A workforce survey on developmental-behavioral pediatrics

Carolyn Bridgemohan, Nerissa Bauer, Britt A. Nielsen, Anne DeBattista, Holly S. Ruch-Ross, Linda B. Paul, Nancy Roizen

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: Developmental-behavioral conditions are common, affecting ∼15% of US children. The prevalence and complexity of these conditions are increasing despite long wait times and a limited pipeline of new providers. We surveyed a convenience sample of the developmental-behavioral pediatric (DBP) workforce to determine current practices, workforce trends, and future needs. METHODS: An electronic survey was e-mailed to 1568 members of the American Academy of Pediatrics Section on Developmental and Behavioral Pediatrics and Council on Children with Disabilities, the Society for Developmental and Behavioral Pediatrics, and the National Association of Pediatric Nurse Practitioners Developmental and Behavioral Mental Health Special Interest Group. RESULTS: The response rate was 48%. There were 411 fellowship-Trained physicians, 147 nonfellowship-Trained physicians, and 125 nurse practitioners; 61% were women, 79% were white, and 5% were Hispanic. Physicians had a mean of 29 years since medical school graduation, and one-Third planned to retire in 3 to 5 years. Nurse practitioners were earlier in their careers. Respondents reported long wait times for new appointments, clinician burnout, increased patient complexity and up to 50% additional time spent per visit in nonreimbursed clinical-care activities. Female subspecialists spent more time per visit in billable and nonbillable components of clinical care. CONCLUSIONS: The DBP workforce struggles to meet current service demands, with long waits for appointments, increased complexity, and high volumes of nonreimbursed care. Sexbased practice differences must be considered in future planning. The viability of the DBP subspecialty requires strategies to maintain and expand the workforce, improve clinical efficiency, and prevent burnout.

Original languageEnglish (US)
Article numbere20172164
JournalPediatrics
Volume141
Issue number3
DOIs
StatePublished - Mar 1 2018

Fingerprint

Pediatrics
Nurse Practitioners
Physicians
Appointments and Schedules
Pediatric Nurse Practitioners
Public Opinion
Disabled Children
Medical Schools
Hispanic Americans
Surveys and Questionnaires
Mental Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Bridgemohan, C., Bauer, N., Nielsen, B. A., DeBattista, A., Ruch-Ross, H. S., Paul, L. B., & Roizen, N. (2018). A workforce survey on developmental-behavioral pediatrics. Pediatrics, 141(3), [e20172164]. https://doi.org/10.1542/peds.2017-2164

A workforce survey on developmental-behavioral pediatrics. / Bridgemohan, Carolyn; Bauer, Nerissa; Nielsen, Britt A.; DeBattista, Anne; Ruch-Ross, Holly S.; Paul, Linda B.; Roizen, Nancy.

In: Pediatrics, Vol. 141, No. 3, e20172164, 01.03.2018.

Research output: Contribution to journalReview article

Bridgemohan, C, Bauer, N, Nielsen, BA, DeBattista, A, Ruch-Ross, HS, Paul, LB & Roizen, N 2018, 'A workforce survey on developmental-behavioral pediatrics', Pediatrics, vol. 141, no. 3, e20172164. https://doi.org/10.1542/peds.2017-2164
Bridgemohan C, Bauer N, Nielsen BA, DeBattista A, Ruch-Ross HS, Paul LB et al. A workforce survey on developmental-behavioral pediatrics. Pediatrics. 2018 Mar 1;141(3). e20172164. https://doi.org/10.1542/peds.2017-2164
Bridgemohan, Carolyn ; Bauer, Nerissa ; Nielsen, Britt A. ; DeBattista, Anne ; Ruch-Ross, Holly S. ; Paul, Linda B. ; Roizen, Nancy. / A workforce survey on developmental-behavioral pediatrics. In: Pediatrics. 2018 ; Vol. 141, No. 3.
@article{8f446ea6c65e48a6b540945d68c44d0e,
title = "A workforce survey on developmental-behavioral pediatrics",
abstract = "BACKGROUND AND OBJECTIVES: Developmental-behavioral conditions are common, affecting ∼15{\%} of US children. The prevalence and complexity of these conditions are increasing despite long wait times and a limited pipeline of new providers. We surveyed a convenience sample of the developmental-behavioral pediatric (DBP) workforce to determine current practices, workforce trends, and future needs. METHODS: An electronic survey was e-mailed to 1568 members of the American Academy of Pediatrics Section on Developmental and Behavioral Pediatrics and Council on Children with Disabilities, the Society for Developmental and Behavioral Pediatrics, and the National Association of Pediatric Nurse Practitioners Developmental and Behavioral Mental Health Special Interest Group. RESULTS: The response rate was 48{\%}. There were 411 fellowship-Trained physicians, 147 nonfellowship-Trained physicians, and 125 nurse practitioners; 61{\%} were women, 79{\%} were white, and 5{\%} were Hispanic. Physicians had a mean of 29 years since medical school graduation, and one-Third planned to retire in 3 to 5 years. Nurse practitioners were earlier in their careers. Respondents reported long wait times for new appointments, clinician burnout, increased patient complexity and up to 50{\%} additional time spent per visit in nonreimbursed clinical-care activities. Female subspecialists spent more time per visit in billable and nonbillable components of clinical care. CONCLUSIONS: The DBP workforce struggles to meet current service demands, with long waits for appointments, increased complexity, and high volumes of nonreimbursed care. Sexbased practice differences must be considered in future planning. The viability of the DBP subspecialty requires strategies to maintain and expand the workforce, improve clinical efficiency, and prevent burnout.",
author = "Carolyn Bridgemohan and Nerissa Bauer and Nielsen, {Britt A.} and Anne DeBattista and Ruch-Ross, {Holly S.} and Paul, {Linda B.} and Nancy Roizen",
year = "2018",
month = "3",
day = "1",
doi = "10.1542/peds.2017-2164",
language = "English (US)",
volume = "141",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "3",

