Subspecialties

[ForceField]

Hello,

I was interested in knowing more about what subspecialties there are in pediatrics, how competitive matching into these subspecialties are, and what expected salary ranges would be.

If anybody has this info or knows if a website link, please post, thanks.

FF

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[14022]

Hello,

I was interested in knowing more about what subspecialties there are in pediatrics, how competitive matching into these subspecialties are, and what expected salary ranges would be.

If anybody has this info or knows if a website link, please post, thanks.

FF

The careers in medicine site for the AAMC is a great resource. However, you need a password to get onto the site. Our dean of student affairs provided us with the password for our school. Talk to your student affairs office to see if your school has access for its students.

http://www.aamc.org/students/cim/

http://services.aamc.org/careersinmedicine/login1.cfm

 

[DCHawk10]

Unfortunately, my medical school only provides access to the Careers in Medicine Website for upperclassmen. Would anyone with access or who knows about the following subspecialties provides me with some information on how competitive these are (specific match data would be a plus), salary ranges, etc.

I am interested in Pediatric Neurology, Neonatology, and Allergy/Immunology.

Also, is it true that someone completing a Pediatric Neurology Fellowship (after completing 2 years in Pediatrics) is Board eligible for Pediatrics AND Adult Neurology "with special competence in Pediatric Neurology"?

 

[jackjinju]

Unfortunately, my medical school only provides access to the Careers in Medicine Website for upperclassmen. Would anyone with access or who knows about the following subspecialties provides me with some information on how competitive these are (specific match data would be a plus), salary ranges, etc.

I am interested in Pediatric Neurology, Neonatology, and Allergy/Immunology.

Also, is it true that someone completing a Pediatric Neurology Fellowship (after completing 2 years in Pediatrics) is Board eligible for Pediatrics AND Adult Neurology "with special competence in Pediatric Neurology"?

Well, Allergy is very competitive, even when compared with Internal Medicine fellowships. It has limited spots, and get applicants from both IM and peds. I think the match rate is around 50%
One of my best buds is doing a peds neuro fellowship, which just become a match this past year. I think it's relatively easy to match (I think more spots than applicants), just depends where you wanna go. I think sfmatch.org has info on it, since I believe it is an early match, such as neuro is. I also think you're correct that seeing adults in regular practice is done as well. I know some private peds neuro people in Delaware near where I live that also see a few adults as well, but specialize in kids.
Lastly, having gone through the neonatology process, I am pretty sure that overall there are slightly more spots than applicants. I'm a U.S. grad going to sort of a mid-level peds residency, and I got interviews everywhere I applied, got into half the programs I applied to, including my top choice...so it wasn't very hard. I think if I would have really focused and pushed for some of the spots I didn't get into, I would have....per those fellowship directors.

Hope this helps....

Oh, by the way, I think the more research you have the better, regardless of which of these fields you're choosing....at least for fellowship application ...but it's certain not necessary....

 

[kiddoc20]

hi jackjinju
did you apply for neonatology. can you tell me little bit more about neonatology. lifestyle, salary, top program with neonatology, job opportunities,future of neonatology.
thanks

 

[jackjinju]

hi jackjinju
did you apply for neonatology. can you tell me little bit more about neonatology. lifestyle, salary, top program with neonatology, job opportunities,future of neonatology.
thanks

Hi....I'm gonna write a few messages...since last week I did this and it lost my message 3 times!

I already applied and i"ll be starting fellowship in 2006. I think the lifestyle depends on private practice vs. academics..amongst many other issues...as any job can be very variable. Academics has more opportunities where a fellow/resident can cover for you in house while u take call from home and come in for emergencies/get calls for admissions and questions.
Private practice tends to be more shiftwork-like. There are many shiftwork possibilities...one that i've seen is where one doc works the daytimes for a given week, while the other partners (along with NNPs or moonlighters) split the overnights. There are a million variations, and in my fellowship program, the academic guys cover inhouse 24/7...so there u go....(to be continued)

 

[jackjinju]

Pt. II
jobs/salary:

wide open in academics, though the salaries start (at least around here) from maybe 90k-150k....go up from there I guess into the low-high 100s generally. private starts around here from maybe 150-200k and goes up from there. I have been told the higher ups in busy private NICUs make in the 300k+range. jobs in highly desirable private NICUs can be sorta competitive, particularly in saturated markets, but I think with the growing need for 24/7 in-house coverage, i think that the need for NICU docs will be high still....part III coming.....

