The respective racial and ethnic diversity of US pediatricians and American children.

Abstract:

BACKGROUND:Much effort has been directed toward increasing the training of physicians from underrepresented minority groups, yet few direct comparisons have examined the diversity of the racial/ethnic backgrounds of the physicians relative to the patient populations they serve, either currently or into the future. This has been particularly true in the case of pediatrics, in which little information has emerged regarding the racial/ethnic backgrounds of pediatricians, yet evidence points to ever-growing diversity in the US child population. OBJECTIVE:We embarked on a comparative analysis to examine trends in the racial and ethnic composition of pediatricians vis-a-vis the patient population they serve, America's infants, children, adolescents, and young adults. METHODS:Data on US pediatricians sorted by racial/ethnic group came from Association of American Medical Colleges distribution data and is based on the cohort of pediatricians graduating from US medical schools between 1983 and 1989 extrapolated to the total number of pediatricians actively practicing in 1996. Data on the demographic diversity of the US child population came from the US Census Bureau. We derived pediatrician-to-child population ratios (PCPRs) specific to racial/ethnic groups to measure comparative diversity between and among groups. RESULTS:Our results show that the black PCPR, currently less than one third of the white PCPR, will fall from 14.3 pediatricians per 100 000 children in 1996 to 12 by 2025. The Hispanic PCPR will fall from 16.9 in 1996 to 9.2 in 2025. The American Indian/Alaska Native PCPR will drop from 7.8 in 1996 to 6.5 by the year 2025. The PCPR specific to the Asian/Pacific Islander group will decline from 52.9 in 1996 to 26.1 in 2025. For whites, the PCPR will increase from 47.8 to 54.2 during this period. For 1996, each of the 5 PCPRs is significantly different from the comparison ratio. The same is true for 2025. For the time trend comparison (between 1996 and 2025), there is a significant difference for each ratio except for American Indian/Alaska Native. CONCLUSION:The racial and ethnic makeup of the US child population is currently far more diverse than that of the pediatricians who provide their health care services. If child population demographic projections hold true, and no substantial shifts transpire in the composition of the pediatric workforce, the disparities will increase substantially by the year 2025.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Stoddard JJ,Back MR,Brotherton SE

doi

10.1542/peds.105.1.27

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

27-31

issue

1 Pt 1

eissn

0031-4005

issn

1098-4275

journal_volume

105

pub_type

杂志文章
  • Socioeconomic, family, and pediatric practice factors that affect level of asthma control.

    abstract:BACKGROUND:Multiple issues play a role in the effective control of childhood asthma. OBJECTIVE:To identify factors related to the level of asthma control in children receiving asthma care from community pediatricians. PATIENTS AND METHODS:Data for 362 children participating in an intervention study to reduce asthma m...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-0504

    authors: Bloomberg GR,Banister C,Sterkel R,Epstein J,Bruns J,Swerczek L,Wells S,Yan Y,Garbutt JM

    更新日期:2009-03-01 00:00:00

  • An investigation into the benefits of resiting nasoenteric feeding tubes.

    abstract::Partial nasal obstruction in preterm infants increases the airway resistance. In spite of this, nasal feeding tubes are often used, if only because oral tubes are difficult to secure. A palatal appliance has been devised that maintains the position of oroenteric feeding tube(s) and is not associated with local complic...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: van Someren V,Linnett SJ,Stothers JK,Sullivan PG

    更新日期:1984-09-01 00:00:00

  • Early Caffeine Administration and Neurodevelopmental Outcomes in Preterm Infants.

    abstract:BACKGROUND:Although caffeine use for apnea of prematurity is well studied, the long-term safety and benefit of routine early caffeine administration has not been explored. Our objective was to determine the association between early (within 2 days of birth) versus late caffeine exposure and neurodevelopmental outcomes ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2018-1348

    authors: Lodha A,Entz R,Synnes A,Creighton D,Yusuf K,Lapointe A,Yang J,Shah PS,investigators of the Canadian Neonatal Network (CNN) and the Canadian Neonatal Follow-up Network (CNFUN).

