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DO - Ohio University College of Osteopathic Medicine

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compared to a 15 percent growth in the allopathic arena,<br />

according to a 2005 study published in The Journal <strong>of</strong> the<br />

American Medical Association.<br />

This trend is mirrored at OU-COM, although on a smaller<br />

scale. The number <strong>of</strong> graduates choosing pediatrics hasn’t<br />

exactly exploded but has been a slow climb from one or two<br />

graduates a year in the 1980s to anywhere from four to 10<br />

in the past decade. Current statistics show that 60, or 4<br />

percent, <strong>of</strong> OU-COM’s 1,653 practicing physicians<br />

are pediatricians. Double that for the percentage<br />

<strong>of</strong> OU-COM graduates currently in pediatrics<br />

residency programs.<br />

“We’ve seen a larger number <strong>of</strong> very bright<br />

students seeking pediatrics as a career choice,<br />

and I think America’s kids are going to be better<br />

<strong>of</strong>f for it,” says Michael Anderson, M.D., chair<br />

<strong>of</strong> the American Academy <strong>of</strong> Pediatrics’ Committee<br />

on Pediatric Workforce. “It’s a very exciting<br />

time to be in pediatrics because we’re making<br />

progress on disease processes that we didn’t<br />

have an impact on 10 years ago.”<br />

The reasons behind this trend are multifaceted.<br />

It’s not as simple as presuming more medical<br />

school graduates these days love working with<br />

children. Career satisfaction, job flexibility and<br />

changes in demographics are part <strong>of</strong> the equation.<br />

Reward, Reward, Reward<br />

When Carl Backes, D.O., talks about his 30<br />

years in pediatrics, his enthusiasm is clear.<br />

Backes can explain his draw to the field in a<br />

simple statement.<br />

“I don’t know <strong>of</strong> another primary care doctor<br />

who takes someone from birth through high<br />

school–through jaundice, immunizations, hospitalizations<br />

for illness, growing up and having school problems, the<br />

changes <strong>of</strong> puberty during adolescence and, finally, getting<br />

them ready for college,” he says. “It’s like being a mom<br />

and dad.”<br />

Many studies indicate high career satisfaction levels for<br />

pediatricians, and reward is a big reason why pediatricians love<br />

what they do. Backes, a former OU-COM regional dean<br />

and currently a CORE clinical pr<strong>of</strong>essor <strong>of</strong> pediatrics, is<br />

codirector <strong>of</strong> a dually accredited pediatric residency program<br />

at Doctors Hospital, along with a codirector at Children’s<br />

Hospital, both in Columbus, <strong>Ohio</strong>. In his role, Backes<br />

works with residents who have come into the field via different<br />

paths, some because it’s what they’ve always wanted to do<br />

and others who may have had an experience that inspired<br />

them to pursue a pediatric focus.<br />

According to Abbas, children typically bounce back. They<br />

want to get better, he explains, and parents usually listen to<br />

doctors’ recommendations because they want to take good care<br />

<strong>of</strong> their children. “It’s a ... positive experience, and you<br />

know there’s probably going to be a good outcome,”<br />

Abbas says.<br />

OU-COM Associate Pr<strong>of</strong>essor <strong>of</strong> Pediatrics Karen<br />

Montgomery-Reagan, D.O., says she was drawn to<br />

pediatrics for the same reasons and, like Abbas, has<br />

many positive anecdotes to share, such as the baby she<br />

treated in an emergency situation who’s now six years<br />

Number <strong>of</strong> General Pediatricians<br />

By Year (x1000)<br />

80<br />

60<br />

40<br />

20<br />

0<br />

.<br />

.<br />

.<br />

.<br />

.<br />

.<br />

.<br />

.<br />

.<br />

number <strong>of</strong> general pediatricians by year (x1000)<br />

1975<br />

2003<br />

old and still her patient. “I’ve got all kinds <strong>of</strong> stories<br />

that make me so warm inside because maybe God put<br />

me in the right place at the right time for these kids,”<br />

says Montgomery-Reagan, who’s been a practicing<br />

pediatrician since 1995.<br />

This aspect <strong>of</strong> pediatrics shouldn’t be downplayed as it<br />

brings more medical students into this primary care field<br />

every year. Katie Pestak, a second-year OU-COM<br />

student and president <strong>of</strong> the Pediatrics Club, seems<br />

as knowledgeable about the rewards <strong>of</strong> the pr<strong>of</strong>ession<br />

as some <strong>of</strong> her mentors. Through the Pediatrics<br />

Club, Pestak exhibits her passion by working with<br />

Montgomery-Reagan, club adviser, to open up<br />

physcian-shadowing and pediatric service opportunities<br />

for students.<br />

“Kids heal quickly, and they have such a sense about<br />

them when they are healing,” Pestak says. “If I heal a<br />

child, they have possibly 80 more years to live. You<br />

feel like you’re really making a difference.”<br />

informational graphic by Jeff Brown<br />

summer 2006 21

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