 

[jackjinju]

Top Programs.. very partial list and in no order...(I know the NE region better)....

Columbia
Boston Children's
CHOP
Stanford
Denver
Cincinnatti
Rainbow
Baylor

and many more lol...any specific questions or regional questions...I'll do my best. You can private message me as well if u like....I can give more specific opinions on programs that way if u like...again, I only interviewed geographically between Philly and Boston

 

[ForceField]

Top Programs.. very partial list and in no order...(I know the NE region better)....

Columbia
Boston Children's
CHOP
Stanford
Denver
Cincinnatti
Rainbow
Baylor

and many more lol...any specific questions or regional questions...I'll do my best. You can private message me as well if u like....I can give more specific opinions on programs that way if u like...again, I only interviewed geographically between Philly and Boston

Do you guys know anything about Pediatric GI? I'm in my peds rotation right now and really like Peds GI. How competitive/noncompetitive it is to match in, and what fellowship programs look for in applicants, whether they be board scores, research, LORs, etc. Anything that is weighted most heavily is what I would be getting at regarding applying to fellowships, specifically GI.

Any help is greatly appreciated.

FF

 

[jackjinju]

Do you guys know anything about Pediatric GI? I'm in my peds rotation right now and really like Peds GI. How competitive/noncompetitive it is to match in, and what fellowship programs look for in applicants, whether they be board scores, research, LORs, etc. Anything that is weighted most heavily is what I would be getting at regarding applying to fellowships, specifically GI.

Any help is greatly appreciated.

FF

Well, considering that the Peds GI powers that be (NAPSGAN or whatever the acronym is) is trying to recruit peds residents by offering to pay for them to fly to organization meetings, that should be one sign that GI is not at all competitive.
I think it's kinda interesting too, and has some procedures involved, which is nice. It's also in high demand in the real world, not enough attendings at all....I think it's not so popular because a lot of the parents are seen as difficult OCD types, and, of course, you deal with lots of poop, constipation, etc, which drives many people nuts.
Naturally, research is a plus, but getting a solid to top-notch fellowship spot for a US grad who is generally well-liked should not be a problem, regardless of board scores. LORs are important though....

 

[BPD]

Hi
What are the prospects of FMGs on H visas for a Neonatology fellowship at one of the top programs? I know that getting a fellowship in the second tier programs is not difficult.
Thanks

Top Programs.. very partial list and in no order...(I know the NE region better)....

Columbia
Boston Children's
CHOP
Stanford
Denver
Cincinnatti
Rainbow
Baylor

and many more lol...any specific questions or regional questions...I'll do my best. You can private message me as well if u like....I can give more specific opinions on programs that way if u like...again, I only interviewed geographically between Philly and Boston

 

[jackjinju]

Hi
What are the prospects of FMGs on H visas for a Neonatology fellowship at one of the top programs? I know that getting a fellowship in the second tier programs is not difficult.
Thanks

I'll be honest that I have no clue about H visas or any other visa issues, but as far as FMGs in top programs...I've seen a couple there, and they usually have lots of research experience. One caveat is that some spots are open only to U.S. Citizens because they are NIH funded. I know at Yale you have to be a U.S. Citizen for that reason.

 

[DCHawk10]

Regarding Neonatology,

What is the average day like in terms of stress-level (i.e. - how often do you have to make fast decisions versus being able to take your time? Do situations rapidly change in the NICU? Is there much down time or is it constantly busy? Are interactions with family members usually pleasant?).

Thanks

 

[oldbearprofessor]

Regarding Neonatology,

What is the average day like in terms of stress-level (i.e. - how often do you have to make fast decisions versus being able to take your time? Do situations rapidly change in the NICU? Is there much down time or is it constantly busy? Are interactions with family members usually pleasant?).

Thanks

Now that I'm back for a brief visit to the US, here are a couple quick responses to some issues on this thread.

In terms of pedi GI, it is a great specialty for those interested in research or clinical care. The diseases they see a lot of, things like reflux and cholestasis and, for those with a nutrition interest, obesity, seem to be becoming more common - or at least more often referred to GI specialists. The top few fellowships are competitive (quite competitive), but many excellent programs are less competitive. I am pretty sure that job offers are plentiful now for grads of pedi GI fellowships.

In terms of the stress of neonatology, I think it is consistent with that of any other intensive care specialty. There are moments of high tension and drama, which often occur in the middle of the night, and there are the more usual quieter times focused on the details of patient management. Parent interactions can be fun and rewarding for families who have babies who do well, and of course, very difficult in other cases. The key to managing the stress is how you balance your time, and of course, the experience you get allowing you to understand how to respond to the inevitable crisis situations that occur.

