Pediatrician lifestyle?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Gotaro

Full Member
10+ Year Member
Joined
Dec 1, 2008
Messages
108
Reaction score
0
Pediatricians,

How many days a week do you generally work? Do you work weekends? Even if you're on call, is it pretty rare to get called in?

What do you typically see patients for? Or is each day completely unpredictable? Does the job ever get repetitive?

What is your biggest stressor? What makes for a bad day?

And what do you like most and least about being a pediatrician?

Edit:
Links to answers would work, too. I looked through the links/FAQ sticky but couldn't find the information I was looking for on any of the links that still work.

Thanks!

Members don't see this ad.
 
Last edited:
I guess there aren't very many pediatricians posting here? :p Or maybe I did something wrong? Hm..
 
How many days a week do pediatricians generally work? Do they work weekends? Even if they're on call, is it pretty rare to get called in, relative to other specialties?

What do pediatricians typically see patients for? Or is each day completely unpredictable? Does the job ever get repetitive?

What is the biggest stressor? What makes for a bad day?

And personally, what do you like most and least about being a pediatrician?

Edit:
Links to answers would work, too. I looked through the links/FAQ sticky but couldn't find the information I was looking for on any of the links that still work.

Thanks!

Your questions are vague and there aren't any specific answers to any of them. The frequency of call and type of call varies dramatically depending on the type of practice you're in.
 
Members don't see this ad :)
Your questions are vague and there aren't any specific answers to any of them. The frequency of call and type of call varies dramatically depending on the type of practice you're in.
Too vague? They're meant to be personal questions. I'm curious what real pediatricians' experiences are, in any type of practice. I guess the questions are focused at general pediatricians, but I still don't understand how they're vague.
 
How many days a week do pediatricians generally work? Depends if they are part time or full time, but a lot of the FT peds I know work 4-5 days a week seeing patients and may have 1/2 to 1 whole day of "admin" time. Do they work weekends? There might be some practices that don't, but prbably most will share call in a practice group for weeknights and rotating weekends. How often will depend on how many are in the practice. Even if they're on call, is it pretty rare to get called in, relative to other specialties? Again, depends totally on the practice, but in a lot of places, it's not uncommon to have to come in. They may have to attend C-sections in the middle of the night, come to the ED for an ill patient, stabilize an ill baby/child prior to transport (esp. if they're working outside a tertiary care center). Call ins are going to be more than some fields and less than others. There are very few derm call-ins, and we may get called in more than IM since a lot of ED docs are much less comfortable with kids in the ED than adults, esp in community hospitals.

What do pediatricians typically see patients for? Umm, kid stuff? Well baby and well child exams are deriguer. Frequent acute illnesses seen are repiratory infections, otitis media, gastroeneteritis +/- dehydration, rashes, and musculoskeletal pain. More commonly seen, potentially severe illness might be DKA, asthma exacerbation, (depending on location) sickle cell pain/fever crises, anemia (which may represent something as "benign" as milk overconsumption or as bad as leukemia). There are plenty of "zebras" as well, and the art of peds (and IM and FM) is to know when to think about the zebras as well. Or is each day completely unpredictable? Most days in the clinic are probably predictable, but it's not uncommon to get the sick kid with a bad presentation of a common or uncommon disease so you always have to be prepared (this goes for IM and FM as well). Does the job ever get repetitive? I'd challenge you to find a field in medicine that doesn't get repetetive. I don't think one exists. Every primary and specialty field has its stock-in-trade and commonly seen disease processes. I find well baby/child exams repetetive and boring, but others love the opportunity to catch that kid with early sign of autism or something else. Perception (or toleration) of repetetiveness is going to be partially personality based.

What is the biggest stressor? What makes for a bad day? See my below comment.

And personally, what do you like most and least about being a pediatrician?
Again, see my below comment. For me, personally, l like the patients most of the time and I've picked a subspecialty in which I really like the disease processes. Non-compliant parents or parents with a sense of entitlement are some of my biggest bugaboos.

...
Thanks!

I agree with BNPG; your questions are vague. A lot of them are the equivalent of asking "What kind of ice cream do pediatricians usually like, how many days a week do they like to eat ice cream, and do they tend to like DQ, Coldstone, or Ben & Jerry's"?
 
