbean School of Medicine
© 2018 American University of the Caribbean School of Medicine. All rights reserved.
Agenda
• Becoming a Pediatrician
• Patient Relationships
• Pediatricians as Advocates
• Rewards of a Career in Pediatrics
• Alumni Perspectives in Pediatrics
Becoming A Pediatrician
Step 1: Earn your Bachelor’s Degree
Step 2: Graduate from Medical School
Step 3: Complete a Pediatric Residency (3 years)
Step 4: Become Board Certified
What Makes a Good Pediatrician?
Genuine interest in the needs of children and
families
Ability to earn the trust of patients and their
parents and sustain relationships over time
Ability to work with dynamic teams and
practitioners across different specialties and
patient care settings
Using a Diverse Knowledge Foundation
• In comparison to other healthcare providers, pediatricians are
most likely to apply a wide range of basic sciences, including:
o Genetics
o Behavioral and developmental medicine
o Neurologic abnormalities and disorders
o Sport medicine
• Pediatricians cover acute infections and pathologies as well as
general development and general health maintenance.
• They often provide guidance on nutrition, allergies, and initial
counseling and are part of the first line assessment before
referring patients to specialists.
Meeting Your Patients
• You may meet patients as
a newborn at the hospital
nursery
• Your first encounter with the new parents is in the
newborn nursery or during Lamaze classes for
pregnant mothers
Relationship with Parents
• Most pediatricians are willing to
be interviewed by new parents to
get to know each other, obtain a
brief genetic history and medical
information and discuss other
siblings if any.
• During the first visit with new parents
the most common questions are:
o Sleeping habits and voiding/stool patterns
o Breast feeding vs. Bottle feeding
o Immunization
A Long-Term Relationship
• As you go on to know the parents and the siblings as
a pediatrician, you become part of the family,
providing counselling from pre-K to high school in a
number of areas:
o Substance abuse education
o Sport injury prevention
o Nutritional advice
Care for Adolescents
• An important part of pediatric practice requiring a thorough
knowledge of:
o Eating disorders
o Substance abuse
o Adolescent sexual orientation
o Anxiety and depression
• It is encouraged for a pediatrician to interview an adolescent in a
suitable environment one on one with parents’ permission. This
allows for confidential time to discuss topics that teenagers may
be reluctant to discuss with parents or other providers.
Community Contribution
As a pediatrician known in the community you may be
asked to lecture high school students on STD,
substance abuse, dangers of Tobacco and E-tobacco.
Pediatricians are at the forefront of the battle against
communicable disease and environmental hazards and
above all Child Abuse.
Pediatricians have a responsibility to make every effort
to educate parents on the necessity of vaccination and
prevention of complication vs. non-immunization
Education
Child
Advocacy
Immunization
Pediatricians in the News Media
As you probably know, in recent years
two human health disasters were
brought to international attention by
practicing pediatricians in the New York
Times and Wall Street Journal
Zika Virus
The relationship between
microcephaly of the newborn
and the Zika virus in Brazil
was reported first by two
pediatricians from Recife,
Brazil: Dr. Vanessa Van Der
Linden Mota and her mother
Dr. Ana Van Der Linden.
Wall Street Journal: “The Two Brazilian Doctors Who Sounded the Alarm
on Zika and Microcephaly,” January 29, 2016
Lead Toxicity in Children
The high level of lead in the
drinking water supply in
Flint, Michigan was reported
by practicing pediatrician
Dr. Mona Hanna-Attisha of
Michigan State University.
New York Times: “When the Water Turned Brown,” January 23, 2016
Rewards of a Career in Pediatrics
• If you stay long enough in practice: At times while being
interviewed by new parents you find out that you have
been pediatrician to one or both of them and that will
certainly gives your age away.
• They keep coming back: As a pediatrician it is indeed
rewarding to see that the children that you have
provided medical care for 18 years are now in college.
They often still insist on seeing you for minor illnesses.
