title: Jobs and Career Plans of New Pediatric Subspecialists.
abstract: OBJECTIVE
  The issues of importance in selecting a first job for new pediatric subspecialists, and their ability to find positions that match their professional and clinical goals, are unknown. The objectives were to (1) describe current employment patterns, practice characteristics, factors influencing choice of first position, and future work goals of new pediatric subspecialists; and (2) examine the relationship of these variables with the actual professional time allocation and clinical responsibilities compared with the desired first job.
  
  
  METHODS
  The authors surveyed 3010 individuals sitting for ≥1 of the 14 subspecialty certification exams. The main outcomes were (1) most important factors in choosing employment; (2) ability to gain employment in positions that matched their goals; and (3) variation in employment characteristics among men versus women, time since completion of training, and part-time versus full-time status.
  
  
  RESULTS
  Response rate was 97%. Lifestyle/spousal or family considerations was the factor identified as most important in the choice of first position after fellowship training for half of respondents (50%; n = 1277). There was a median of 75% of actual time spent in direct and/or consultative inpatient or outpatient care, with 5% in medical education, 5% in administration, and 5% in research. A majority (74%; n = 1825) reported this proportion to be approximately what they wanted. Most respondents (89%; n = 2194) reported that their allocation of patient care responsibilities (ie, inpatient versus outpatient) was approximately what they wanted.
  
  
  CONCLUSIONS
  A large majority of pediatric subspecialists found initial positions matching their goals for professional responsibilities and clinical care.
authors.affiliation: Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan; gfreed@umich.edu.
authors.forename: Gary L
authors.initials: GL
authors.lastname: Freed
authors.affiliation: Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Moran
authors.affiliation: The American Board of Pediatrics Foundation, Chapel Hill, North Carolina; and.
authors.forename: Linda A
authors.initials: LA
authors.lastname: Althouse
authors.affiliation: Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, and.
authors.forename: Kenton D
authors.initials: KD
authors.lastname: Van
authors.affiliation: The American Board of Pediatrics Foundation, Chapel Hill, North Carolina; and Tufts University School of Medicine, Boston, Massachusetts.
authors.forename: Laurel K
authors.initials: LK
authors.lastname: Leslie
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D002568:Certification; D004502:Education, Medical, Continuing / Q000379:methods*; D004651:Employment / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D010372:Pediatrics / Q000193:education*; D010820:Physicians / Q000600:supply & distribution; D010818:Practice Patterns, Physicians'; D014481:United States