Improving Access to Pediatric Subspecialty Care

Focus on Workforce

Meredith Riebschleger, MDJuly 7, 2011

My Roadmap

2001-2005 2005-2008 2008-2009

2010-2011

Dean of medical

education

Medical education researcher

Health services

researcher

Access to pediatric

subspecialty care

Why focus on access to pediatric subspecialty care?

• It’s complicated!

• It includes:– Workforce issues– Alternative mechanisms of care delivery– Utilization of alternative care providers

Why focus on access to pediatric subspecialty care?

• It’s important!

• It may affect:– Costs of care– Quality of care– Outcomes for children and their families

Workforce = Stocks and flows

Recruitment programs

Trainees do not complete pediatric

rheumatology fellowship

Attendings choose to practice another

specialty or to leave medicine altogether

Questions, feedback, thoughts?