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California Children's Hospital Association
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Pediatric Workforce Training

Overview November 8, 2019

Pediatric Workforce Training

Each year, California’s eight private, non-profit, free-standing children’s hospitals train approximately 50% of the state’s pediatric residents (medical school graduates who are training to be pediatricians) and nearly 10% of all fellows (pediatricians who have completed their residency and are training to become specialists). They also provide pediatric training rotations for hundreds of family medicine, emergency medicine, and obstetrics and gynecology residents annually.

The costs to operate these Graduate Medical Education (GME) training programs are substantial and state and federal programs that subsidize the training of physicians disadvantage training programs operated by children’s hospitals. In part, this is because Medicare provides the bulk of federal GME funding, and children’s hospitals do not typically treat Medicare patients – Medicare funds services for the elderly, not children.  Instead, children’s hospitals receive federal GME from a smaller, Children’s Hospital Graduate Medical Education (CHGME) program.  But CHGME only provides about half as much support to train pediatricians as Medicare GME provides to train other types of doctors.  Specifically, CHGME provides about $75,000 per year for each pediatrician in training while Medicare GME provides about $153,000 per year.

Given the lack of support at both the state and federal level, it is not surprising that there are fewer pediatric residency programs in California than other types of residency programs.  For example, there are 67 family medicine residency programs in California and 44 internal medicine programs, but only 17 pediatric residency programs, even though children make up almost one quarter of California’s population.

To learn more about pediatric residency training in California, download our White Paper.

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California Children’s Hospital Association

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