    更新日期:2019-01-01 00:00:00

  • Cobalamin C defect presenting with isolated pulmonary hypertension.

    abstract::Cobalamin C (cblC) defect is the most common inborn error of vitamin B12 metabolism. Clinical features vary as does the severity of the disease. In most cases, the clinical symptoms of cblC defect tend to appear during infancy or early childhood as a multisystem disease with severe neurologic, ocular, hematologic, ren...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1945

    authors: Iodice FG,Di Chiara L,Boenzi S,Aiello C,Monti L,Cogo P,Dionisi-Vici C

    更新日期:2013-07-01 00:00:00

  • Intelligence and Academic Achievement With Asymptomatic Congenital Cytomegalovirus Infection.

    abstract:OBJECTIVES:To examine intelligence, language, and academic achievement through 18 years of age among children with congenital cytomegalovirus infection identified through hospital-based newborn screening who were asymptomatic at birth compared with uninfected infants. METHODS:We used growth curve modeling to analyze t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-1517

    authors: Lopez AS,Lanzieri TM,Claussen AH,Vinson SS,Turcich MR,Iovino IR,Voigt RG,Caviness AC,Miller JA,Williamson WD,Hales CM,Bialek SR,Demmler-Harrison G,Congenital Cytomegalovirus Longitudinal Study Group.

    更新日期:2017-11-01 00:00:00

  • Effects of therapeutic irradiation delivered in early childhood upon subsequent lung function.

    abstract::To determine the long-term effects of therapeutic pulmonary irradiation and treatment with actinomycin D during a period of lung growth, 12 patients treated for Wilms' tumor metastatic to the lung and 8 patients treated for Wilms' tumor with no evidence of pulmonary metastases were studied 7 to 14 years after their in...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Wohl ME,Griscom NT,Traggis DG,Jaffe N

    更新日期:1975-04-01 00:00:00

  • Evidence of improved milk intake after frenotomy: a case report.

    abstract::Ankyloglossia (tongue tie) is a well-recognized cause of breastfeeding difficulties and, if untreated, can cause maternal nipple pain and trauma, ineffective feeding, and poor infant weight gain. In some cases, this condition will result in a downregulation of the maternal milk supply. Milk-production measurements (24...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-2651

    authors: Garbin CP,Sakalidis VS,Chadwick LM,Whan E,Hartmann PE,Geddes DT

    更新日期:2013-11-01 00:00:00

  • Familial third and fourth pharyngeal pouch syndrome with truncus arteriosus: DiGeorge syndrome.

    abstract::A family is presented in which three of four siblings had truncus arteriosus and other anomalies compatible with the third and fourth pharyngeal pouch syndrome (DiGeorge syndrome). The syndrome is uncommon and most of the reported cases have been solitary. In this family an autosomal recessive inheritance is possible....

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Raatikka M,Rapola J,Tuuteri L,Louhimo I,Savilahti E

    更新日期:1981-02-01 00:00:00

  • A system for individualized dosing of intravenous aminophylline using a programmable calculator.

    abstract::A program that calculates a value of clearance for an individual patient prior to reaching steady state in the early stages of aminophylline therapy is presented. The program is written for the Texas Instruments TI-59 programmable calculator and may be used with or without the PC-100C printer. The program can provide ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mitsuoka JC,Fleck RJ

    更新日期:1984-01-01 00:00:00

  • Day-by-day postnatal survival in very low birth weight infants.

    abstract:OBJECTIVES:Postnatal survival rates of very low birth weight (VLBW) infants are well established for each birth weight or gestational age category. These figures do not differentiate viable infants who survive the first few days of life from extremely immature ones who die shortly after birth. This study aimed to devel...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-2810

    authors: Mohamed MA,Nada A,Aly H

    更新日期:2010-08-01 00:00:00

  • Maternal employment and the quality of young children's diets: empirical evidence based on the 1987-1988 Nationwide Food Consumption Survey.

    abstract::Data from 442 children, aged 2 to 5, who were participants in the 1987-1988 Nationwide Food Consumption Survey, were examined to determine the effect of maternal employment on the quality of their diets. Diet quality was assessed by examining nutrient adequacy and nutrient overconsumption using the 3-day average of on...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Johnson RK,Smiciklas-Wright H,Crouter AC,Willits FK

    更新日期:1992-08-01 00:00:00

  • Compliance with alarm limits for pulse oximetry in very preterm infants.

    abstract:OBJECTIVE:The objective of this study was to determine the rate of compliance with hospital guidelines for alarm limits for pulse oximetry in preterm infants on oxygen therapy. METHODS:All infants admitted to the nurseries at the Royal Women's Hospital, Melbourne, Australia, with gestational age <32 weeks or birth wei...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-3099

    authors: Clucas L,Doyle LW,Dawson J,Donath S,Davis PG

    更新日期:2007-06-01 00:00:00

  • Hand hygiene practices in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection.

    abstract:OBJECTIVE:Health care-associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers (HCWs) remains low. The objective of this st...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1107

    authors: Lam BC,Lee J,Lau YL

    更新日期:2004-11-01 00:00:00

  • Association between diabetes control and visits to a multidisciplinary pediatric diabetes clinic.

