A comparison of pediatric emergency medicine and general emergency medicine physicians’ practice patterns: Results from the Future of Pediatric Education II Survey of Sections Project

Abstract

According to our sample, GEM and PEM physicians worked the same number of clinical hours in the ED but reported significant differences in how those hours are spent. Job changes and extended leaves were common in both groups. These results suggest that PEM and GEM physicians face similar vocational challenges, especially in the areas of balancing of family time, clinical hours, and academic productivity. These data also have important implications for workforce projection for the PEM physician supply, given the current estimated attrition rate, frequency of leave from clinical duties, and projection for increased need for PEM physicians in the future.

The Pediatrician Workforce: Current Status and Future Prospects

“…The geographic variation in subspecialists can lead to additional confusion about the overall adequacy of supply. Pediatric subspecialists are more likely to be based academically than as general pediatricians or adult subspecialists, 118,119 although this differs by specialty. Most pediatric subspecialists, nevertheless, spend most of their professional time in patient care.…”

“…Although the recommendations of the recent FOPE II report are not universally accepted, 36 FOPE II has produced an important literature about pediatric medical subspecialists and surgical specialists through the review of primary literature and surveys of pediatricians. [117][118][119][120][122][123][124][125][126] …”

Older adults in the emergency department: Predicting physicians’ burden levels

“…Emergency Medicine has been described as a high stress work environment due to its unpredictability and the need for rapid action and decision-making (9). Increasing numbers of encounters with older ED patients has the potential to add to physician stress and burden because these patients may be more time consuming, perceived as less satisfying, and EPs report less confidence in their treatment (8).…”

Recursos humanos e trabalho em saúde: os desafios de uma agenda de pesquisa

“…Os constrangimentos vivenciados pelos sujeitos estão associados às condições de trabalho, as quais foram identificadas como fatores de risco para a insatisfação no trabalho 31,32,33,34 . Os autores afirmam que a insatisfação pode interferir na qualidade do trabalho realizado, assim como produzir efeitos negativos sobre a saúde dos trabalhadores da saúde 35,36,37 . Mais da metade dos incidentes ocorridos no trabalho, no Reino Unido, por exemplo, foi associada ao cansaço, e 28% à pressão no trabalho.…”