Pediatric Residents’ Career Intentions: Data From the Leading Edge of the Pediatrician Workforce

Pan, Richard; Cull, William L.; Brotherton, Sarah E.

doi:10.1542/peds.109.2.182

Cited by 64 publications

(53 citation statements)

References 17 publications

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“…Pediatrics subspecialty fellowship training is designed to prepare pediatrics subspecialists for clinical care, education, and research, as well as for a career of evaluation of new research in rapidly developing subspecialty disciplines. However, as the number of pediatrics subspecialists has increased, 3,4 our results indicate that many would prefer to adopt the role of clinician educator or clinician only and forgo the year of research experience.…”

Section: Discussionmentioning

confidence: 84%

“…Compared with other studies that have asked participants to select among multiple factors that influenced their decision regarding program selection, 3,4 we asked our respondents to identify the 2 most important factors in their decision process. As such, we believe these findings will represent a more nuanced assessment of the issues that are most important in this process.…”

Section: Scope Of Practicementioning

confidence: 99%

“…Previous studies have identified research exposure during residency and academic career goals as important considerations to residents who are contemplating a subspecialist career. [2][3][4] In addition, there is no information regarding whether the general pediatrics training received in residency is perceived as valuable by subspecialists and if such training is viewed by some as simply a necessary prerequisite to enter subspecialty training. A better understanding of the utility of residency training from the perspective of subspecialists may help to guide efforts to modify the structure of residency training to provide the greatest possible relevance for pediatricians who undertake fellowship training.…”

Section: Introductionmentioning

confidence: 99%

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Recently Trained Pediatric Subspecialists: Perspectives on Training and Scope of Practice

Freed¹,

Dunham

Switalski

et al. 2009

Pediatrics

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OBJECTIVES. Little is known regarding the factors influencing the decision to pursue pediatric subspecialty fellowship training and the timing of when such a decision is made. In addition, there is no information regarding whether the general pediatrics training received in residency is perceived as valuable by subspecialists. This study was conducted to characterize the strengths and weaknesses of residency and fellowship training from the perspective of recently trained pediatric subspecialists and to assess their current and future career goals and intended scope of practice. RESULTS. The overall response rate was 77%. More than half (54%) of the recently trained subspecialists would have shortened either their pediatric residency or fellowship training if given the opportunity, and 7% were unsure. More than one third of the respondents made the decision to pursue subspecialty training before the start of residency (36% [n ϭ 198]), whereas approximately half of them made this decision during the first (19% [n ϭ 106]) or second (27% [n ϭ 150]) year of residency.CONCLUSIONS. Many subspecialists would have been interested in modifications to their pediatric residency and fellowship training programs, which may reflect changing patterns of professional activities or the preferences of a younger generation of subspecialists. Given that a substantial proportion of subspecialists decide to pursue subspecialty training before or early in residency, greater flexibility in configuring some residency experiences to meet their career goals would be feasible. Pediatrics 2009;123:S44-S49 M OST PEDIATRIC SUBSPECIALISTS in practice in the United States have completed 3 years of general pediatrics residency training. A small number of trainees, who wish to combine training in pediatrics with another specialty or focus their future careers in subspecialty-oriented research, complete alternative training pathways that shorten the time spent in residency and allow for a more rapid transition to additional research training and subspecialty clinical experiences. 1 Little is known regarding the factors that influence the decision to pursue pediatric subspecialty fellowship training and the timing of when such a decision is made. Previous studies have identified research exposure during residency and academic career goals as important considerations to residents who are contemplating a subspecialist career. [2][3][4] In addition, there is no information regarding whether the general pediatrics training received in residency is perceived as valuable by subspecialists and if such training is viewed by some as simply a necessary prerequisite to enter subspecialty training. A better understanding of the utility of residency training from the perspective of subspecialists may help to guide efforts to modify the structure of residency training to provide the greatest possible relevance for pediatricians who undertake fellowship training.This study was conducted to characterize the strengths and weaknesses of residency and fellows...

