Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Rimsza, M. E., Ruch-Ross, H. S., Clemens, C. J., Moskowitz, W. B. & Mulvey, H. J. Workforce trends and analysis of selected pediatric subspecialties in the United States. Acad. Pediatr. 18, 805–812 (2018).
Osterman, M. J., Kochanek, K. D., MacDorman, M. F., Strobino, D. M. & Guyer, B. Annual summary of vital statistics: 2012–2013. Pediatrics 135, 1115–1125 (2015).
Newton, D. A., Grayson, M. S. & Thompson, L. F. Money, lifestyle, or values? Why medical students choose subspecialty versus general pediatric careers. Clin. Pediatr. (Phila.) 49, 116–122 (2010).
American Board of Pediatrics. Pediatric Physicians Workforce Methodology Summary (American Board of Pediatrics, Chapel Hill, NC, 2018).
Malhotra, A. K., Amed, S., Bucevska, M., Bush, K. L. & Arneja, J. S. Do adolescents with gynecomastia require routine evaluation by endocrinology? Plast. Reconstr. Surg. 142, 9e–16e (2018).
Werner, R. M. & Polsky, D. Comparing the supply of pediatric subspecialists and child neurologists. J. Pediatr. 146, 20–25 (2005).
Valderas, J. M. et al. Routine care provided by specialists to children and adolescents in the United States (2002-2006). BMC Health Serv. Res. 9, 221 (2009).
Kaul, S., Kirchhoff, A. C., Morden, N. E., Vogeli, C. S. & Campbell, E. G. Physician response to patient request for unnecessary care. Am. J. Manag. Care 21, 823–832 (2015).
Rea, C. J. et al. Shared care: using an electronic consult form to facilitate primary care provider-specialty care coordination. Acad. Pediatr. 18, 797–804 (2018).
Lee, M. S. et al. Primary care practitioners’ perceptions of electronic consult systems: a qualitative analysis. JAMA Intern. Med. 178, 782–789 (2018).
Harrison, M., Jones, P., Sharif, I. & Di Guglielmo, M. D. General pediatrician-staffed behavioral/developmental access clinic decreases time to evaluation of early childhood developmental disorders. J. Dev. Behav. Pediatr. 38, 353–357 (2017).
Kushnir, T. et al. Is burnout associated with referral rates among primary care physicians in community clinics? Fam. Pract. 31, 44–50 (2014).
Stille, C. J., McLaughlin, T. J., Primack, W. A., Mazor, K. M. & Wasserman, R. C. Determinants and impact of generalist-specialist communication about pediatric outpatient referrals. Pediatrics 118, 1341–1349 (2006).
Van Cleave, J. et al. Expanding the capacity of primary care to treat co-morbidities in children with autism spectrum disorder. J. Autism Dev. Disord. 48, 4222–4230 (2018).
Freed, G. L. et al. General practitioner perspectives on referrals to paediatric public specialty clinics. Aust. Fam. Physician 45, 747–753 (2016).
Turbitt, E., Kunin, M., Gafforini, S., Freed, G. L., Motivators and barriers for paediatricians discharging patients. Aust J Prim Health. 23, 284–287 (2017).
Tuot, D. S., Sewell, J. L., Day, L., Leeds, K. & Chen, A. H. Increasing access to specialty care: patient discharges from a gastroenterology clinic. Am. J. Manag. Care 20, 812–819 (2014).
Clough, J. D., Patel, K. & Shrank, W. H. Variation in specialty outpatient care patterns in the medicare population. J. Gen. Intern. Med. 31, 1278–1286 (2016).
Summer, R., Wiener, R. S., Carroll, D. & Sager, A. Physician perception of the impact of productivity measures on academic practice. Arch. Intern. Med. 172, 967–969 (2012).
Bergersen, L. et al. Capture of complexity of specialty care in pediatric cardiology by work RVU measures. Pediatrics 131, 258–267 (2013).
Acknowledgements
Both the authors made substantial contributions to conception and design, acquisition and analysis of data, drafting and revising of article, and final approval of the published version.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Weyand, A.C., Freed, G.L. Pediatric subspecialty workforce: undersupply or over-demand?. Pediatr Res 88, 369–371 (2020). https://doi.org/10.1038/s41390-020-0766-0
Received:
Revised:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41390-020-0766-0
