Published online July 1, 2005
PEDIATRICS Vol. 116 No. 1 July 2005, pp. 32-37 (doi:10.1542/10.1542/peds.2005-0127)
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Part-time Residency in Pediatrics: Description of Current Practice

Alison Volpe Holmes, MD, MS*, William L. Cull, PhD{ddagger} and Rebecca R. Socolar, MD, MPH§

* Division of General Pediatrics, Department of Pediatrics, University of Rochester School of Medicine and Dentistry and the Children’s Hospital at Strong, Rochester, New York
{ddagger} American Academy of Pediatrics, Division of Health Policy Research, Elk Grove Village, Illinois
§ Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina, Chapel Hill, North Carolina

Objective. To determine current national utilization levels of part-time pediatric residency and to identify reasons for pursuing training on a part-time basis.

Design. Data were obtained through (1) a survey regarding part-time residency mailed to all accredited pediatric residency programs, (2) the American Medical Association Fellowship and Residency Interactive Electronic Database, and (3) the American Academy of Pediatrics postgraduate level 3 survey, 2003.

Results. Of the 190 accredited pediatric residency programs surveyed, 156 (82%) responded; 18 (12%) of these programs had ≥1 part-time resident during academic years 2000–2003. Nationally, 43 of 6609 residents represented in the survey (0.7%) undertook some of their training on a part-time basis. All programs prorated salaries in proportion to time percentage, 10 (71%) continued full benefits for part-time residents, and 15 (88%) used a reduced call schedule. Although multiple reasons were given for part-time status, including travel (16%), research (14%), advanced degrees (9%), personal illness (9%), and family illness (5%), 67% cited child care as 1 reason. Length of residency was extended by an average of 15 months (range: 4–36 months). Analysis of the American Medical Association Fellowship and Residency Interactive Electronic Database showed that 45 (24%) of 190 programs advertise part-time slots.

Conclusions. Although numerous pediatric programs advertise part-time positions, few residents actually held such positions during a 3-year period. There is variability among programs in how benefits and call schedules are managed. Part-time positions are chosen for multiple reasons, but the most common reason is to care for children. Pediatric residency programs can use this information to meet resident needs.

Key Words: resident education/training • residency/internship • part-time • medical education • workforce

Abbreviations: AMA-FREIDA, American Medical Association Fellowship and Residency Interactive Electronic Database • AAP, American Academy of Pediatrics • PL, postgraduate level

Accepted Mar 8, 2005.


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