Last edited:
I agree with BNPG; your questions are vague. A lot of them are the equivalent of asking "What kind of ice cream do pediatricians usually like, how many days a week do they like to eat ice cream, and do they tend to like DQ, Coldstone, or Ben & Jerry's"?
Thank you very much for the answers! I could certainly see myself identifying with you about non-compliant parents. How do parents act who have a "sense of entitlement"?

I realize people are going to be different, but I wonder about what individuals in the field truly find stressful. Maybe the biggest stressor for some is dealing with obsessive parents, or maybe for others it's dealing with crying babies. Maybe the biggest stressor is just trying to get through all of the patients in a timely manner. Maybe a bad day is a boring one, or maybe a bad day is a complicated one. Maybe what makes a day good or bad isn't even related to treating patients. All I can do is speculate :p.

I see now how I can better word my questions.. I'll edit the OP. Thanks again!
 
Thank you very much for the answers! I could certainly see myself identifying with you about non-compliant parents. How do parents act who have a "sense of entitlement"?

I realize people are going to be different, but I wonder about what individuals in the field truly find stressful. Maybe the biggest stressor for some is dealing with obsessive parents, or maybe for others it's dealing with crying babies. Maybe the biggest stressor is just trying to get through all of the patients in a timely manner. Maybe a bad day is a boring one, or maybe a bad day is a complicated one. Maybe what makes a day good or bad isn't even related to treating patients. All I can do is speculate :p.

I see now how I can better word my questions.. I'll edit the OP. Thanks again!

I am only an intern, but common frustrations in pediatrics revolve around dealing with the parents.

Parents tend to be over-protective. Kids are generally poor historians so you will have deal with the parents most of the time. In pediatrics, you have to be careful in how you speak to the parents. Many will watch you like a hawk and question everything you do. Many will reject treatment or procedures because they fear their child is being harmed. Even simple things like a routine lab often requires a needle stick and kids will cry and scream. No parent likes to hear their kid cry and scream on a daily basis and sometimes parents will blame you for this even though you are trying to help them. Lots of them will look up information on the internet or obtain suggestions from friends/family and try to diagnose their own kids. They also become angry when you do not agree with them.

On the opposite end of the spectrum, there are parents who don't care about their kids, or even worse, neglect/abuse them. This is already terrible in its own right, but you can imagine the mess in dealing with CPS taking custody away from a parent. It is ugly to say the least.

I think peds requires a lot of patience and I have seen many medical students who tell me they want to do peds, only to ultimately hate it. Anyways, I see you're pre-med. If that truly is your status, I would probably worry about getting into medical school first. Keep your options open, if you keep a one-track mindset you may miss out on some other fields you may enjoy.
 
  • Like
Reactions: 1 user
I am only an intern, but common frustrations in pediatrics revolve around dealing with the parents.

Parents tend to be over-protective. Kids are generally poor historians so you will have deal with the parents most of the time. In pediatrics, you have to be careful in how you speak to the parents. Many will watch you like a hawk and question everything you do. Many will reject treatment or procedures because they fear their child is being harmed. Even simple things like a routine lab often requires a needle stick and kids will cry and scream. No parent likes to hear their kid cry and scream on a daily basis and sometimes parents will blame you for this even though you are trying to help them. Lots of them will look up information on the internet or obtain suggestions from friends/family and try to diagnose their own kids. They also become angry when you do not agree with them.

On the opposite end of the spectrum, there are parents who don't care about their kids, or even worse, neglect/abuse them. This is already terrible in its own right, but you can imagine the mess in dealing with CPS taking custody away from a parent. It is ugly to say the least.

I think peds requires a lot of patience and I have seen many medical students who tell me they want to do peds, only to ultimately hate it. Anyways, I see you're pre-med. If that truly is your status, I would probably worry about getting into medical school first. Keep your options open, if you keep a one-track mindset you may miss out on some other fields you may enjoy.

For what it's worth, the longer you do this job, the better you get a schmoozing parents. That usually leads to less of the crap you described.
 
