Bernstein Brittany K, Nelson Leonard B
J Pediatr Ophthalmol Strabismus. 2020 Jan 1;57(1):9-11. doi: 10.3928/01913913-20191101-01.
The fate of pediatric ophthalmology may be in jeopardy. For the past 20 years, there has been declining interest in the field compared to other subspecialties in ophthalmology, as fellowship positions and jobs remain unfilled. Of those fellows who do match in pediatric ophthalmology and strabismus, many are international medical graduates who often return to their native countries to practice, further diminishing the supply of pediatric ophthalmologists in the United States. In previous surveys, resident graduates have expressed disinterest in the field, reluctance to work with children, inadequate reimbursements, and insufficient interactions with faculty as reasons not to pursue this subspecialty. Millions of people throughout the United States do not have access to pediatric ophthalmologists, highlighting the issue of unequal distribution. As more pediatric ophthalmologists retire, there is concern that there will not be enough providers to meet the demands of this subspecialty. Although many of these factors deterring residents from entering this field have been resolved, the major issue of financial reimbursements has not been adequately addressed. [J Pediatr Ophthalmol Strabismus. 2020;57(1):9-11.].
小儿眼科的命运可能危在旦夕。在过去20年里，与眼科的其他亚专业相比，该领域的吸引力一直在下降，因为 fellowship 职位和工作岗位仍有空缺。在那些成功匹配小儿眼科与斜视专业的学员中，许多是国际医学毕业生，他们常常回到自己的祖国执业，这进一步减少了美国小儿眼科医生的数量。在之前的调查中，住院医师毕业生表示对该领域不感兴趣、不愿与儿童打交道、报销不足以及与教员互动不够，这些都是他们不选择这个亚专业的原因。美国各地数以百万计的人无法获得小儿眼科医生的服务，这凸显了分布不均的问题。随着越来越多的小儿眼科医生退休，人们担心没有足够的从业者来满足这个亚专业的需求。尽管许多阻碍住院医师进入该领域的因素已经得到解决，但财务报销这一主要问题仍未得到充分解决。[《小儿眼科与斜视杂志》。2020；57(1)：9 - 11。]
