Well, How Did We Get Here? The Current State of Pediatric Endocrinology.

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中文解读

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Original abstract

<h4>Objective</h4>To describe factors leading to the development of current workforce challenges in pediatric endocrinology and to propose solutions.<h4>Study design</h4>The author made use of 32 years of experience as chief of pediatric endocrinology at a large academic medical center, review of fellowship match and workforce data from the American Board of Pediatrics, and review of compensation data from the Association of American Medical Colleges.<h4>Results</h4>Although many find pediatric endocrinology a fulfilling career, workforce shortages lead to increased workloads, and relatively low remuneration and excessively long training requirements discourage entry into the field.<h4>Conclusions</h4>Potential solutions include value-based remuneration supported by robust funds-flow agreements with hospitals, streamlined training requirements, and utilization of informatics to support better targeted referrals and effective comanagement of selected patients with primary care physicians.

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