PEDIATRICS Vol. 94 No. 1 July 1994, pp. 83-89
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Brotherton, S. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Brotherton, S. E.

Pediatric Subspecialty Training, Certification, and Practice: Who's Doing What

Sarah E. Brotherton PhD1

1 Division of Research on Health Policy, the American Academy of Pediatrics, Elk Grove Village, IL 60009-0927

Objective. To examine the extent of pediatric subspecialty training, certification, and practice among general and subspecialty pediatricians and to determine how the diversity of pediatric careers may affect physician workforce supply estimates.

Method. A sample of 4 000 sell-designated pediatricians and pediatric subspecialists from the American Medical Association's Physician Masterfile were surveyed in 1991 by the American Academy of Pediatrics. Seventy-six percent of the sample responded to the 6-page questionnaire on practice characteristics, training, and demographic information.

Results. Two-thirds of pediatricians are not subspecialty trained (66.3%), 15.1% are certified subspecialists, 11.3% are trained but not subboard certified, and 7.3% are subspecialty trained in an area with no certification exam. Subspecialty training did not always predict subspecialty practice; 19% of pediatricians without subspecialty training spend some time in a subspecialty, and 13% of those who are subspecialty trained practice general pediatrics exclusively. Certified subspecialists and those who cannot as yet become certified are most likely to practice their subspecialty. One-fourth of those trained in a certifiable subspecialty but who remain uncertified practice general pediatrics exclusively. The proportion of direct patient care time spent overall, and the proportion of direct patient care time spent in the subspecialty are also related to subspedalty certification and training/practice consistency.

Conclusion. Pediatric workforce supply projections should incorporate more than certification and training information in calculating estimates, as the practice of general and subspecialty pediatrics is very diverse and accommodating of integrative styles.

Submitted on June 21, 1993
Accepted on November 19, 1993




This article has been cited by other articles:


Home page
 PediatricsHome page
M. L. Mayer and J. S. Preisser
The Changing Composition of the Pediatric Medical Subspecialty Workforce
Pediatrics, October 1, 2005; 116(4): 833 - 840.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
M. L. Mayer and A. C. Skinner
Too Many, Too Few, Too Concentrated?: A Review of the Pediatric Subspecialty Workforce Literature
Arch Pediatr Adolesc Med, December 1, 2004; 158(12): 1158 - 1165.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
K. Kuhlthau, T. G. G. Ferris, A. C. Beal, S. L. Gortmaker, and J. M. Perrin
Who Cares for Medicaid-Enrolled Children With Chronic Conditions?
Pediatrics, October 1, 2001; 108(4): 906 - 912.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. J. Stoddard, W. L. Cull, E. A. B. Jewett, S. E. Brotherton, H. J. Mulvey, E. R. Alden, and for the AAP Committee on Pediatric Workforce Subco
Providing Pediatric Subspecialty Care: A Workforce Analysis
Pediatrics, December 1, 2000; 106(6): 1325 - 1333.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
L. Eisenfeld, T. Goodman, A. Bouckoms, G. Burke, A. Hromi, M. Jellinek, N. Gallant, and C. Block
Neonatologist Attrition to General Pediatrics
Clinical Pediatrics, June 1, 1999; 38(5): 309 - 311.
[PDF]

Home page
 Arch Pediatr Adolesc MedHome page
J. J. Stoddard, S. E. Brotherton, and S.-f. S. Tang
General Pediatricians, Pediatric Subspecialists, and Pediatric Primary Care
Arch Pediatr Adolesc Med, August 1, 1998; 152(8): 768 - 773.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Pediatric Workforce
Pediatric Workforce Statement
Pediatrics, August 1, 1998; 102(2): 418 - 427.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R.-K. R. Chang and N. Halfon
Geographic Distribution of Pediatricians in the United States: An Analysis of the Fifty States and Washington, DC
Pediatrics, August 1, 1997; 100(2): 172 - 179.
[Abstract] [Full Text] [PDF]