Activities	Diagnose, treat, and help prevent children's diseases and injuries.
Outlook	Average job growth
Median Income	$146,000+ per year in 2008
Work Context & Conditions	Many physicians—primarily general and family practitioners, general internists, pediatricians, ob/gyns, and psychiatrists—work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel.
Minimum Education Requirements	M.D.
Skills	Social Perceptiveness, Learning Strategies, Monitoring, Critical Thinking, Instructing, Active Listening, Writing, Service Orientation, Time Management, Mathematics, Active Learning, Complex Problem Solving, Judgment and Decision Making, Coordination, Reading Comprehension, Speaking, Science
Abilities	Oral Expression, Deductive Reasoning, Problem Sensitivity, Written Comprehension, Inductive Reasoning, Written Expression, Oral Comprehension
Interviews	Lynne Haverkos

Job Category		Healthcare Practitioners & Technical
Job Description		Providing care from birth to early adulthood, pediatricians are concerned with the health of infants, children, and teenagers. They specialize in the diagnosis and treatment of a variety of ailments specific to young people and track their patients’ growth to adulthood. Like most physicians, pediatricians work with different healthcare workers, such as nurses and other physicians, to assess and treat children with various ailments, such as muscular dystrophy. Most of the work of pediatricians, however, involves treating day-to-day illnesses that are common to children—minor injuries, infectious diseases, and immunizations—much as a general practitioner treats adults. Some pediatricians specialize in serious medical conditions and pediatric surgery, treating autoimmune disorders or serious chronic ailments.
Working Conditions		Many physicians—primarily general and family practitioners, general internists, pediatricians, ob/gyns, and psychiatrists—work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel. Increasingly, physicians are practicing in groups or healthcare organizations that provide backup coverage and allow for more time off. These physicians often work as part of a team coordinating care for a population of patients; they are less independent than solo practitioners of the past. Many physicians and surgeons work long, irregular hours. Almost one-third of physicians worked 60 hours or more a week in 2006. Physicians and surgeons must travel frequently between office and hospital to care for their patients. Those who are on call deal with many patients’ concerns over the phone and may make emergency visits to hospitals or nursing homes.
Salary Range		Median yearly earnings of general pediatricians were $146,000 per year in 2008. The middle 50 percent earned between $112.200 and $166,400+. The lowest 10 percent earned less than $79,900 and the highest 10 percent earned more than $166,400+. Self-employed physicians—those who own or are part owners of their medical practice—generally have higher median incomes than salaried physicians. Earnings vary according to number of years in practice, geographic region, hours worked, and skill, personality, and professional reputation. Self-employed physicians and surgeons must provide for their own health insurance and retirement.

Education Required		Formal education and training requirements for physicians are among the most demanding of any occupation—4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on the specialty selected. A few medical schools offer a combined undergraduate and medical school programs that last 6 rather than the customary 8 years. Premedical students must complete undergraduate work in physics, biology, mathematics, English, and inorganic and organic chemistry. Students also take courses in the humanities and the social sciences. Some students volunteer at local hospitals or clinics to gain practical experience in the health professions. The minimum educational requirement for entry into a medical school is 3 years of college; most applicants, however, have at least a bachelor’s degree, and many have advanced degrees. In 2008 there were 129 medical schools in the United States—104 teach allopathic medicine and award a Doctor of Medicine (M.D.) degree; 25 teach osteopathic medicine and award the Doctor of Osteopathic Medicine (D.O.) degree. Acceptance to medical school is highly competitive. Applicants must submit transcripts, scores from the Medical College Admission Test, and letters of recommendation. Schools also consider applicants’ character, personality, leadership qualities, and participation in extracurricular activities. Most schools require an interview with members of the admissions committee. Students spend most of the first 2 years of medical school in laboratories and classrooms, taking courses such as anatomy, biochemistry, physiology, pharmacology, psychology, microbiology, pathology, medical ethics, and laws governing medicine. They also learn to take medical histories, examine patients, and diagnose illnesses. During their last 2 years, students work with patients under the supervision of experienced physicians in hospitals and clinics, learning acute, chronic, preventive, and rehabilitative care. Through rotations in internal medicine, family practice, obstetrics and gynecology, pediatrics, psychiatry, and surgery, they gain experience in the diagnosis and treatment of illness. Following medical school, almost all M.D.s enter a residency—graduate medical education in a specialty that takes the form of paid on-the-job training, usually in a hospital. Most D.O.s serve a 12-month rotating internship after graduation and before entering a residency, which may last 2 to 6 years. A physician’s training is costly. According to the Association of American Medical Colleges, in 2008 more than 80 percent of medical school graduates were in debt for educational expenses.
Recommended High School Courses		Biology, Mathematics, English, Chemistry, Physics
Postsecondary Instructional Programs		Psychology, Personnel and Human Resources, Administration and Management, Education and Training, Mathematics, Therapy and Counseling, Chemistry, Biology, Medicine and Dentistry, Education and Training
Certification and Licensing		All States, the District of Columbia, and U.S. territories license physicians. To be licensed, physicians must graduate from an accredited medical school, pass a licensing examination, and complete 1 to 7 years of graduate medical education. Although physicians licensed in one State usually can get a license to practice in another without further examination, some States limit reciprocity. Graduates of foreign medical schools generally can qualify for licensure after passing an examination and completing a U.S. residency. M.D.s and D.O.s seeking board certification in a specialty may spend up to 7 years in residency training, depending on the specialty. A final examination immediately after residency or after 1 or 2 years of practice also is necessary for certification by the American Board of Medical Specialists or the American Osteopathic Association. There are 24 specialty boards, ranging from allergy and immunology to urology. For certification in a subspecialty, physicians usually need another 1 to 2 years of residency.