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Section: Discussionmentioning

confidence: 84%

Section: Scope Of Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Recently Trained Pediatric Subspecialists: Perspectives on Training and Scope of Practice

Freed¹,

Dunham

Switalski

et al. 2009

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Similarly, other studies have also shown that females were less likely to pursue subspecialty training, including pediatric 13 and ophthalmology 4 residents. Potential factors discouraging female residents towards fellowship training include differential domestic and childcare responsibilities, 14 importance on income potential, 15 and susceptibility to burnout.…”

Section: Future Practice Locationmentioning

confidence: 76%

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location

Khan

Gilbert

Sharma

et al. 2015

Can J Anesth/J Can Anesth

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Purpose We conducted this study to determine the preferences of anesthesia residents training in Canada for fellowship training, research, and future practice location and to identify the factors that influence those preferences. Methods Using a cross-sectional study design, a survey was sent to all anesthesia residents enrolled at an accredited Canadian anesthesiology residency program (N = 629). Data were collected on demographics and preferences for fellowship training, research, and future practice location. A multivariable logistic regression model was used to determine significant associations. Results Two hundred forty-four residents (39%) responded to the survey. Seventy percent of residents intended to pursue fellowship training. The top three fellowships they favoured were regional anesthesia, intensive care, and cardiac anesthesia. Male sex was positively associated with the decision to pursue fellowship training, whereas having an additional graduate degree was negatively associated with this choice. Among those pursuing fellowship training, the most influential factors were personal interest, enhancing employability, and an interest in an academic career. Fiftyseven percent of residents preferred to work at an academic hospital. Thirty-four percent of residents intended to incorporate research into their future practice, and personal interest, employability, and colleagues were most influential in their decision. Research activity and publishing in residency were associated with the desire to pursue future research initiatives. Conclusion The majority of anesthesia residents training in Canada choose to pursue fellowship training and work

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“…Men, international medical school graduates, and residents from larger residency programs are more likely to undertake subspecialty training. [1][2][3][4] Other related factors include market forces, indebtedness, mentor specialty, and work hours or the availability of part-time positions. [3][4][5][6] Published research has directly asked pediatricians what led them to pursue or not pursue subspecialty training.…”

mentioning

confidence: 99%

Early Career Experiences of Pediatricians Pursuing or Not Pursuing Fellowship Training

et al. 2015

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BACKGROUND AND OBJECTIVES: Choosing career paths can be difficult decisions for residents contemplating fellowship training. This study compares the experiences of early career pediatricians who did and did not pursue fellowships. METHODS: We analyzed national, weighted data from pediatricians 8 to 10 years after residency (n = 842). Work environment, work–life balance, and satisfaction were compared for pediatricians who had pursued fellowship training (fellowship trained) and those who did not pursue fellowship training (generalist trained). Logistic and linear regression examined the independent effects of fellowship training while controlling for demographic differences. RESULTS: A total of 39% of the pediatricians (328/842) pursued fellowship training. The fellowship-trained group was less likely than the generalist-trained group to spend time in direct patient care and more likely to report learning opportunities in their work environment. This group was also more likely to report an income of ≥$150 000, although no difference was found when only full-time pediatricians were examined. Generalist-trained pediatricians were more likely to work <50 hours per week, have flexibility with their schedules, and be satisfied with time spent with their own children. Pediatricians in both the fellowship-trained and generalist-trained groups generally found their work to be rewarding and were satisfied with their lives. CONCLUSIONS: Although residents need to consider important life and career differences when contemplating fellowship training and general care, pediatricians in both groups can achieve overall life and career satisfaction.

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Pediatric Residents’ Career Intentions: Data From the Leading Edge of the Pediatrician Workforce

Cited by 64 publications

References 17 publications

Recently Trained Pediatric Subspecialists: Perspectives on Training and Scope of Practice

Recently Trained Pediatric Subspecialists: Perspectives on Training and Scope of Practice

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location

Early Career Experiences of Pediatricians Pursuing or Not Pursuing Fellowship Training

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