The RSV epidemic that struck pediatric hospitals two years ago had a profound impact on pediatric residents and the future of pediatric medicine. Faith, a resident at the time, described it as the dark ages, with hospitals filled to capacity and resources stretched thin. The media coverage focused on the challenges faced by hospitals, but little attention was given to the long-term effects on the pediatric workforce.
Many pediatric residents were discouraged from pursuing further specialization in pediatrics, and medical students were deterred from choosing a career in pediatric medicine. This trend was reflected in this year’s National Residency Match, with 30% of pediatric residency programs remaining unfilled. The lack of support, chronic underfunding, and limited advocacy for pediatricians over the years have created a shortage in pediatric healthcare workforce.
The political landscape also plays a significant role in the challenges faced by pediatricians. Conservative politicians have been less likely to support legislation that benefits children, leading to policies that create additional work for pediatric healthcare providers. Medicaid and Children’s Health Insurance Program enrollees make up a significant portion of pediatric patients, yet only a small percentage of Medicaid funds are allocated towards pediatric healthcare.
Children’s hospitals, which play a crucial role in training future pediatricians, struggle with funding and resources. The Children’s Hospitals Graduate Medical Education program was established to address this issue, but funding has consistently been lower than general medical education funding. As a result, children’s hospitals face bed shortages and closures, further limiting access to pediatric care.
The closure of Tufts Children’s Hospital in 2022 highlighted the chronic issue of bed shortages in pediatric medicine, leading to decreased access to inpatient pediatric services, especially in rural areas. Medical students are increasingly opting for professions with less administrative burden and higher compensation, contributing to a decrease in applications for pediatric medicine.
As a new administration prepares to take office, it is crucial for pediatricians to advocate for increased funding for pediatric education to address the workforce shortage. Failing to take action could have severe consequences for the future of pediatric healthcare. Jared E. Boyce, an M.D.-Ph.D. candidate, and Faith Crittenden, a pediatric endocrinology fellow, emphasize the importance of proactive measures to support the pediatric workforce and ensure quality care for children.
