rural peds

iatrosB

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    Hey all,

    I'm not sure if this thread would be better placed in the "rural medicine" forum, but I don't think it would get good exposure there. Does anyone know in general what city size you need to support a pediatrician? For general peds, what is the ideal population to pediatrician ratio. I'm sure the AAP has the numbers, but I don't know them. Thanks
     

    Stitch

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      I can't answer what is an optimal ratio, but there's definitely a huge need for rural pediatricians. A few people in my class recently signed on with a couple of rural offices and are being very well compensated in terms of starting salary, signing bonus and even some loan repayments. If you can find a community you like, I doubt anywhere is too small, and you'd be greatly appreciated.
       

      iatrosB

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        I can't answer what is an optimal ratio, but there's definitely a huge need for rural pediatricians. A few people in my class recently signed on with a couple of rural offices and are being very well compensated in terms of starting salary, signing bonus and even some loan repayments. If you can find a community you like, I doubt anywhere is too small, and you'd be greatly appreciated.

        Awesome...thanks for the input! Do you know the smallest community they are going to? I'm just not sure if a <3,000 member town can support a pediatrician.
         
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        oldbearprofessor

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          Awesome...thanks for the input! Do you know the smallest community they are going to? I'm just not sure if a <3,000 member town can support a pediatrician.

          pediatrics.aappublications.org/cgi/reprint/107/2/e18.pdf

          I think 3000 is a bit small, but don't immediately know the smallest possible. There are considerable data about this out there and a lot depends on "linking" small towns and traditional referral patterns.
           

          iatrosB

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            pediatrics.aappublications.org/cgi/reprint/107/2/e18.pdf

            I think 3000 is a bit small, but don't immediately know the smallest possible. There are considerable data about this out there and a lot depends on "linking" small towns and traditional referral patterns.

            Per the article above:

            "Using a demand-based model with national pediatrician
            visit data, the AAP has estimated that counties
            require a minimum of 16 000 people to support 1
            general pediatrician.21 However, it is difficult to factor
            into these estimates the unique features of rural
            communities, including children’s need and demand
            for care, unique factors shaping rural pediatricians’
            practices, hours, and productivity, and competition
            for children from other child health providers. The
            present study suggests a larger population is needed
            to support a pediatrician, showing an inflection point
            at a county population of 25 000 for both the likelihood
            of having at least 1 pediatrician and for greater
            pediatrician-to-population growth."

            It looks like 16,000 or 25,000 is the break-point (not the smallest possible, but the most likely to support a ped). Thanks OBP!
             
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