Options for Pediatricians
• One of the unique aspects that the specialty of pediatrics offers
is a higher degree of flexibility than many other medical
specialties.
• Because pediatricians are needed everywhere, they have the
option to:
o Work in urban or rural settings
o Choose their practice environment and scope of practice
o Pursue different career paths, such as public health,
teaching, or research
Pediatrics Is Growing
2640
2668
2689
2738
2768
2550
2600
2650
2700
2750
2800
2014 2015 2016 2017 2018
Positions Offered in the National Resident Matching
Program® (NRMP®) 2014-2018
Source: “Results and Data: 2018 Main Residency Match®, April 2018, Table 3: http://www.nrmp.org/wp-content/uploads/2018/04/Main-
Match-Result-and-Data-2018.pdf
International Medical Graduations and Pediatrics
• In the 2018 Match, international medical
graduates earned a total of 533 categorical
pediatrics residencies:
– US IMGs: 218
– Non-US IMGs: 315
• IMGs accounted for nearly 20% of all
pediatrics positions filled in the 2018 Match
Source: “Results and Data: 2018 Main Residency Match®, April 2018, Table 2: http://www.nrmp.org/wp-content/uploads/2018/04/Main-
Match-Result-and-Data-2018.pdf
2018 Residency Results in Pediatrics
• 23 AUC graduates matched into pediatrics in 2018, covering 13
different residency programs:
– Geisinger Health System (Pennsylvania)
– Hofstra Northwell School of Medicine (New York)
– Hurley Medical Center (Michigan)
– LSU Health Science Center (Louisiana)
– Marshfield Clinic (Wisconsin)
– Medical Center of Central Georgia
– SUNY Health Science Center Brooklyn (New York)
– Texas Tech University
– University of Florida College of Medicine
– University of Oklahoma College of Medicine
– University of Buffalo School of Medicine (New York)
– University Hospitals – Jackson (Mississippi)
– Western Michigan University School of Medicine
Source: AUC 2018 Residency Placements: https://www.aucmed.edu/about/residency-placements/2018-residency-placements.html
AUC Pediatric Alumni Panel
Dr. Erin Knopf, AUC Class of 2013
Attending Physician, The Eating Recovery Center, Denver, CO
Dr. Laura Chalmers, AUC Class of 2000
Assistant Professor of Pediatric and Adult Endocrinology, The University of Oklahoma
Dr. Nirmish Shah, AUC Class of 2000
Assistant Professor and Director of the Sickle Cell Transition Program, Duke University
Dr. Christopher Siracusa, AUC Class of 2009
Assistant Professor, Division of Pediatric Pulmonology, Cincinnati Children’s Hospital
© 2018 American University of the Caribbean School of Medicine. All rights reserved.
?

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AUC Specialty Choice Webinar | All About Pediatrics

  • 1. Choosing a Medical Specialty: A Look at Pediatrics Presented by American University of the Caribbean School of Medicine © 2018 American University of the Caribbean School of Medicine. All rights reserved.
  • 2. Agenda • Becoming a Pediatrician • Patient Relationships • Pediatricians as Advocates • Rewards of a Career in Pediatrics • Alumni Perspectives in Pediatrics
  • 3. Becoming A Pediatrician Step 1: Earn your Bachelor’s Degree Step 2: Graduate from Medical School Step 3: Complete a Pediatric Residency (3 years) Step 4: Become Board Certified
  • 4. What Makes a Good Pediatrician? Genuine interest in the needs of children and families Ability to earn the trust of patients and their parents and sustain relationships over time Ability to work with dynamic teams and practitioners across different specialties and patient care settings
  • 5. Using a Diverse Knowledge Foundation • In comparison to other healthcare providers, pediatricians are most likely to apply a wide range of basic sciences, including: o Genetics o Behavioral and developmental medicine o Neurologic abnormalities and disorders o Sport medicine • Pediatricians cover acute infections and pathologies as well as general development and general health maintenance. • They often provide guidance on nutrition, allergies, and initial counseling and are part of the first line assessment before referring patients to specialists.