Interest Area		Investigative Involves working with ideas and requires an extensive amount of thinking.
Work Values		Social Status Looked up to by others in their company and their community. Achievement Get a feeling of accomplishment. Variety Do something different every day. Social Service Do things for other people. Security Have steady employment. Ability Utilization Make use of individual abilities. Co-workers Have co-workers who are easy to get along with. Activity Busy all the time. Autonomy Plan work with little supervision. Recognition Receive recognition for the work you do. Authority Give directions and instructions to others. Compensation Get paid well in comparison with other workers. Responsibility Make decisions on your own.
Skills		Social Perceptiveness Be aware of others' reactions and understand why they react the way they do. Learning Strategies Use multiple approaches when learning or teaching new things. Monitoring Assess how well someone is doing when learning or doing something. Critical Thinking Use logic and analysis to identify the strengths and weaknesses of different approaches. Instructing Teach others how to do something. Active Listening Listen to what other people are saying and ask questions as appropriate. Writing Communicate effectively with others in writing as indicated by the needs of the audience. Service Orientation Actively look for ways to help people. Time Management Manage one's own time and the time of others. Mathematics Use math to solve problems. Active Learning Work with new material or information to grasp its implications. Complex Problem Solving Solving novel, ill-defined problems in complex, real-world settings. Judgment and Decision Making Be able to weigh the relative costs and benefits of a potential action. Coordination Adjust actions in relation to others' actions. Reading Comprehension Understand written sentences and paragraphs in work-related documents. Speaking Talk to others to effectively convey information. Science Use scientific methods to solve problems.
Abilities		Oral Expression Able to convey information and ideas through speech in ways that others will understand. Deductive Reasoning Able to apply general rules to specific problems to come up with logical answers, including deciding whether an answer makes sense. Problem Sensitivity Able to tell when something is wrong or likely to go wrong. This doesn't involve solving the problem, just recognizing that there is a problem. Written Comprehension Able to read and understand information and ideas presented in writing. Inductive Reasoning Able to combine separate pieces of information, or specific answers to problems, to form general rules or conclusions. This includes coming up with a logical explanation for why seemingly unrelated events occur together. Written Expression Able to communicate information and ideas in writing so others will understand. Oral Comprehension Able to listen to and understand information and ideas presented through spoken words and sentences.

Related Jobs		Veterinarian, Optometrist, Nurse, Registered, Physician, Surgeon, Dentist, Podiatrist, Chiropractor, Physician Assistant
Job Outlook		Employment of physicians and surgeons is projected to grow 22 percent from 2008 to 2018, faster than the average for all occupations. Job growth will occur because of continued expansion of health care related industries. The growing and aging population will drive overall growth in the demand for physician services, as consumers continue to demand high levels of care using the latest technologies, diagnostic tests, and therapies. Demand for physicians’ services is highly sensitive to changes in consumer preferences, healthcare reimbursement policies, and legislation. For example, if changes to health coverage result in consumers facing higher out-of-pocket costs, they may demand fewer physician services. Demand for physician services may also be tempered by patients relying more on other healthcare providers—such as physician assistants, nurse practitioners, optometrists, and nurse anesthetists—for some healthcare services. In addition, new technologies will increase physician productivity. Telemedicine will allow physicians to treat patients or consult with other providers remotely. Increasing use of electronic medical records, test and prescription orders, billing, and scheduling will also improve physician productivity. Opportunities for individuals interested in becoming physicians and surgeons are expected to be favorable. Reports of shortages in some specialties or geographic areas should attract new entrants, encouraging schools to expand programs and hospitals to expand available residency slots. However, because physician training is so lengthy, employment change happens gradually. In the short term, to meet increased demand, experienced physicians may work longer hours, delay retirement, or take measures to increase productivity, such as using more support staff to provide services. Opportunities should be particularly good in rural and low-income areas, because some physicians find these areas unattractive due to lower earnings potential, isolation from medical colleagues, or other reasons. Unlike their predecessors, newly trained physicians face radically different choices of where and how to practice. New physicians are much less likely to enter solo practice and more likely to take salaried jobs in group medical practices, clinics, and health networks. Physicians and surgeons held about 661,400 jobs in 2008; approximately 12 percent were self-employed and not incorporated. About half of wage and salary physicians and surgeons were in office of physicians, and 19 percent were employed by private hospitals. Others practiced in Federal, State, and local governments, including hospitals, colleges, universities, and professional schools; private colleges, universities, and professional schools; and outpatient care centers. According to a 2007 report from the American Medical Association (AMA) about 9.6 percent of all active physicians were pediatricians. A growing number of physicians are partners or wage-and-salary employees of group practices. Organized as clinics or as associations of physicians, medical groups can more easily afford expensive medical equipment, can share support staff, and benefit from other business advantages. According to the AMA, the New England and Middle Atlantic States have the highest ratio of physicians to population; the South Central States have the lowest. D.O.s are more likely than M.D.s to practice in small cities and towns and in rural areas. M.D.s tend to locate in urban areas, close to hospital and education centers.
More Information		American Association of Colleges of Osteopathic Medicine, American Osteopathic Association, American Medical Association, Association of American Medical Colleges, Section for Student Services, American Academy of Pediatrics
References		Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Physicians and Surgeons, on the Internet at http://www.bls.gov/oco/ocos074.htm O*NET OnLine, on the Internet at http://online.onetcenter.org/link/summary/29-1065.00