Gender and Generational Influences on the Pediatric Workforce and Practice abstract

In response to demographic and other trends that may affect the future of the field of pediatrics, the Federation of Pediatric Organizations formed 4 working groups to participate in a year’s worth of research and discussion preliminary to a Visioning Summit focusing on pediatric practice, research, and training over the next 2 decades. This article, prepared by members of the Gender and Generations Working Group, summarizes findings relevant to the 2 broad categories of demographic trends represented in the name of the group and explores the interface of these trends with advances in technology and social media and the impact this is likely to have on the field of pediatrics. Available data suggest that the trends in the proportions of men and women entering pediatrics are similar to those over the past few decades and that changes in the overall ratio of men and women will not substantially affect pediatric practice. However, although women may be as likely to succeed in academic medicine and research, fewer women than men enter research, thereby potentially decreasing the number of pediatric researchers as the proportion of women increases. Complex generational differences affect both the workforce and interactions in the workplace. Differences between the 4 generational groups comprising the pediatric workforce are likely to result in an evolution of the role of the pediatrician, particularly as it relates to aspects of work–life balance and the use of technology and social media. Pediatrics 2014;133:1112–1121 AUTHORS: Nancy D. Spector, MD,a William Cull, PhD,b Stephen R. Daniels, MD, PhD,c Joseph Gilhooly, MD,d Judith Hall, MD,e Ivor Horn, MD, MPH,f Susan G. Marshall, MD,g Daniel J. Schumacher, MD,h Theodore C. Sectish, MD,i and Bonita F. Stanton, MDj aDepartment of Pediatrics, Drexel University College of Medicine, Philadelphia, Pennsylvania; bDivision of Health Services Research, American Academy of Pediatrics, Washington, District of Columbia; cDepartment of Pediatrics, University of Colorado School of Medicine, Denver, Colorado; dDepartment of Pediatrics, Oregon Health and Science University, Portland, Oregon; eUniversity of British Columbia and British Columbia’s Children’s Hospital, Vancouver, British Columbia, Canada; fDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia; gDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; hMED Pediatric Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts; iDepartment of Medicine, Boston Children’s Hospital and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; and jDepartment of Pediatrics, School of Medicine, Wayne State University, Detroit, Michigan