Redding G J, Cloutier M M, Dorkin H L, Brotherton S E, Mulvey H J
Department of Pediatrics, Division of Pulmonary Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Pediatr Pulmonol. 2000 Sep;30(3):190-7. doi: 10.1002/1099-0496(200009)30:3<190::aid-ppul2>3.0.co;2-p.
In 1996, the Future of Pediatric Education (FOPE) Project of the American Academy of Pediatrics (AAP) developed surveys to describe the nature of pediatric practices, recent trends in clinical practice, and anticipated workforce needs for both pediatric generalists and pediatric sub-specialists. A survey was specifically developed to describe the features of pediatric pulmonology as self-reported by pediatric pulmonologists. The survey was distributed to members of the AAP Pulmonology Section, the Pediatric Assembly of the American Thoracic Society, and certified pediatric pulmonologists recognized by the American Board of Pediatrics. Of the 535 respondents (67% of those invited to respond), the responses of 388 certified and 94 trained but not board-certified pulmonologists were included in the results. The characteristics of certified and non-certified respondents were the same for most survey questions. Clinical activities occupy 73 +/- 29% of professional time. Most pulmonologists work in urban, inner city, or suburban settings and 85% are affiliated with a medical school. One third are in private practice. As a group, research activities occupy less than 15% of their time. Most pediatric pulmonologists maintain a referral practice and use physician extenders to provide care. Patients with asthma and cystic fibrosis comprise 60-70% of patient volume. Both the volume and complexity of patients are increasing, as is competition for pediatric sub-specialty services. Pediatric pulmonary practices vary in size and in volume of patients that they manage in various settings. Forty percent of respondents identify allergists and other pediatric pulmonologists as sources of competition. Sixty-nine percent of respondents do not believe that there is a current need for additional pediatric pulmonologists in their respective communities. Only 15% of respondents plan to retire in the next decade.
1996年，美国儿科学会（AAP）的儿科学教育未来（FOPE）项目开展了多项调查，以描述儿科医疗实践的性质、临床实践的近期趋势以及儿科全科医生和儿科专科医生预期的劳动力需求。专门设计了一项调查来描述儿科肺科医生自我报告的儿科肺科学特征。该调查分发给了AAP肺科学分会成员、美国胸科学会儿科学大会成员以及美国儿科学会认可的认证儿科肺科医生。在535名受访者（受邀回复者的67%）中，结果纳入了388名认证肺科医生和94名经过培训但未获得委员会认证的肺科医生的回复。对于大多数调查问题，认证和未认证受访者的特征相同。临床活动占专业时间的73%±29%。大多数肺科医生在城市、市中心或郊区工作，85%与医学院有关联。三分之一从事私人执业。总体而言，研究活动占他们时间的比例不到15%。大多数儿科肺科医生维持转诊业务，并使用医生助理提供护理。哮喘和囊性纤维化患者占患者总量的60% - 70%。患者数量和病情复杂性都在增加，儿科专科服务的竞争也在加剧。儿科肺科医疗实践在规模和所管理患者数量方面各不相同。40%的受访者将过敏症专科医生和其他儿科肺科医生视为竞争来源。69%的受访者认为他们各自所在社区目前不需要额外的儿科肺科医生。只有15%的受访者计划在未来十年退休。
