Evidence map›Paper›PMID 33328583›Full record

ArticlePediatric research2021

Growth and changes in the pediatric medical subspecialty workforce pipeline.

Michelle L Macy, Laurel K Leslie, Adam Turner, Gary L Freed

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  6. Improving well-being among women in neonatology.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  9. Physician workload and practice management in pediatric gastroenterology.Journal of pediatric gastroenterology and nutrition · 2024
    Article
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  11. Article
  12. Article
  13. Article
  14. Article
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  16. Essentials of Neonatal-Perinatal Medicine Fellowship: careers in Neonatal-Perinatal Medicine.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
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  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Michelle L MacyChild Health Evaluation and Research (CHEAR) Center, Ann Arbor, MI, USA. mmacy@luriechildrens.org.
Laurel K LeslieAmerican Board of Pediatrics, Chapel Hill, NC, USA.
Adam TurnerAmerican Board of Pediatrics, Chapel Hill, NC, USA.
Gary L FreedChild Health Evaluation and Research (CHEAR) Center, Ann Arbor, MI, USA.
American Academy of Pediatrics · USMichigan Medicine · USTufts Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo inform discussions of pediatric subspecialty workforce adequacy and characterize its pipeline, we examined trends in first-year fellows in the 14 American Board of Pediatrics (ABP)-certified pediatric medical subspecialties, 2001-2018.

methodsData were obtained from the ABP Certification Management System. We determined, within each subspecialty, the annual number of first-year fellows. We assessed for changes in the population using variables available throughout the study period (gender, medical school location, program region, and program size). We fit linear trendlines and calculated χ

resultsThe number of first-year pediatric medical subspecialty fellows increased from 751 in 2001 to 1445 in 2018. Fields with the growth of 3 or more fellows per year were Cardiology, Critical Care, Emergency Medicine, Gastroenterology, Neonatology, and Hematology Oncology (P value <0.05 for all). The number of fellows entering Adolescent Medicine, Child Abuse, Infectious Disease, and Nephrology increased at a rate of 0.5 fellows or fewer per year. Female American Medical Graduates represented the largest and growing proportions of several subspecialties. Distribution of programs by region and size were relatively consistent over time, but varied across subspecialties.

conclusionsThe number of pediatricians entering medical subspecialty fellowship training is uneven and patterns of growth differ between subspecialties. IMPACT: The number of individuals entering fellowship training has increased between 2001 and 2018. Growth in the number of first-year fellows is uneven. Fields with the greatest growth: Critical Care, Emergency Medicine, and Neonatology. Fields with limited growth: Adolescent Medicine, Child Abuse, Infectious Disease, and Nephrology. Concerns about the pediatric medical subspecialty workforce are not explained by the number of individuals entering the fellowship.

Indexed as

Career ChoicePediatriciansWorkforceCertificationCritical CareEducation, Medical, GraduateEmergency MedicineFellowships and ScholarshipsFemaleHumansLinear ModelsMaleNeonatologyPediatricsUnited States

Identifiers

PMID33328583
PMCPMC7738773
OpenAlexW3112332899

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.