A Pediatrician is a specialized type of Doctor. Also known as: Primary Care Pediatrician, Adolescent Physician, Child Physician, Infant Care Physician, Infant Care Pediatrician, General Pediatrician, Paediatrician.
Derived from the Greek words pais, meaning child, and iatros, which means doctor or healer, a pediatrician is a medical professional who specializes in providing medical care to children. Although there are surviving manuscripts devoted to pediatrics from earlier times, it was not until the middle of the 19th century that it was recognized and developed as a new medical specialty. Known for his many contributions to the field, Abraham Jacobi is considered as the father of pediatrics. He was born in Germany where he received his medical training, but later went to the United States to practice. It was there that he opened the first children's clinic in New York.
Providing physical, mental and emotional care for their patients, pediatricians are concerned with the health of infants, children and teenagers. They perform diagnostic tests to obtain information of the patient's medical condition and administer treatments, therapies, medications and vaccinations to treat illness, disorders or injuries. They also treat children who are suffering from minor injuries, acute and chronic health problems, and physiological and psychological growth and developmental concerns.
Pediatricians counsel and guide children and their parents or guardians concerning diet, hygiene and disease prevention. The field of pediatrics is a collaborative specialty - primary care pediatricians may refer patients to a medical specialist if they manifest symptoms of a serious medical condition, in order to efficiently address the issue. Pediatrics is a very broad field, encompassing general practice to children's oncology, hence the need for collaborative effort among medical professionals.
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Pediatricians can work in a number of environments, such as hospitals, private practice offices, health maintenance organizations, community health centers, public health clinics, schools, or the military and government. They are less likely to enter solo practice and more likely to work as salaried employees of group medical practices.
In a typical setting, pediatricians enjoy a pleasant working environment as they are generally assigned to offices and examination rooms most amenable to children. Offices and rooms are equipped with children's books, toys and activities to occupy children during waiting periods and distract them when undergoing painful procedures. Working with children has its drawbacks, however. They can be unruly patients, often restless and sometimes hysterical and frightened by doctors and medical procedures. The utmost patience must be exercised when dealing with children, which is where pediatrics training is invaluable.
A common adage in the medical field is that ‘children are not simply little adults.’ In other words, there are significant differences between treating adults and children. The smaller body size and less mature internal organs of an infant or child are physiologically substantially different. These variances can present congenital deficiencies or defects and developmental issues very specific to young patients. A pediatrician’s interpretation of symptoms, diagnosis, and prescribing of medications and other treatments are all influenced by the age of the patient.
The fact that the pediatrician’s patients often cannot independently advocate or make decisions adds another aspect to pediatric practice: that of communicating with parents and family; and considering the concerns of potentially many people, not only the patient. This part of the pediatrician’s work can be particularly demanding in the face of a painful procedure or poor prognosis.
Pediatric training is composed of four years of medical school and a minimum of three years of residency in pediatrics. The discipline is a very specialized one and its practitioners are specially qualified to treat babies, toddlers, children, and adolescents up to the age of eighteen, perhaps as old as twenty-one. Unless they are trained in both pediatrics and adult medicine, it is rare for pediatricians to step outside of their specialty to treat adults.
While a pediatrician is a licensed physician who is specifically trained in pediatrics or children’s medicine, nurses receive a bachelor’s degree to become a Registered Nurse or RN. Only by doing most of their work and gaining extensive practical experience in the pediatric field do they become labeled as ‘pediatric’ nurses. This experience includes administering immunizations, keeping developmental records, and often being patients’ first point of contact before they see a pediatrician. As they gain experience in the field, pediatric nurses may choose to specialize in a particular sub-discipline, such as anesthetics, oncology, or neurology.
Among the most common issues facing pediatricians today are:
In both the United States and Canada and in fact worldwide, there is a shortage of pediatricians serving rural and less populated areas. Also in the U.S., while the total number of primary care doctors for children across urban areas is appropriate, there is an uneven distribution of these doctors throughout the fifty states.
As for the kinds of specialists in demand, the lists are varied. A recent study revealed that in Canada medical schools are training too many doctors in some pediatric specialties, and insufficient numbers in other areas of child health care. For example, the study showed that twice as many neurologists as needed and only half the number of required neonatologists – doctors who treat premature or ill newborns – are being trained. The Canadian Pediatric (‘Paediatric’) Society http://www.cps.ca/ and the American Academy of Pediatrics https://www.aap.org are the most reliable sources from which to obtain updated statistics regarding job opportunities in the field.