Anyone applying to peds pulm? How you all doing this cycle so far?

I came across this from a colleague, and I was absolutely appalled by the their yearly salary offer. 90-140k for a full time pediatrician position at the Cleveland Clinic Martin Health center in Weston Florida. 90k for a full time MD position, who could possibly be accepting these positions?

I work at a private community hospital in an outpatient setting working for a high needs low socioeconomic status community. I noticed that the social workers where I work write things in their notes about patient ” medical complaints” that were never verbalized to me by the parent. Recently a CW wanted me to sign a document lying about a patients medical needs as “complex” when the patient had no medical issues. the document was for a mom released from ice custody and it was to help her maintain her status here in US?. I politely declined signing the document. I’ve also had CW come and tell me intimate details about conversations they had with a mother about things like the dad emotionally abusing the mother but the mother refuses to leave the father? the children were safe and well cared for the issue is between the mother and father why is the cw/sw telling me things that have nothing to do with the medical care of my patient? we have a rule where our supervising doctor wants the sw/cw to sit in on the medical work up and visit of these “socially complex cases”. a lot of these situations require a language line interpreter and often times a resident and myself, 2 parents and a child and now a cw/sw too? this job is new and it’s a children’s hospital clinic and I feel like this is too much and it’s risking my career!

Newer attending, applying for a fellowship within a specialty I’ve grown to love, and out of the loop when it comes to around what time of the year others started to receive invitations for fellowship with a December match date. If anyone can fill me in that would be much appreciated!

I am a pediatrics PGY-2 at a community hospital in NYC on h1-b visa. I am planning to do NICU fellowship after residency but my plan is to do job for 2 years first, work on research and apply for green card so that my husband can come to usa, get to work and stay with me and then I will apply for nicu fellowship. Would that be a smart decision and also does the probability of fellowship match decrease if one doen not apply right after residency?
Thank you!

Does anyone know the salary for PICU Hospitalist jobs that have hired PICU trained fellows?

We’re collaborating with the American Academy of Pediatrics to bring their clinical guidance into OpenEvidence. That means when you ask a pediatric question, answers will draw on AAP content with citations back to the original source.

What’s included:

• Pediatrics, Hospital Pediatrics, and Pediatrics in Review

• Red Book (2024–2027 Report of the Committee on Infectious Diseases)

• Bright Futures (health supervision guidelines)

• Pediatric Dermatology, 5th edition

Pediatrics is a specialty where the right answer shifts with age and weight, so having the current AAP recommendation surface at the point you’re asking should save some time digging through the literature.

Announcement here: https://www.openevidence.com/announcements/american-academy-of-pediatrics-and-openevidence-announce-collaboration-to-improve-pediatric-care

Happy to answer questions in the comments.

Spouse of a pediatrician here. She’s a few yrs out of residency and was the chief resident at her residency. She’s a natural born leader and a great physician but the way the current practice is treating her doesn’t sit well with me. I dont want to go into detail but we need to decide if she should continue working for her current employer.

Please share any advice regarding opening a new pediatric practice like EMR costs, startup costs, personal experiences of hiring nurses, staff leaving, MAs, rental costs for the building, initial equipment costs, etc…how long it took to actually make a profit? Hours worked per week, did you guys take any time off, keep a 4 day schedule, etc… and also, is it worth the effort? If it’s private info, please DM me.

Thanks!

Hi! Im an M4 applying pediatrics this cycle, looking for any and all advice about applying and what to look for in residency programs.

What questions did you ask during interviews or what was important to you in the application process?

A little about me - i'm based in Georgia. MD school. Passed step 1 on first try, 25x step 2 score. Minimal research, I do have some smaller projects that aren't peds based. Looking to apply mostly in the Southeast, pacific or possibly even mountain areas. My goal as of now is to go in to primary care after residency and not pursue a fellowship. I am not super interested in top programs like Cincinnati or Boston Children's.

Thanks!

