Does anyone know when subspecialty board scores are typically released? The ABP website has the same 2 month timeframe as the general pediatrics exam. All the more confusing since the subspecialty exams are all administered on different dates and only offered every-other year.

This is the thread where all questions about residency applications and Match should be placed for the current month. We will continue these threads monthly through the application season.

1. Parents come with two children pay for one child but ask many questions about other child also
2. Parents come with a long list of questions
3. Parents coming with thier own treatment decision
4. Parents ask why it is not getting better
5. Parents ask that i would have given antibiotics prescribed last time but i thought of checking with u
6. Children with cough (not able to sleep child or parents?), loose motion (take longer time)
7. Half educated parents
8. Myth believing parents
9. Parents talking thier own personal problems

10.Parents hitting the child in front of u 11. Parents trying to bargain 12. Parents asking for medicine to make the child hungry 13. Parents asking medicine for growth and immunity 14. Parents coming for thier own problem and tell u that child has problem.

• then u are an experienced Pediatrician

Now that thanksgiving is over…the anxiety is really ramping up. Yall think we’re getting board results next week? Last year I got the email on Tuesday 12/5 😅

Hey, I’m a high school senior and I’m looking at going into nursing in college and I hope to go into pediatric nursing in the future. I was wondering what the work life balance is like for pediatric nurses. My parents tell me that I’ll have barely any time off & I’m just wondering how accurate that is or how you guys manage your time. Thanks!

the threat of rfk jr's appointment gives me apprehension. i think in the coming years some or all of us are going to need make a better case for vaccines.

i might make a brochure or video(s?) for people that are vaccine hesitant. if i can think of a good way that i think might work.

But for starters, give me ideas if you have any. What are the craziest/unique/common reasons you've encountered for vaccine hesitancy?

i already have:

-autism

-microchips

-"i took the covid vaccine and i still got covid. doesn't work"

-"i'm not hesitant, i just want to limit doses to just one"

what else do you encounter often?

Hi, I have a question. I want to be a peds primary care provider. Do I need to do procedures as primary at office? What procedures should I learn as a resident? Thanks in advance ☺️

Would anyone be willing to share how much they're paying for EHR?

We have 4 providers and were just quoted 70k/year for PCC. eClinical Works looks like it will cost us around 48k/year but they nickel and dime so much that it is impossible to know without using it first.

Please share how much you are paying for EHR and how many providers your office has. Thank you!

Will it be more difficult applying to a Peds EM fellowship if my residency is in Peds??

I work as a general pediatrician in a large city. I recently had my annual review. I was quite disappointed by what the partners at my practice had to say. I am wondering if this is normal for a private practice associated with a larger medical group. For context I live in the Midwest and our private practice is associated with a larger Midwest medical group. We do see newborns in the hospital for rounds. But since Covid, no longer see patients at the children’s Hospital. At my semi annual review, it was presented to me that the partners do not cap the amount of patients they see and that 75% of our patient population as a whole is assigned to them. I am at a practice where there are six associate pediatricians and three partners. They are looking to hire another associate pediatrician this summer. They told me in my review that they had taken less hours when I was hired as well as the other pediatrician ( started the same day as me) because of us being hired. The partners work 18 hours a week associates work 32+ hours per week. They do not have the amount of patients they see. Which leads me to believe that the majority of the newborns, I see that designate them as a primary pediatrician will eventually see them around the six months plus Mark. However, due to scheduling issues. I see a lot of of the teenagers, adolescents, older children, from these partners because they cannot fit into their schedule. I’m wondering in private practice if it is common for the partners to cap their schedule or if it’s normal for associates to just assume their overflow schedule as well as see newborns until they can fit into the partner schedule.

I am a new PNP (primary and acute care certified). I had five years of nursing experience before this, working in PICU and NICU. I currently work with a hospitalist group, who is relatively new to having NPs on their team.

I currently sign out with the residents and see whichever patients are boarding in the ED, which can range anywhere from 2-8+. For some of these patients I will be the only provider seeing them that day if they stay overnight and the attending will see them the next day. If the patient is being discharged, an attending will have to see them right before going home.

We are looking to change the model to make it more efficient. As a new NP, I am also not a fan of this model at the time because I feel like I don’t really get anytime to learn and don’t have much support when I’m seeing all of these patients on my own. So I’m curious to hear how other groups utilize NPs in the pediatric hospitalist setting?

When looking at sign-on bonuses and annual increments, what percentage of base salary is typical for pediatric sub specialties in your experience? 5%, 10%, 20%?

I'm considering making the leap from a group practice to opening up my own. Other than the obvious financial considerations I should be thinking about or planning for? How long did it take you to actually make the move and get up and running.

thanks

Hello! I am working in peds primary care. I'd say at least 1/2 of my patients are in the > 90%tile for weight. How do you address weight in the room without shaming? I hear over and over that parents want to avoid this topic because they don't want their child to think something is wrong with their body. Sometimes there is a specific risk (acanthosis nigiricans, htn) I try to discuss growth curves and healthy choices at every size, but it feels kinda useless. Also I always reinforce weight tells me only one thing about their body, and nothing about who they are as a person.

