Department of Medicine, Division of Rheumatology, Case Western Reserve University School of Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA; Department of Pediatrics, Case Western Reserve University School of Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
Pediatric Rheumatology, Hospital for Special Surgery, Hospital for Special Surgery, HSS Main Campus - Main Hospital, 535 East 70th Street 5th Floor, New York, NY 10021, USA.
Rheum Dis Clin North Am. 2019 Feb;45(1):67-78. doi: 10.1016/j.rdc.2018.09.011.
Pediatric rheumatology is an exciting and rewarding career area. However, challenges when attracting trainees to this field include practice often occurring in smaller groups compared with general pediatrics, available positions requiring relocation, and fluctuation in funding resulting in uncertainty regarding training positions. Having critical mass in pediatric divisions is important to ensure adequate mentoring and people power to produce scholarly work, reduce on-call frequency and mitigate faculty absences that result in unplanned addition of clinical work. Compensation has historically lagged behind that of general pediatrics. Increased research opportunities through organized networks, patient and parent engagement, and the increasing recognition of pediatric rheumatologists as contributing to scholarship has heightened the profile of pediatric rheumatology nationally and internationally.
儿科风湿病学是一个令人兴奋且有益的职业领域。然而，在吸引学员进入这个领域时，面临的挑战包括与普通儿科学相比，实践通常发生在较小的团队中，可用的职位需要搬迁，以及资金波动导致培训职位的不确定性。在儿科部门拥有足够的人员对于确保有足够的指导和人力来完成学术工作、减少随叫随到的频率以及减轻因教员缺勤而导致的临床工作意外增加至关重要。薪酬历来落后于普通儿科学。通过有组织的网络、患者和家长的参与以及越来越多的人认识到儿科风湿病学家对学术研究的贡献，提高了儿科风湿病学在国内外的知名度。
