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5+ Year Member
- Apr 14, 2006
Can someone tell me how you go about doing it? Is it a Peds residency then a Rheum fellowship or does it have to be IM-Peds residency? Or just IM?
3 yrs pedi residency then 3 years fellowship specific to pediatric rheumatology.Can someone tell me how you go about doing it? Is it a Peds residency then a Rheum fellowship or does it have to be IM-Peds residency? Or just IM?
What is the reason for the shortage?Talk about a field with job security...
I interviewed with a pediatric rheumatologist on the trail this year; he told me that this year's fellowships graduated 16 people for 40 available jobs nationally.
Even the hospitals that do have peds rheum people, they are incredibly busy, and in some cases, completely overworked and looking for a partner.
Wow. As an adult with lupus, I can't imagine having to deal with such a diagnosis as a child. I'm not in med school yet (applying this summer), but pediatric rheumatology is a field I'm already interested in. Thanks for shedding some light for those of us lurking on your forum.As OBP said, I found it to be quite rewarding....there was one 7 y/o girl who came in as a new lupus diagnosis who had huge swollen hands, big puffy parotid glands, lots of pain, etc. and I was lucky enough to be able to see her a few weeks later after starting treatment....she was a completely different girl!!!
All in all, I think it's a cool field and, although I might be biased , far more fun and interesting than adult rheum.
Yes, rheumatologic diagnoses can be difficult for children to accept/deal with, as you can imagine, so that's why we need really great Pediatric Rheumatologists! Best of luck with med school!!Wow. As an adult with lupus, I can't imagine having to deal with such a diagnosis as a child. I'm not in med school yet (applying this summer), but pediatric rheumatology is a field I'm already interested in. Thanks for shedding some light for those of us lurking on your forum.
go to the Freida website, too, (at ama-assn.org) to find rheum fellowships.Can anyone give me a link to where I'd find out where these fellowships are located so I can do some research? I don't know how to find them. I'm just curious because I met a ped rheum a few weeks ago and it interested me a great deal. I want to learn more about it.
Also, you said that the ones who are out there are incredibly busy and looking for partners. I'm wondering if there are any hospitalists? Any idea what the work hours are like? And finally (sorry for all the questions), would you say adult rheumatology provides a better lifestyle/better compensation?
Supply and demand for pedi subspecialists doesn't really control salary in this situation. Pedi rheum has a lot of poorly compensated chronic care and they spend a lot of time on each patient visit. They don't generally do critical care with higher billing codes. Mostly they work out of academic centers or a few private Children's Hospitals. They don't starve, but many of the academic pedi rheum divisions are not big money makers for the hospital (actually, my understanding is that they often lose money) limiting their clout.It's also difficult to understand the low compensation despite lack of procedures because anecdotally, the demand seems incredibly above supply that you'd simply be able to compensate a little better.
Issue is the same for many adult vs pedi specialties. Much more time per patient in pedi without comparable reimbursement increase, lower academic salary with less private practice. This is extremely unlikely to change, IMHO.Any reason why the same isn't true for adult rheumatologists?