Evolving Challenges in Pediatric Pulmonary Medicine. New Opportunities to Reinvigorate the Field

Abstract

Thirty years after the first board certification examination for pediatric pulmonology was administered there remain substantial challenges in attracting trainees and sustaining and retaining clinician-scientists in the field. In fact, significant workforce shortages are predicted to exist with current fellowship graduation rates and the aging of the existing workforce. However, the rapid diagnostic and therapeutic advances occurring in the field should serve as draw for trainees. In addition, pediatric pulmonologists provide unique expertise for the diversity and severity of respiratory conditions that is not duplicated by generalists, allergists, intensivists, or neonatologists. It is critical to raise awareness of the depth of pediatric pulmonology, not only to trainees, but also of the broader medical community at large, to recognize the value pediatric pulmonologists bring to clinical care, research endeavors, and interdisciplinary collaborations. In this perspective, we highlight the nature of the challenges and describe new opportunities as potential solutions to re-invigorate the field.