    abstract:OBJECTIVE:To determine if there is a relationship between diabetes outcome as measured by HbA1C and the number of multidisciplinary clinic visits per year in children and youth with diabetes. RESEARCH DESIGN AND METHODS:The number of clinic visits per year, the mean HbA1C (by DCA 2000, Miles, Tarrytown, NY), type of i...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.103.5.948

    authors: Kaufman FR,Halvorson M,Carpenter S

    更新日期:1999-05-01 00:00:00

  • Use and yield of chest computed tomography in the diagnostic evaluation of pediatric lung disease.

    abstract:OBJECTIVE:Computed tomography is commonly used in the diagnosis of pediatric lung disease. Although the radiation is not negligible, the yield has never been studied. METHODS:Clinical and imaging data were collected for all children who underwent chest computed tomography, as part of the diagnostic process. Cases were...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2694

    authors: Schneebaum N,Blau H,Soferman R,Mussaffi H,Ben-Sira L,Schwarz M,Sivan Y

    更新日期:2009-08-01 00:00:00

  • The benefit of pimecrolimus (Elidel, SDZ ASM 981) on parents' quality of life in the treatment of pediatric atopic dermatitis.

    abstract:OBJECTIVE:Two 26-week US clinical trials of identical design were conducted to evaluate the efficacy and safety of pimecrolimus (Elidel, SDZ ASM 981) cream 1% in pediatric atopic dermatitis (AD). A secondary aim of both trials, and the focus of this article, was to evaluate the quality-of-life (QoL) impact of pimecroli...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.110.6.1133

    authors: Whalley D,Huels J,McKenna SP,Van Assche D

    更新日期:2002-12-01 00:00:00

  • Does early treatment of urinary tract infection prevent renal damage?

    abstract:OBJECTIVE:Therapeutic delay has been suggested as the most important factor that is likely to have an effect on the development of scarring after acute pyelonephritis. However, this opinion has not been supported by prospective studies, so we tested it. METHODS:In a prospective clinical study, we evaluated whether the...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-2417

    authors: Doganis D,Siafas K,Mavrikou M,Issaris G,Martirosova A,Perperidis G,Konstantopoulos A,Sinaniotis K

    更新日期:2007-10-01 00:00:00

  • International Practice Patterns of Antibiotic Therapy and Laboratory Testing in Bronchiolitis.

    abstract:BACKGROUND AND OBJECTIVES:International patterns of antibiotic use and laboratory testing in bronchiolitis in emergency departments are unknown. Our objective is to evaluate variation in the use of antibiotics and nonindicated tests in infants with bronchiolitis in 38 emergency departments in Pediatric Emergency Resear...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-3684

    authors: Zipursky A,Kuppermann N,Finkelstein Y,Zemek R,Plint AC,Babl FE,Dalziel SR,Freedman SB,Steele DW,Fernandes RM,Florin TA,Stephens D,Kharbanda A,Roland D,Lyttle MD,Johnson DW,Schnadower D,Macias CG,Benito J,Schuh S,P

    更新日期:2020-08-01 00:00:00

  • Effect of botulinum toxin in the treatment of drooling: a controlled clinical trial.

    abstract:OBJECTIVE:To investigate the clinical effectiveness of botulinum neurotoxin type A (BoNT) to reduce drooling in children with cerebral palsy (CP). METHODS:A controlled clinical trial was performed in which the results of single-dose BoNT injections in the submandibular glands were compared with treatment with scopolam...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.2003-1104-L

    authors: Jongerius PH,van den Hoogen FJ,van Limbeek J,Gabreëls FJ,van Hulst K,Rotteveel JJ

    更新日期:2004-09-01 00:00:00

  • Growth of hyperkinetic children taking methylphenidate, dextroamphetamine, or imipramine/desipramine.

    abstract::One hundred children with the hyperkinetic syndrome or minimal brain dysfunction syndrome were treated with medication: 60 with methylphenidate (Ritalin), 24 with dextroamphetamine (Dexedrine), and 16 with either imipramine or desipramine. The duration of treatment was for a minimum of two years, and averaged five yea...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Gross MD

    更新日期:1976-09-01 00:00:00

  • Etiologies of NICU deaths.

    abstract:BACKGROUND AND OBJECTIVES:Infant mortality is an indicator of overall societal health, and a significant proportion of infant deaths occur in NICUs. The objectives were to identify causes of death and to define potentially preventable factors associated with death as areas for quality improvement efforts in the NICU. ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-2967

    authors: Jacob J,Kamitsuka M,Clark RH,Kelleher AS,Spitzer AR

    更新日期:2015-01-01 00:00:00

  • Access to digital technology among families coming to urban pediatric primary care clinics.

