The RSV epidemic that hit pediatric hospitals two years ago had a profound impact on the pediatric workforce, as highlighted by the experiences of pediatric residents like Faith. The overwhelming number of patients and limited resources during that time left a lasting impression on those in the field. This led to a decrease in the number of pediatric residents pursuing further specialization in pediatrics, as well as a decline in medical students considering a career in pediatric medicine.
The shortage of pediatricians is exacerbated by political factors, with conservative politicians often not supporting legislation that benefits children. This lack of support not only affects families and children but also creates additional workload for pediatricians. Medicaid and Children Health Insurance Program enrollees make up a significant portion of pediatric patients, yet only a small percentage of Medicaid dollars are allocated towards pediatric healthcare. This lack of funding puts children’s hospitals at a disadvantage, leading to bed shortages and closures.
The closure of Tufts Children’s Hospital in 2022 highlighted the chronic issue of bed shortages within pediatric medicine, with inpatient pediatric units decreasing nationwide. This lack of access to children’s hospitals forces many children to travel long distances for care. The funding disparity between general medical education and pediatric education further hinders the training of future pediatricians and subspecialists.
The declining interest in pediatric medicine is evident in the decrease in applications for pediatric residency programs. Medical students are opting for professions with less challenges and more compensation. With a new administration on the horizon, it is crucial for pediatricians to advocate for increased funding for pediatric education to ensure the future of the workforce.
Jared E. Boyce, an M.D.-Ph.D. candidate, and Faith Crittenden, a pediatric endocrinology fellow, emphasize the importance of proactive measures to address the workforce shortage in pediatric medicine. Immediate action is necessary to prevent further decline in pediatric healthcare.
