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Practice of Pediatric Otolaryngology
Results of the Future of Pediatric Education II Project
David E. Tunkel, MD;
William L. Cull, PhD;
Ethan A. B. Jewett, MA;
Sarah E. Brotherton, PhD;
Carmelita V. Britton, MD;
Holly J. Mulvey, MA
Arch Otolaryngol Head Neck Surg. 2002;128:759-764.
Objectives To define the practice of pediatric otolaryngology compared with general
otolaryngology and to estimate pediatric otolaryngology workforce utilization
and needs.
Methods Survey of members of the American Academy of Pediatrics Section on Otolaryngology
and Bronchoesophagology and the American Society of Pediatric Otolaryngology
and of a random sample of the membership of the American Academy of OtolaryngologyHead
and Neck Surgery.
Results Pediatric otolaryngologists were more likely to practice in urban and/or
academic settings than were general otolaryngologists. Children (age <18
years) comprised over 88% of the patients of pediatric otolaryngologists and
30% to 35% of the patients of general otolaryngologists. Pediatric otolaryngologists
were more likely to see children with complicated diseases such as airway
disorders or congenital anomalies than were general otolaryngologists. Pediatric
otolaryngologists, unlike general otolaryngologists, reported an increasing
volume of pediatric referrals, as well as increased complexity in the patients
referred. The surveyed physicians estimated the present number of pediatric
otolaryngologists in their communities as approximately 0.2 to 0.3 per 100 000
people.
Conclusions Most children receiving otolaryngologic care in the United States receive
such care from general otolaryngologists. The patient profile and practice
setting of the subspecialty of pediatric otolaryngology differ from those
of general otolaryngology. The demand for pediatric otolaryngologists appears
to be increasing, but many general otolaryngologists do not believe there
is an increased need.
From the Department of OtolaryngologyHead and Neck Surgery,
Johns Hopkins University School of Medicine, Baltimore, Md (Dr Tunkel); the
Divisions of Health Policy Research (Dr Cull) and Graduate Medical Education
and Pediatric Workforce (Mr Jewett), American Academy of Pediatrics, Elk Grove
Village, Ill; the Department of Data Acquisition Services, American Medical
Association, Chicago, Ill (Dr Brotherton); The Children's Hospital, Albany
Medical Center, Albany, NY (Dr Britton); and the Future of Pediatric Education
II (FOPE II) Project, Elk Grove Village (Ms Mulvey).
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