Taking Stock:

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• Taking Stock
• 20 Years of the Periodic Survey

PAS 2008 AAP Presidential Plenary
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Disclosure

• I have documented that I have no relevant
  financial relationships to disclose or conflict
  of interests to resolve.
• Lynn Olson, PhD
• American Academy of Pediatrics

PAS 2008 AAP Presidential Plenary
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Synopsis

• The Periodic Survey, started in 1987 is
• A random sample of US AAP members
• Conducted 3-4 times annually
• Comprised of core demographics with changing
  substantive topics
• A resource to committees, sections and projects
  of the Academy

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Why was the Periodic Survey started?

• Gather accurate data on priority issues
• Create an enduring infrastructure
• Scientifically done
• Limit number of surveys
• Result - a unique ability and willingness of
  profession to critically examine itself

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With THANKS!

• To the thousands of participating pediatricians
• 72 surveys since 1987
• 22,000 hours of volunteer time!

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With THANKS!

• To our many collaborators
• 46 sponsoring AAP groups
• 45 presentations at PAS
• 34 publications and counting
• To our funders
• Primary AAP support
• 12 other funders

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Taking Stock over 20 Years

• Who are you?
• How much are you working?
• Where are you working?
• How has this changed over 20 years?

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Methods

• Demographic data across 69 surveys
• 1987-2007, US AAP members
• Random sample, mailed survey
• Self reported data
• Response rate 49 - 81
• Pooled 4-year clusters of data
• Sample of 9,500 to 19,000

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Methods

• Who is included?
• AAP Members Board Certified
• Generalists Subspecialists
• Retired members excluded
• Residents included in most cases
• With these caveats, will refer to as
  Pediatricians

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Mean Age of US Pediatricians by Survey
Year
(Includes Residents)
Mean Age (y)
1987-91 1992-95 1996-99
2000-03 2004-07
Source AAP Periodic Survey 1987-2007
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Age Gender Distribution of US
Pediatricians, 1987-91 (Including
Residents)
gt 71y
Men
Women
66-70y
61-65y
56-60y
51-55y
46-50y
41-45y
36-40y
31-35y
lt 30y
20 15 10 5
0 5 10 15
20
Percent of Membership
Source AAP Periodic Survey 1987-2007
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Age Gender Distribution of US
Pediatricians, 2004-07 (Including
Residents)
gt 71y
Women
66-70y
Men
61-65y
56-60y
51-55y
46-50y
41-45y
36-40y
31-35y
lt 30y
20 15 10 5
0 5 10 15
20
Percent of Membership
Source AAP Periodic Survey 1987-2007
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Age Gender Distribution of US Pediatricians,
1987-91
Men
Women
2004-07
Men
Women
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Gender of Pediatricians by Year(Residents
Included)
of Pediatricians
1987-91 1992-95 1996-99
2000-03 2004-07
Source AAP Periodic Survey 1987-2007
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Pediatricians Average Reported Hours Worked
Per Week by Age 1992-2007 (excluding
Residents)
Hours Worked Per Week
1992-95 1996-99
2000-03 2004-07
Source AAP Periodic Survey 1992-2007
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Pediatricians Self-Reported
Part-Time Work (excluding Residents)
Working Part-time
1993 2000
2003 2006
Source AAP Periodic Survey 1993-2007
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Race/Ethnicity of Male Pediatricians by Year
(Including Residents)
Percent of Male Pediatricians
1987-91 1992-95 1996-99
2000-03 2004-07
Source AAP Periodic Survey 1987-2007
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Race/Ethnicity of Female Pediatricians by Year
(Including Residents)
Percent
1987-91 1992-95 1996-99
2000-03 2004-07
Source AAP Periodic Survey 1987-2007
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Generalists Primary Practice Type 1987-2007
(excluding Residents)
Percent Pediatricians
1987-91 1992-95 1996-99
2000-03 2004-07
Source AAP Periodic Survey 1987-2007
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Summary

• Major Trends
• Greater proportion of women
• Increase in part-time work
• Decrease in hours worked
• Fewer solo-two person practice
• Slow to change
• Underrepresented minorities

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Looking to the Next Decade

• The Academy remains highly committed to
  accurately assessing current pediatric practice
  and attitudes
• We will also continue to monitor the changing
  demographic and practice patterns

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ACKNOWLEDGEMENTS

• Thanks to our
• Dedicated research staff
• Karen OConnor
• Sandy Sharp
• Responding pediatricians
• Collaborators
• Funders

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• For more information visit our web site
• www.aap.org/research/periodicsurvey

Pediatric Academic Societies Meeting 2008 AAP
Presidential Plenary