I am only an intern, but common frustrations in pediatrics revolve around dealing with the parents.

I think peds requires a lot of patience and I have seen many medical students who tell me they want to do peds, only to ultimately hate it. Anyways, I see you're pre-med. If that truly is your status, I would probably worry about getting into medical school first. Keep your options open, if you keep a one-track mindset you may miss out on some other fields you may enjoy.
That's good to know. I wasn't sure if it would be a good idea to go into pediatrics just because one "likes kids," when, as you suggested, pediatricians are often dealing more with the parents. Also, keeping a professional relationship with kids kind of takes the fun out of things anyway. It may not be for me, and I definitely am keeping my options open. I was jut curious :). Basically, I want to make sure there are specialties I at least expect to enjoy before spending $$ to continue down the path of medicine.

On a side note, do medical professionals always use the term "ped"? I realize "kid" is informal, some might even say disrespectful (though I disagree), but I feel weird using some other term just for the sake of using a new term (lol). It isn't fewer syllables, isn't more specific, etc.
 
That's good to know. I wasn't sure if it would be a good idea to go into pediatrics just because one "likes kids," when, as you suggested, pediatricians are often dealing more with the parents. Also, keeping a professional relationship with kids kind of takes the fun out of things anyway. It may not be for me, and I definitely am keeping my options open. I was jut curious :). Basically, I want to make sure there are specialties I at least expect to enjoy before spending $$ to continue down the path of medicine. Different fields of medicine can be fun for different reason and can be unbearable for for different reasons depending on the individual. And your ideas will change as you go along. I couldn't imagine being a psychiatrist now even though I thought I wanted to be one for at least two years of med school. Pediatrics was as far off my radar screen as you could get until I had a rotation. Like someone else said, just keep an open mind.

On a side note, do medical professionals always use the term "ped"? I realize "kid" is informal, some might even say disrespectful (though I disagree), but I feel weird using some other term just for the sake of using a new term (lol). It isn't fewer syllables, isn't more specific, etc.

I don't think I've ever heard the word "ped". "Kid" is fine. As a generalized term you might hear "pediatric patient" (not at the individual level though). Pediatricians, I think, are some of the most likely to use regular (less medical) speech. Like every other linguistic situation, there may be levels of formality like if I was doing rounds on a patient in another room I may use "kid", but in front of the parents/patient I might use the (slightly more formal) "this young man/lady". But I'm not sure how you would use the word ped (it's not really a word with a medical definition in and of itself. Medically it's a prefix)
.
 
I was thinking the same thing about ped, so I looked it up, and apparently it's the Greek word for "child"? That was my take on it.. And I hear the word all the time.. People talk about "peds" this and "peds" that. It's even on a few thread titles in the Pediatrics forum:
http://forums.studentdoctor.net/showthread.php?t=675203
http://forums.studentdoctor.net/showthread.php?t=682803
http://forums.studentdoctor.net/showthread.php?t=682615

But I heard it mostly from EMTs and instructors. I'm shocked to hear you say you've never heard it! People pronounce it "peed." Well, I'm scrapping it from my vernacular then :).
 
I was thinking the same thing about ped, so I looked it up, and apparently it's the Greek word for "child"? That was my take on it.. And I hear the word all the time.. People talk about "peds" this and "peds" that. It's even on a few thread titles in the Pediatrics forum:
http://forums.studentdoctor.net/showthread.php?t=675203
http://forums.studentdoctor.net/showthread.php?t=682803
http://forums.studentdoctor.net/showthread.php?t=682615

But I heard it mostly from EMTs and instructors. I'm shocked to hear you say you've never heard it! People pronounce it "peed." Well, I'm scrapping it from my vernacular then :).

"peds"...okay sometimes. "ped"...pronounced peed?...umm no! I never refer to my patient as that "peed" patient. Still trying to figure out the point of this question? :confused:
 
"peds"...okay sometimes. "ped"...pronounced peed?...umm no! I never refer to my patient as that "peed" patient. Still trying to figure out the point of this question? :confused:
Lol it was just an aside question. You're saying you pronounce it "peh-d"? I've just been surrounded by people referring to "ped patients" this or "peds are special cases" that. Come to think of it, that was the term used by the speakers (physicians) at a trauma symposium I attended, too.