  • 6. Meeting Your Patients • You may meet patients as a newborn at the hospital nursery • Your first encounter with the new parents is in the newborn nursery or during Lamaze classes for pregnant mothers
  • 7. Relationship with Parents • Most pediatricians are willing to be interviewed by new parents to get to know each other, obtain a brief genetic history and medical information and discuss other siblings if any. • During the first visit with new parents the most common questions are: o Sleeping habits and voiding/stool patterns o Breast feeding vs. Bottle feeding o Immunization
  • 8. A Long-Term Relationship • As you go on to know the parents and the siblings as a pediatrician, you become part of the family, providing counselling from pre-K to high school in a number of areas: o Substance abuse education o Sport injury prevention o Nutritional advice
  • 9. Care for Adolescents • An important part of pediatric practice requiring a thorough knowledge of: o Eating disorders o Substance abuse o Adolescent sexual orientation o Anxiety and depression • It is encouraged for a pediatrician to interview an adolescent in a suitable environment one on one with parents’ permission. This allows for confidential time to discuss topics that teenagers may be reluctant to discuss with parents or other providers.
  • 10. Community Contribution As a pediatrician known in the community you may be asked to lecture high school students on STD, substance abuse, dangers of Tobacco and E-tobacco. Pediatricians are at the forefront of the battle against communicable disease and environmental hazards and above all Child Abuse. Pediatricians have a responsibility to make every effort to educate parents on the necessity of vaccination and prevention of complication vs. non-immunization Education Child Advocacy Immunization
  • 11. Pediatricians in the News Media As you probably know, in recent years two human health disasters were brought to international attention by practicing pediatricians in the New York Times and Wall Street Journal
  • 12. Zika Virus The relationship between microcephaly of the newborn and the Zika virus in Brazil was reported first by two pediatricians from Recife, Brazil: Dr. Vanessa Van Der Linden Mota and her mother Dr. Ana Van Der Linden. Wall Street Journal: “The Two Brazilian Doctors Who Sounded the Alarm on Zika and Microcephaly,” January 29, 2016
  • 13. Lead Toxicity in Children The high level of lead in the drinking water supply in Flint, Michigan was reported by practicing pediatrician Dr. Mona Hanna-Attisha of Michigan State University. New York Times: “When the Water Turned Brown,” January 23, 2016
  • 14. Rewards of a Career in Pediatrics • If you stay long enough in practice: At times while being interviewed by new parents you find out that you have been pediatrician to one or both of them and that will certainly gives your age away. • They keep coming back: As a pediatrician it is indeed rewarding to see that the children that you have provided medical care for 18 years are now in college. They often still insist on seeing you for minor illnesses.
