Methods: The survey was emailed to all pediatricians ever board-eligible in PID identified from the AAP, PIDS, and American Board of Pediatrics datasets. The survey was available June - September, 2015.
Results: Among 946 respondents (overall response rate 48%), half were male, average age = 51 (range 29-88) years. 63% reported their main employment was in academic systems, with over 80% in urban communities. Among all respondents, 20% (N=135) plan to decrease or stop caring for PID patients within 5 years; of those, 60% will either be partially or fully retiring, while another 36% will spend more time in non-clinical activities. The most frequent response as to the important challenge facing PID at this time was reported as lack of good jobs for future clinicians (26%), while an additional 12% were concerned about insufficient top quality PID fellow recruits. Of the 21% (N=138) completing PID fellowship within the last 5 years, 83% applied for 5 or fewer PID jobs. 43% (N=59) reported that their first position was created specifically for them. 48% had one job offer and 49% more than one offer. 82% were able to secure a position within 6 months. Nearly 3/4 remain at the institution of their first job.
Conclusion: Almost everyone completing fellowship within the last five year was able to find PID employment and most remain in the same position. A large proportion of current PID practitioners have no plans to decrease clinical PID practice in the next 5 years. To maintain current levels of PID coverage, 4% (N = approximately 60) of the PID workforce would need to be replaced annually. If, as expected, growth of PID coverage continues to expand, that number will be higher. As employment opportunities may not be defined a priori, as a society we should be proactive in letting potential recruits know how many positions are available and helping fellows identify those positions upon graduation.
V. Vijayan, None
S. Kirkwood, None
T. C. Phillips, None
H. Ruch-Ross, None
C. J. Harrison, None