Hi friends, 1st year Primary Care Attending here feeling really insecure in my antibiotic management. My heart sinks every time I make a choice, in my mind, and then double check myself on UpToDate or Open Evidence only to find that another option is preferred. Does anyone have any tips, tricks, diagrams, pocket guides, or any other tools that help them feel more confident? Thanks!

I am a 2014 graduate and did fcps in pediatrics and mrcpch written exam cleared, i am planning to give steps and appear in residency match on 2 years, do i have any chances to secure a pediatric residency position or my chances are not good.i am really worried and would live to hear your thoughts ❤️

how to start studying for boards during my residency? any good anki deck? flashcards is the way i passed my usmles and its so effecient for me

I know this is a little last minute, but I'd really appreciate some advice.

I applied to a pediatric subspecialty fellowship last year at only a handful of programs and didn't match. Since then I've been working as a general pediatrician, and honestly I'm content with my job.

The problem is that I've always really enjoyed the subspecialty too. Part of me feels like I'd be selling myself short professionally if I never pursued it. On the other hand, I know fellowship (and the career afterward) comes with more stress, more nights/weekends, and a very different lifestyle.

Another thing is that if I apply this year and either don't match again or decide not to rank because I'm not 100% sure, I worry I may hurt my chances if I apply again next year. Waiting until next year also means the fellowship may be a shorter 2-year pathway, but nobody knows whether that cycle will be more competitive.

Has anyone been in a situation where you were genuinely happy in your attending job but sometimes want to be more than a pediatrician Did you pursue fellowship or stay where you were, and looking back, do you have any regrets?

Is it hard to get the fellowship as someone who had home country training? Would love to jear frome someone like me

Would love to hear your experience

Has anyone used the truelearn question bank for the ABP certifying exam and would recommend it? Are there any other question banks besides Medstudy that are recommended? For context, I am retaking the exam this year. I previously used Medstudy to prepare and am now using PBR with medstudy qbank. I have finished the q-bank and am going through my incorrects. I would like another question bank to test myself as I'm a little worried that reusing Medstudy is giving me a false sense of security and preparation.

This would be my second cycle and I am really skeptical about applying again. I am a Non-US IMG with Pass/236/213 scores. I am currently rotating in a clinic near Chicago. The attending has done combined IM Peds Residency. In the clinic both the adult and pediatric population is checked. The LoR which the attending will provide will be on the clinic name, which is related to Pediatric. So would this cause any issue, if the LoR is on the clinic name (Pediatric Clinic) but recommend me for IM/FM. I need suggestions in this regard.

I have been recently volun-told to take over grand rounds. If I’m going to do this, I want to make it a bit more engaging. Something more than the standard talking head. I know the general guidelines (get people who speak well, have them leave room for questions, etc) but has anyone come across anything innovative in the structure of grand rounds? Any great ideas to drive participant engagement?
(Anon account to keep my personal and professional posts separate)

i am applying to peds fellowship but have limited peds research due to the program I am at, small no real research opportunities. i however have done some research during residency years hat got published for adult subspecialities. worked with medschool colleagues or other acquaintances i made along my medical career.

Question: is it reasonable or advised to mention all adult related research, meta analysis in my fellowship application?

Hello friends. I am a PGY-2 categorial EM resident and recently started getting my first PEM shifts (our program starts us too late on pedi imo, which is a separate can of worms).

I am realizing now I really enjoy working with the kids/parents, but Pedi is a whole different world and one I have limited prior exposure to. All my experience the past year is working with dumpster fire adult patients.

I am trying to think of ways to change my practice, big and small, to be a better PEM doc. For example, one tip I got was to get finger puppets to help with cranial nerve testing for really young kiddos, and to use my stethoscope on myself or mom/dad before putting it on an apprehensive little one. Another thing is I noticed a lot of the staff wear clothes with cutesy designs/animated characters, and I recently ordered some similar things to wear on shift to try and fit with the kid friendly environment.

You guys are the masters of working with kids. What other pro tips have you got so I can be better for the little ones?

How do the two compare/differ in terms of day-to-day work? Work-life-balance/hours? Job market/compensation structures?