  • 15. Options for Pediatricians • One of the unique aspects that the specialty of pediatrics offers is a higher degree of flexibility than many other medical specialties. • Because pediatricians are needed everywhere, they have the option to: o Work in urban or rural settings o Choose their practice environment and scope of practice o Pursue different career paths, such as public health, teaching, or research
  • 16. Pediatrics Is Growing 2640 2668 2689 2738 2768 2550 2600 2650 2700 2750 2800 2014 2015 2016 2017 2018 Positions Offered in the National Resident Matching Program® (NRMP®) 2014-2018 Source: “Results and Data: 2018 Main Residency Match®, April 2018, Table 3: http://www.nrmp.org/wp-content/uploads/2018/04/Main- Match-Result-and-Data-2018.pdf
  • 17. International Medical Graduations and Pediatrics • In the 2018 Match, international medical graduates earned a total of 533 categorical pediatrics residencies: – US IMGs: 218 – Non-US IMGs: 315 • IMGs accounted for nearly 20% of all pediatrics positions filled in the 2018 Match Source: “Results and Data: 2018 Main Residency Match®, April 2018, Table 2: http://www.nrmp.org/wp-content/uploads/2018/04/Main- Match-Result-and-Data-2018.pdf
  • 18. 2018 Residency Results in Pediatrics • 23 AUC graduates matched into pediatrics in 2018, covering 13 different residency programs: – Geisinger Health System (Pennsylvania) – Hofstra Northwell School of Medicine (New York) – Hurley Medical Center (Michigan) – LSU Health Science Center (Louisiana) – Marshfield Clinic (Wisconsin) – Medical Center of Central Georgia – SUNY Health Science Center Brooklyn (New York) – Texas Tech University – University of Florida College of Medicine – University of Oklahoma College of Medicine – University of Buffalo School of Medicine (New York) – University Hospitals – Jackson (Mississippi) – Western Michigan University School of Medicine Source: AUC 2018 Residency Placements: https://www.aucmed.edu/about/residency-placements/2018-residency-placements.html
  • 19. AUC Pediatric Alumni Panel Dr. Erin Knopf, AUC Class of 2013 Attending Physician, The Eating Recovery Center, Denver, CO Dr. Laura Chalmers, AUC Class of 2000 Assistant Professor of Pediatric and Adult Endocrinology, The University of Oklahoma Dr. Nirmish Shah, AUC Class of 2000 Assistant Professor and Director of the Sickle Cell Transition Program, Duke University Dr. Christopher Siracusa, AUC Class of 2009 Assistant Professor, Division of Pediatric Pulmonology, Cincinnati Children’s Hospital © 2018 American University of the Caribbean School of Medicine. All rights reserved. ?

Editor's Notes

  1. Brief overview of the steps to becoming a pediatrician – reviewed by our alumni presenter
  2. This content was reviewed by AUC’s alumni presenter. There are a few characteristics that all good pediatricians should have. One is a genuine interest in working with children and their families. Good pediatricians are also able to build and sustain long-term relationships. Last, family pediatricians may work with different kinds of doctors in different settings, so being a good collaborator is important.
  3. Pediatricians draw on a wide array of knowledge and play a variety of roles – reviewed by AUC alumni presenter
  4. Pediatricians start the care of their patients as early as the days following their birth, and often start to build relationships with the parents before the baby is born. This was reviewed by our alumni presenter.
  5. Notes on the relationship with parents and some of their common questions. Reviewed by alumni presenter.
  6. Pediatricians play a role in a child’s life as they grow older, and the role can change. Reviewed by alumni presenter.
  7. Common adolescent issues that pediatricians help deal with. Reviewed by alumni presenter.
  8. Pediatricians are important community members – protecting not only the health of individuals but the community. Reviewed by alumni presenter.
  9. Preview of examples of pediatricians involved in high-profile health issues
  10. Link to Wall Street Journal article on two doctors in Brazil involved in responding to the Zika virus: http://www.wsj.com/articles/the-brazilian-doctors-who-sounded-alarm-on-zika-and-microcephaly-1454109620
  11. Link to article in the NY Times about a pediatrician involved in the Flint, Michigan water safety issue. http://www.nytimes.com/2016/01/24/us/when-the-water-turned-brown.html?_r=0
  12. A career in pediatrics brings with it many personal rewards.
  13. One of the advantages to choosing pediatrics is that these kinds of doctors are needed everywhere.
  14. Point of the graph is to just show that number of positions is increasing. Data are taken from Table 3 of http://www.nrmp.org/wp-content/uploads/2018/04/Main-Match-Result-and-Data-2018.pdf
  15. Source: “Results and Data: 2018 Main Residency Match®, April 2018, Table 2: http://www.nrmp.org/wp-content/uploads/2018/04/Main-Match-Result-and-Data-2018.pdf
  16. These data are from the 2018 residency match. AUC had 23 graduates match into pediatrics. https://www.aucmed.edu/about/residency-placements/2018-residency-placements.html