There are many top neo fellowships that have H1 and J1 Visa holders.

As always, I defer to others regarding salary and "best program" type of questions!

Regards

OBP

 

[BPD]

Now that I'm back for a brief visit to the US, here are a couple quick responses to some issues on this thread.

In terms of pedi GI, it is a great specialty for those interested in research or clinical care. The diseases they see a lot of, things like reflux and cholestasis and, for those with a nutrition interest, obesity, seem to be becoming more common - or at least more often referred to GI specialists. The top few fellowships are competitive (quite competitive), but many excellent programs are less competitive. I am pretty sure that job offers are plentiful now for grads of pedi GI fellowships.

In terms of the stress of neonatology, I think it is consistent with that of any other intensive care specialty. There are moments of high tension and drama, which often occur in the middle of the night, and there are the more usual quieter times focused on the details of patient management. Parent interactions can be fun and rewarding for families who have babies who do well, and of course, very difficult in other cases. The key to managing the stress is how you balance your time, and of course, the experience you get allowing you to understand how to respond to the inevitable crisis situations that occur.

There are many top neo fellowships that have H1 and J1 Visa holders.

As always, I defer to others regarding salary and "best program" type of questions!

Regards

OBP

Thanks for the reply OBP. I am a second year resident in the process of applying for a NICU fellowship. Some of the programs need a statement of goals and objectives. I am pretty much done with mine, but was wondering what exactly they look for and how long it should be. I dont want to go on and on and miss the point. I have highlighted my research interests and long term goals in brief. Any suggestions are welcome.
Thanks
BPD

 

[oldbearprofessor]

Thanks for the reply OBP. I am a second year resident in the process of applying for a NICU fellowship. Some of the programs need a statement of goals and objectives. I am pretty much done with mine, but was wondering what exactly they look for and how long it should be. I dont want to go on and on and miss the point. I have highlighted my research interests and long term goals in brief. Any suggestions are welcome.
Thanks
BPD

I don't do fellowship committee so I can't really comment on this too much. In general, I think they'd like to know where you are going more than where you've been. In other words, focusing on goals and interests for the future as you've done is a good idea. The key to fellowship applications are the letters of reference you get. A bit of research background, esp. if in the basic sciences, is helpful, but not absolutely mandatory. The interview can be key in some programs, although I think others have pretty much decided to ask you to join the program if they bother to interview you. I suspect that for non-native speakers of English, the interview is more important so they can judge your language skills a bit.

Regards

OBP

 

[Cameron]

OBP - not trying to hijack the thread, but could you give some insight into how many fellowship programs one should look at? What is the timeline for applications? I understand it is different for each pediatric subspecialty, especially those that do not participate in a match.
Having just started residency, it's strange to already be looking forward to fellowhship applications..

Cameron

 

[jackjinju]

Hi, I'm not OBP, but from recent experience...apply around October-November of PL-2 year. I would apply to 5-10 programs, depending on how wide u wanna look...naturally I defer to OBP if he has any additional insight.

Hope this helps!

 

[oldbearprofessor]

Hi, I'm not OBP, but from recent experience...apply around October-November of PL-2 year. I would apply to 5-10 programs, depending on how wide u wanna look...naturally I defer to OBP if he has any additional insight.

Hope this helps!

I'm not jackjinju so I applied to programs a LONG TIME farther in the past than he did, so his insights are the best

In my day, there weren't really fellowship committees or matches. They just invited you and toured you around a bit and then offered you a spot. On the spot....

Nowadays, the advice of 5-10 programs seems reasonable, although I think you can be on the low side of that if you have a good connection somewhere or a strong reason for wanting to go to a program or place. Although it's a good idea to apply before the middle of your PL-2 year, I've known lots of folks to get good positions a lot later than that. I really dislike this system of applying by the middle of your PL-2 year because I think that is way too early to know what you want to do for sure. But, that is and has been the standard, even back in my day.

For PL-1's the best thing to do is spend time really talking with a couple of attendings in the area(s) you are interested in. Find out about lifestyle, salary, private vs non-private, research, etc. I happen to think that this is a great time on all fronts to do specialty pediatrics, especially academics!!

Regards

OBP

 

[jackjinju]

Thanks OBP! Yeah, I think 5ish is probably good, and you can add as u go along. I applied to 8 but added 1-2 in early December as I recall....everything else OBP said I second! LOL