    abstract:OBJECTIVE:Digital technologies offer new platforms for health promotion and disease management. Few studies have evaluated the use of digital technology among families receiving care in an urban pediatric primary care setting. METHODS:A self-administered survey was given to a convenience sample of caregivers bringing ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0594

    authors: Demartini TL,Beck AF,Klein MD,Kahn RS

    更新日期:2013-07-01 00:00:00

  • Parechovirus Encephalitis and Neurodevelopmental Outcomes.

    abstract:OBJECTIVE:We aimed to describe the clinical features and outcome of human parechovirus (HPeV) encephalitis cases identified by the Australian Childhood Encephalitis (ACE) study. METHODS:Infants with suspected encephalitis were prospectively identified in 5 hospitals through the (ACE) study. Cases of confirmed HPeV inf...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2015-2848

    authors: Britton PN,Dale RC,Nissen MD,Crawford N,Elliott E,Macartney K,Khandaker G,Booy R,Jones CA,PAEDS-ACE Investigators.

    更新日期:2016-02-01 00:00:00

  • Effect of caffeine on oxygen consumption and metabolic rate in very low birth weight infants with idiopathic apnea.

    abstract:OBJECTIVE:Methylxanthines are among the most commonly prescribed drugs in neonatal intensive care. This study evaluates the effect of caffeine on oxygen consumption and metabolic rate in premature infants with idiopathic apnea. METHODS:Eighteen preterm infants at gestational ages from 28 to 33 weeks and birth weights ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.107.4.660

    authors: Bauer J,Maier K,Linderkamp O,Hentschel R

    更新日期:2001-04-01 00:00:00

  • A pacifier increases the risk of recurrent acute otitis media in children in day care centers.

    abstract:OBJECTIVE:To follow up a previous retrospective analysis in which we found the use of a pacifier to be a risk factor for recurrent acute otitis media (AOM). METHOD:In the present prospective study, the occurrence of AOM and the use of a pacifier were recorded in 845 children attending day care centers during a 15-mont...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Niemelä M,Uhari M,Möttönen M

    更新日期:1995-11-01 00:00:00

  • Pediatric generalized joint hypermobility with and without musculoskeletal complaints: a localized or systemic disorder?

    abstract:OBJECTIVES:Children with generalized hypermobility of the joints and musculoskeletal complaints frequently visit pediatric clinics, but many show no currently known collagen or other possibly related diseases. Whether the symptoms are confined to the musculoskeletal system is unknown. We assessed whether such children ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.3.e248

    authors: Engelbert RH,Bank RA,Sakkers RJ,Helders PJ,Beemer FA,Uiterwaal CS

    更新日期:2003-03-01 00:00:00

  • Iron overload in children who are treated for acute lymphoblastic leukemia estimated by liver siderosis and serum iron parameters.

    abstract:OBJECTIVE:To evaluate a secondary liver iron overload and its fate in children who are treated conventionally for acute lymphoblastic leukemia and to assess whether serum soluble transferrin receptor (sTfR) is useful in detecting iron load. METHODS:Liver siderosis was estimated histologically from liver biopsy specime...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.111.1.91

    authors: Halonen P,Mattila J,Suominen P,Ruuska T,Salo MK,Mäkipernaa A

    更新日期:2003-01-01 00:00:00

  • Do parent perceptions predict continuity of publicly funded care for attention-deficit/hyperactivity disorder?

    abstract:OBJECTIVE:To examine whether parent perceptions about care (barriers, disorder knowledge, treatment willingness) vary among children who drop out of or stay in publicly funded care for attention-deficit/hyperactivity disorder (ADHD) and to explore whether parent perceptions are predictive of staying in care over time. ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1427f

    authors: Zima BT,Bussing R,Tang L,Zhang L

    更新日期:2013-03-01 00:00:00

  • Should pediatric echocardiography be performed in adult laboratories?

    abstract:OBJECTIVES:Current health care management has resulted in a change in referral patterns. The present study was undertaken to define the efficacy and value of pediatric echocardiography performed and interpreted in adult laboratories. METHODS:We reviewed the findings in 100 consecutive pediatric patients 1 month to 18 ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.2.e15

    authors: Hurwitz RA,Caldwell RL

    更新日期:1998-08-01 00:00:00

  • Enterobacter aerogenes primary bacteremia in pediatric patients.

    abstract::Enterobacter aerogenes bacteremia associated with the infusion of contaminated admixed intravenous (IV) fluid occurred in seven patients in a pediatric hospital over a five-day period. Clinical illness was characterized by spiking fever in all patients. The temporal clustering of cases allowed for rapid recognition of...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Edwards KE,Allen JR,Miller MJ,Yogev R,Hoffman PC,Klotz R,Marubio S,Burkholder E,Williams T,Davis AT

    更新日期:1978-09-01 00:00:00