Anyway, don't be distracted. I'd still love more input from other pediatricians on the OP! :)
 
Members don't see this ad :)
Lol it was just an aside question. You're saying you pronounce it "peh-d"? I've just been surrounded by people referring to "ped patients" this or "peds are special cases" that. Come to think of it, that was the term used by the speakers (physicians) at a trauma symposium I attended, too.

Anyway, don't be distracted. I'd still love more input from other pediatricians on the OP! :)

Peds is an abbreviation for pediatrics. You have a long time to decide if you want to go into pediatrics, you really shouldn't try and choose which specialty as a pre-med. Trust me, it's just going to lead to stress later.

I went to med school to be an orthopedic surgeon. (By the way, "med" is short for medical and "ortho" is an abbreviation for orthopedics, please don't ask if they call their patients orthos.)
 
Peds is an abbreviation for pediatrics. You have a long time to decide if you want to go into pediatrics, you really shouldn't try and choose which specialty as a pre-med. Trust me, it's just going to lead to stress later.

I went to med school to be an orthopedic surgeon. (By the way, "med" is short for medical and "ortho" is an abbreviation for orthopedics, please don't ask if they call their patients orthos.)
Ouch. I'm sorry the health care professionals in my area use the term "ped" in a way you don't agree with. I guess I'm not allowed to ask questions here.

I'm not choosing a specialty. Like I said, I want to make sure there are specialties I would at least expect to like. How else are you supposed to decide you want to go into medicine, without having an idea of what you might want to be?
 
Ouch. I'm sorry the health care professionals in my area use the term "ped" in a way you don't agree with. I guess I'm not allowed to ask questions here.

I'm not choosing a specialty. Like I said, I want to make sure there are specialties I would at least expect to like. How else are you supposed to decide you want to go into medicine, without having an idea of what you might want to be?

Hopefully you will choose "medicine" (the generic term, not the adult specialty) because you would like to be able to make a difference in people's lives, whether that is through direct patient contact, research, etc., and you find the broader field interesting and intellectual stimulating and challenging. I am an academic pediatrician who works in a relatively low-paying subspecialty area, but I have never regretted my career choice, and have never dreaded going to work. If I were doing it only "for the money" or "for the lifestyle", I would have picked a career other than medicine. The rewards I get from working with house staff, medical students, and with patients and families more than compensate for perceived salary shortcomings. And I have never complained about my lifestyle or reimbursement. I know of no employed physicians who cannot feed, house, or clothe themselves or their families.

And I have never heard a pediatric patient refer to as a "ped" (30+ years post-fellowship). The term doesn't bother me, but it is interesting that it must be used in some regions and not others.
 
I'm not choosing a specialty. Like I said, I want to make sure there are specialties I would at least expect to like. How else are you supposed to decide you want to go into medicine, without having an idea of what you might want to be?

Find a local doctor and ask them if you can spend some time with them and see what they're job is like. Medical schools almost expect that kind of experience these days. It can also let you see if you like the medical world.

That's what I did between my senior and junior year of college. I also got a job at a local hospital lab so I could learn to draw blood and get some idea how hospitals work.
 
Gotaro,

I'm glad you're interested in peds. And yes, around here we sometimes refer to the specialty as "peds." ;) There are lots of terms that are regional. Another example is the term used for the emergency room/center. Some call it the ER, some call it the EC. We have a tendency to refer to our patients generically as "kiddos." That gets some eye-rolling from the adult specialists. I don't like that one, but it works when you can't remember the gender of that 4th 2 month old with bronchiolitis that you just saw. ;)

I think having an interest in a certain area is a great way to start investigating. Of course you'll broaden your scope of interest, if you haven't already. But you're asking a question on a Pedi forum, so it makes sense you are asking specific questions.