}

TY - JOUR

T1 - A workforce survey on developmental-behavioral pediatrics

AU - Bridgemohan, Carolyn

AU - Bauer, Nerissa

AU - Nielsen, Britt A.

AU - DeBattista, Anne

AU - Ruch-Ross, Holly S.

AU - Paul, Linda B.

AU - Roizen, Nancy

PY - 2018/3/1

Y1 - 2018/3/1

N2 - BACKGROUND AND OBJECTIVES: Developmental-behavioral conditions are common, affecting ∼15% of US children. The prevalence and complexity of these conditions are increasing despite long wait times and a limited pipeline of new providers. We surveyed a convenience sample of the developmental-behavioral pediatric (DBP) workforce to determine current practices, workforce trends, and future needs. METHODS: An electronic survey was e-mailed to 1568 members of the American Academy of Pediatrics Section on Developmental and Behavioral Pediatrics and Council on Children with Disabilities, the Society for Developmental and Behavioral Pediatrics, and the National Association of Pediatric Nurse Practitioners Developmental and Behavioral Mental Health Special Interest Group. RESULTS: The response rate was 48%. There were 411 fellowship-Trained physicians, 147 nonfellowship-Trained physicians, and 125 nurse practitioners; 61% were women, 79% were white, and 5% were Hispanic. Physicians had a mean of 29 years since medical school graduation, and one-Third planned to retire in 3 to 5 years. Nurse practitioners were earlier in their careers. Respondents reported long wait times for new appointments, clinician burnout, increased patient complexity and up to 50% additional time spent per visit in nonreimbursed clinical-care activities. Female subspecialists spent more time per visit in billable and nonbillable components of clinical care. CONCLUSIONS: The DBP workforce struggles to meet current service demands, with long waits for appointments, increased complexity, and high volumes of nonreimbursed care. Sexbased practice differences must be considered in future planning. The viability of the DBP subspecialty requires strategies to maintain and expand the workforce, improve clinical efficiency, and prevent burnout.

AB - BACKGROUND AND OBJECTIVES: Developmental-behavioral conditions are common, affecting ∼15% of US children. The prevalence and complexity of these conditions are increasing despite long wait times and a limited pipeline of new providers. We surveyed a convenience sample of the developmental-behavioral pediatric (DBP) workforce to determine current practices, workforce trends, and future needs. METHODS: An electronic survey was e-mailed to 1568 members of the American Academy of Pediatrics Section on Developmental and Behavioral Pediatrics and Council on Children with Disabilities, the Society for Developmental and Behavioral Pediatrics, and the National Association of Pediatric Nurse Practitioners Developmental and Behavioral Mental Health Special Interest Group. RESULTS: The response rate was 48%. There were 411 fellowship-Trained physicians, 147 nonfellowship-Trained physicians, and 125 nurse practitioners; 61% were women, 79% were white, and 5% were Hispanic. Physicians had a mean of 29 years since medical school graduation, and one-Third planned to retire in 3 to 5 years. Nurse practitioners were earlier in their careers. Respondents reported long wait times for new appointments, clinician burnout, increased patient complexity and up to 50% additional time spent per visit in nonreimbursed clinical-care activities. Female subspecialists spent more time per visit in billable and nonbillable components of clinical care. CONCLUSIONS: The DBP workforce struggles to meet current service demands, with long waits for appointments, increased complexity, and high volumes of nonreimbursed care. Sexbased practice differences must be considered in future planning. The viability of the DBP subspecialty requires strategies to maintain and expand the workforce, improve clinical efficiency, and prevent burnout.

UR - http://www.scopus.com/inward/record.url?scp=85042760745&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042760745&partnerID=8YFLogxK

U2 - 10.1542/peds.2017-2164

DO - 10.1542/peds.2017-2164

M3 - Review article

VL - 141

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 3

M1 - e20172164

ER -