Physician interest in hiring pediatric psychologists in specialty care roles.

Abstract

Objective: Integration of pediatric psychology into medical specialty clinics remains an ongoing need in pediatrics, which is dependent on hiring psychologists. The perspectives of physicians who may be involved in the hiring process are not well-understood. This study sought to identify the considerations of physicians in leadership positions in medical training programs. Methods: Participants included a national sample of 64 physician training directors across five specialty areas (gastroenterology, hematology/oncology, neurology, urology, and cardiology). Physicians completed a survey assessing knowledge of pediatric psychology, the current integration of psychologists and trainees, and considerations for hiring pediatric psychology. Physicians provided feedback on a fictional pediatric psychology applicant's "cold email." Results: The majority (65.6%) of participants reported current psychology integration in the overarching specialty (e.g., neurology); however, integration of psychology trainees and psychology within each subspecialty population (e.g., epilepsy) was less prevalent. Participants indicated varied responses to the "cold email" and identified several considerations in the hiring of pediatric psychologists, including funding, applicant's experience/expertise, and role in the hiring decision. Conclusions: Physician training directors indicated a generally positive interest in working with psychology. Respondents offered diverse considerations related to hiring pediatric psychologists, including multiple considerations specific to the "cold email." Funding barriers were highlighted as an obstacle. Implications for Impact StatementThe study explores areas of pediatric psychology integration and room for (hiring) expansion in five pediatric specialty medical disciplines, with a specific focus on physician considerations in hiring. We offer recommendations for prospective psychologists seeking employment in pediatric specialty and subspecialty care.

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Variability of Psychosocial Services Within the ImproveCareNow Learning Health System: Opportunities for Optimization

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