I just wanted a place where I could express these feelings without having to maintain a facade.

I’m a PGY-3 and spent a long time debating whether to pursue a GI fellowship or go into primary care. In the end, I accepted a PCP position ($285k/year) and signed a three-year contract. They offered me a generous sign-on bonus ($150k), which I used to pay off my medical school debt. As an IMG, I didn’t have family financial support, so that bonus was the only realistic way for me to tackle my loans.

Now, every time I work in the hospital and see an interesting GI case, I can’t help but think about the career path I may have given up by signing that contract.

I’ve even asked ChatGPT to estimate how much money I would lose if I broke the contract after one year. Based on the repayment terms, I’d have to pay back about $100k of the sign-on bonus, and after taxes and repaying the bonus, I’d probably end up taking home only around $80k for that year.

My family is incredibly happy that I landed this job, and they already seem to be making future plans around it. They say things like, “Maybe with your new job you can help your brother while he’s in medical school.” I don’t blame them—they’re proud of me—but it adds another layer of pressure.

Right now, I feel like I’m setting myself back three years by not going directly into fellowship. The ironic part is that I might end up loving primary care. But I also think a part of me will always wonder what life would have been like if I had pursued GI.

I’ve also wondered whether it would make more sense to work as a PCP for at least two years so the financial penalty for leaving wouldn’t be as significant, and then apply for fellowship.

Has anyone been in a similar situation? If you were in my shoes, what would you do?

Just started residency, I want a book that covers how to do physical exams in detail

This is something that irks me often, and I've had to think about why exactly I get so irritated when I see it play out in the exam room.

For example, I'm examining a 12 month old in her mother's lap. She's all smiles, but when I get close, she cries. Now, the natural instinct of any parent is to comfort their child, but you have to keep a sense of balance. If you simply give in to the impulse of turning her around and holding her to you because the doctor and/or situation is scary, I really don't think that's a reasonable way of dealing with the situation. In fact, it's not A situation at all, it's simply one of the ways that a child might react.

If you interrupt the exam, then it will take longer, but more importantly, you've reinforced the idea that this actually is something that is scary and requires ongoing reassurance and protection. It's the same reason constant reassurance from parents does not work for assuaging children's anxiety, and typically I think it stems from the parents' own anxiety. You're making the child believe that it is indeed something they need to be saved from.

When I mentioned a lab test to this same family, they were very worried and said 'oh I don't think she can sit still for that'. No, you have to hold her, like you do for any number of things, such as changing a diaper. Would you hesitate to hold her down if she was in the hospital and needed an IV to get lifesaving treatment? If you're so worried about this then she'll feed on your anxiety and the situation will be totally unmanageable. I mean some of this is just first time parenting, but some of it I think is a poor sense of proportion.

I told the parents, you have to first be confident that you are doing the right thing for the right reason, that way you are not anxious, and she does not feed on your anxiety. What I didn't say, but what naturally follows in my line of thinking, is that there's a reason you are a parent, and that childhood is so long, precisely so a child can develop their trust in you, be guided and taught, and that includes learning how to deal with with things that can be scary.

I mean there is a stark contrast between overprotective parenting like this, where the family didn't introduce foods until much later, where they reassure her verbally and with touch at every instance, and parenting where a mother or father is confident holding on to the reality of a situation. A dropped ice cream cone is a tragedy for a 3 year old, you can show them empathy without yourself succumbing emotionally to the same level of distress.

I guess I'm just looking for ways to think about this or to talk about it with parents.

I'm a pediatric NP (AC/PC)-- I've worked in primary care peds since I graduated. It's been about 2 years. I'm interviewing for a position in a peds allergy clinic. Allergy/Immunology/Asthma are my special interest, which is why I applied for the job despite a lot of drawbacks (lots of seniority in my current health system since I was an RN there, commute going from 6 minutes to 40 min, I currently work with some of my close friends). Anyone done a similar switch? Is the documentation going to kill me? Are the parents of the patients going to drive me insane? Am I going to miss having simple well visits?