I'm still a resident, but I can tell you a bit about what the private practice doc I work with does more or less.
He's in a practice with 3 other physicians. He's sees about 30-40 patients a day, on average. He works week days from 8am-6pm (or so), takes off on most Thursdays and works 1-2 Saturday mornings a month. (he and his partners rotate who works the Sat AM clinic) He's on call about every 4th night and one weekend a month. They have a nurse triage system for the mommy calls, so he only gets paged for the genuine problems that need a doctor's decision. His practice also uses a hospitalist system, so they don't see their own patients in the hospital. This prevents running to all the hospitals in town after work each day to see their hospitalized patients. They do see their own newborn patients, however, in the mornings before clinic.

Pediatrics, like everything else, has it's repetitive and boring aspects. Sure, snotty noses and ear infections get old from time to time. I believe every specialty has those repetitive issues, no matter what they are. It's a matter of whether or not you like seeing those patients, even if you've seen their problem a million times already.

I know some Pediatricians, like other practioners, really find the paperwork and dealing with insurance companies to be the most annoying part of their practice.

Good luck in your career investigations! :)
 
Find a local doctor and ask them if you can spend some time with them and see what they're job is like. Medical schools almost expect that kind of experience these days. It can also let you see if you like the medical world..

Agree 100%. I know lots of pre-meds who had great stats but got NO acceptances because they didn't shadow during undergrad and therefore couldn't attest to why they want to be in medicine. Call up some local docs, shadow one afternoon a week for a few months and then you will have at least a vague idea of what medicine is like as a career.
 
Pediatricians,

Neonatologists are pediatricians, just kind of speshulized :)p) ones. So, I'll answer from my perspective (academic research faculty) realizing you really meant general pediatricians...

How many days a week do you generally work? Do you work weekends? Even if you're on call, is it pretty rare to get called in?

When on the clinical service, I work 5 days a week and about every other weekend. Throughout the year I work about 1-2 weekends/months mostly doing rounds in the AM and early afternoon. We do in-house call as do most neonatologists at larger hospitals. Frequency of in-house call can be anywhere from 2-9 times/month depending on whether one has a shift-oriented call or not. Any research work on the weekends would be additional of course.

What do you typically see patients for? Or is each day completely unpredictable? Does the job ever get repetitive?

Our patients are ill neonates. The majority will have complications related to prematurity, a large portion will have other health problems, especially related to congenital malformations. Although we do see some things repeatedly, it would be an understatement to say that caring for critically ill infants is unpredictable and never "boring" or simple. Well, except for jaundice.:p

What is your biggest stressor? What makes for a bad day?

The biggest stressor is the unexpected or acute deterioration of an infant. Sometimes family angst or upset (like parents that are very mad you) or system problems (like nurses who are very mad at you) or the like is a stressor. A bad day is any day in which one has to deliver very bad news to a family. But, it's part of the job and ultimately can be something one learns to gain some satisfaction from doing "well."

And what do you like most and least about being a pediatrician?

It is a privilege to be able to care for children. Being able to advocate for their care on a local, national and global basis makes the job something I love doing even when there are stressors. There are negatives to any job, but there is nothing particular about being a pediatrician (compared to another type of physician) that I do not "like." I have absolutely no complaints about my financial compensation for my job.
 
Hopefully you will choose "medicine" (the generic term, not the adult specialty) because you would like to be able to make a difference in people's lives, whether that is through direct patient contact, research, etc., and you find the broader field interesting and intellectual stimulating and challenging.
Without a doubt, that is a part of my personality, though if that was my sole reason for choosing a profession, I probably would pick something else.

Find a local doctor and ask them if you can spend some time with them and see what they're job is like. Medical schools almost expect that kind of experience these days. It can also let you see if you like the medical world.

That's what I did between my senior and junior year of college. I also got a job at a local hospital lab so I could learn to draw blood and get some idea how hospitals work.
I do plan to shadow; I just haven't looked into how to go about doing that yet :). My medical adviser gave me the choice of phlebotomist or EMT, and I, for better or worse, chose EMT...
We have a tendency to refer to our patients generically as "kiddos." That gets some eye-rolling from the adult specialists. I don't like that one, but it works when you can't remember the gender of that 4th 2 month old with bronchiolitis that you just saw. ;)

I'm still a resident, but I can tell you a bit about what the private practice doc I work with does more or less.