Kids with viral sx or teens being teens, moms asking for labs to rule out TYPE 1. Think I've had 3 this week.

I’ve been out and practicing gen peds for about 3 months now. I feel anxious and stressed seeing patients. I feel like I overlook things, forget to ask stuff, say the wrong things, am wishy washy and call families later about change of plan. Is there anything I can do to get better? Any resources to read or ways to not forget things?

Thanks everyone in advance! A newbie pediatrician desperate for advice

I’m a pediatrician, working on trying to make free educational content for parents. Almost like a “cold and flu season FAQ” of sorts. If you’re an MD, what questions are you often asked during this time? If you’re a parent, ask away and I’d be happy to answer!

I am currently a PGY-3 finishing up the last year of my pediatrics residency. I am in the process of putting together my CV and could use some help. I knew from the start that I wanted to go into primary care, and I am not interested in getting a job in academics. As a result, I haven't really done much research or been very active in any leadership positions during residency. As you can probably guess, my CV is essentially the bare minimum - education, residency training, and that's about it. Is that going to be a problem for finding a job? Is there anything else that I should add to fluff up my CV? Would appreciate any help at all. Thank you!

Not a political post—

I haven’t heard anyone mention this openly yet other than us physicians.

What are the basic procedures that we are expected to master by the end of residency?

What do people think about requiring a certain amount of comment karma in this sub before enabling posting abilities? I feel like the amount of posts asking for medical advice has gotten out of control, and this could potentially solve that problem.

Hi, I am trying to do some benchmarking for my spouse’s new pediatric practice. Some questions I have at the moment:

• Average $ revenue per patient
• average patients seen per provider per day
• ballpark wages for your practice manager, PA/NPs, and others
• cost of direct medical supplies/vaccines as a % of gross revenue
• any general advice?
• any other useful metrics or benchmarks you use to evaluate your own practice /staff?

Thank you

I have a 5 year old in my practice with a severe allergy to dairy, tree nuts, sesame &eggs. Mom also prefers to avoid overly sugary vitamins. I am concerned with his lack of calcium & vitamin D d/t his dairy allergy. Any recommendations for an allergy friendly vitamin with calcium. Thank you!

Hey everyone, looking for guidance again. I posted recently about broadening my mental health care knowledge and expanding my practice. I received a ton of great advice, and I am starting to act on it. I am very interested in learning to diagnose cases of autism in the community, as there is a waitlist in my community as is the case for most. I have looked into the STAT-MD program at Vanderbilt, and have had no luck in getting more information from the program. Are there other programs or pathways to reach this goal? Does anyone have any personal experience with this, etc?

I don’t know where to begin. It’s obvious that Pediatricians will face some challenges should Robert F. Kennedy Jr be confirmed. If you follow politics at all or are familiar with the arguments Pediatricians face in opposition to vaccination, chances are RFK’s incredibly warped stance on pediatric medicine has been on your radar for a long time. People throw around a lot of emotionally charged words when it comes to politics, but “crisis” and “unprecedented” are not overstatement here. RFK has been like public enemy number one for the DHHS for years and now he’s going to run it?

What are your thoughts? How is this going to shake out? How is the AAP going to respond? How can we maintain vaccine confidence for our patients if this happens?

Hi all, EM doc here with a theoretical question: if a kid is unvaccinated per wishes of one parent, but is brought in by other parent who wants vaccines, and you know of this: is there a standard approach? Is consent of both parents required? Does this open up to legal/other problems?

Hello. I don’t really know how I miscalculated the dose multiple times but somehow i ended up prescribing 6-months-olds 5 ml of 10mg/ml elemental iron twice daily. I only discovered it a day later and tried to contact the patients, but didn’t get the reply except from one. Now how bad am i hurting those babies? What other measures should i take to avoid such prescription errors?

I’m just an adult doc. Took my daughter to her 3-year old well-child visit today. She has been a happy, healthy child her whole life — only ever had a fever once with Covid. No illnesses, no meds. A little tank.

Started off with the MA taking her blood pressure. Taken non-resting as she is busy wiggling and exclaiming about the Peppa Pig decorations. BP is 95/66; MA raises her eyebrows and says it is too high and wants to recheck. I am unconcerned and decline.

Visit goes fine until we meet with the pediatrician. She notes that my daughters height is 90th %lie and weight is 95th %ile. I should note my daughter looks slim, is super athletic, and has a good amount of muscle mass. Most athletic girl in her age group. Doc tells me she’s too fat and at high risk for cardiovascular disease.

Am I overreacting, or is this absolutely ridiculous?

Infants and toddlers with viral bronchiolitis can present the same as with Mycoplasma pneumonia. For outpatient treatment of young children with mild to moderate bronchiolitis syndrome, when will you use azithromycin this winter?