Pediatrics, like everything else, has it's repetitive and boring aspects. It's a matter of whether or not you like seeing those patients, even if you've seen their problem a million times already.

I know some Pediatricians, like other practioners, really find the paperwork and dealing with insurance companies to be the most annoying part of their practice.

Good luck in your career investigations! :)
Thanks for the detailed explanation! That schedule sounds pretty attractive to me! So pediatricians see patients from birth? There isn't a neonatologist transition period or anything? What you said about liking the patients makes a lot of sense. I guess the real test will just have to be shadowing!
Neonatologists are pediatricians, just kind of speshulized :)p) ones. So, I'll answer from my perspective (academic research faculty) realizing you really meant general pediatricians...

When on the clinical service, I work 5 days a week and about every other weekend. Throughout the year I work about 1-2 weekends/months mostly doing rounds in the AM and early afternoon.

Although we do see some things repeatedly, it would be an understatement to say that caring for critically ill infants is unpredictable and never "boring" or simple. Well, except for jaundice.:p

The biggest stressor is the unexpected or acute deterioration of an infant. Sometimes family angst or upset (like parents that are very mad you) or system problems (like nurses who are very mad at you) or the like is a stressor. A bad day is any day in which one has to deliver very bad news to a family. But, it's part of the job and ultimately can be something one learns to gain some satisfaction from doing "well."

It is a privilege to be able to care for children. Being able to advocate for their care on a local, national and global basis makes the job something I love doing even when there are stressors. There are negatives to any job, but there is nothing particular about being a pediatrician (compared to another type of physician) that I do not "like." I have absolutely no complaints about my financial compensation for my job.
Thanks! I like to hear from specialists, too! (Or is general pediatrics a specialty?) About how many hours are you working every week?

From your description, it sounds like neonatology (and critical care, in general) is probably not for me! I appreciate your input immensely, though! And I think I agree completely that being able to care for children is a privilege!

Thanks to everyone who has responded! This is a big help :). I'll use this as a supplement to shadowing.
 
I do plan to shadow; I just haven't looked into how to go about doing that yet :). My medical adviser gave me the choice of phlebotomist or EMT, and I, for better or worse, chose EMT...
QUOTE]

Is your advisor requring you to choose between the two? FWIW, neither is absoultely neccesary for medical school by any means and neither would count as "shadowing" experience either. Call a local doc (even your personal doc) and ask if you as a pre-med can shadow for a few hours per week for a couple months.
 
Is your advisor requring you to choose between the two? FWIW, neither is absoultely neccesary for medical school by any means and neither would count as "shadowing" experience either. Call a local doc (even your personal doc) and ask if you as a pre-med can shadow for a few hours per week for a couple months.
According to the poll here:
http://forums.studentdoctor.net/poll.php?do=showresults&pollid=7525
almost 40% of med students were accepted with zero hours. That said, I want to shadow, whether it's necessary or not. And my adviser told me that in order to be competitive, I should have "medical experience," and she gave me two options that would fill that requirement.

So I just have to call them? I wasn't sure, because I couldn't remember ever having seen a student at any of my appointments with any doctor :p. I'm wondering if I should try to find a different pediatrician than my own, since I got the feeling he was tired of seeing me and ready for me to move on, when I was still going to see him at age 19 :p. Admittedly, it did feel weird sitting in a child-themed, brightly colored office with kids toys everywhere >_>;
 
I do plan to shadow; I just haven't looked into how to go about doing that yet :). My medical adviser gave me the choice of phlebotomist or EMT, and I, for better or worse, chose EMT...

Good choice all of the doctors I know that were EMTs first were great docs pretty quick. Seeing all the crap that EMTs see helped them be more confident later on.

You also need to relax. You have years to choose a specialty.
 
Hah.. Well, I don't think I'm going to be an EMT anymore. I'm planning to get licensed and then work at a hospital. Driving an ambulance just doesn't fit my personality.. They should really let us have our first ridealong earlier in the semester, but I guess they're more worried about keeping students past the deadline for withdrawal with a refund.

I know I should relax.. It just stresses me out when I don't have a plan. Thanks for being patient with me :).
 
Top