Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
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Home Research Research Library A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine 2021 Author(s) Jetty, Anuradha, Romano, Max J, Jabbarpour, Yalda, Petterson, Stephen M, and Bazemore, Andrew W Topic(s) Role of Primary Care, and What Family Physicians Do Keyword(s) Children & Adolescents, Continuing Certification Questionnaire, Population Health, Practice Organization / Ownership, Rural, Shortage Areas, and Supply / Projections Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Purpose: The objective of this study was to identify demographic and practice characteristics associated with family physicians’ provision of care to children including a subgroup analysis of those who see pediatric patients younger or older than 5 years of age. Methods: This cross-sectional study used data from US family physicians taking the American Board of Family Medicine continuous certification examination registration questionnaire in 2017 and 2018. The outcome of interest was self-reported care of pediatric patients in practice. We performed bivariate and multivariate logistic regression examining the association between various demographic and practice characteristics with the outcome of interest. We performed subgroup analyses for physicians seeing patients under 5 years old and from 5 to 18 years old. Results: Among the 11,674 family physicians included in the final analysis, 9744 (83.8%) saw pediatric patients. Physician- and practice-level factors associated with seeing pediatric patients included rural practice, younger age, non-Hispanic White race/ethnicity, independent practice ownership, nonsolo practice, lower pediatrician density, and higher income geographic area. More family physicians saw 5-to-18-year-olds than < 5-year-olds (83.6% vs 68.2%; P < .001), and the factors associated with pediatric care were similar among these age subgroups. Conclusions: A majority of continuous certification US family physicians see pediatric patients in practice; however, rates of pediatric care vary widely based on various demographic and practice characteristics. Efforts to maintain a broad scope of practice for US family physicians will require exploration of the underlying mechanisms driving these practice patterns. ABFM Research Read all 1987 Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations Go to Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations 2024 Insights From a New National Academies Report on Caregiving Go to Insights From a New National Academies Report on Caregiving 2017 Fellowship or Further Training for Family Medicine Residents? Go to Fellowship or Further Training for Family Medicine Residents? 2025 Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019 Go to Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019
Author(s) Jetty, Anuradha, Romano, Max J, Jabbarpour, Yalda, Petterson, Stephen M, and Bazemore, Andrew W Topic(s) Role of Primary Care, and What Family Physicians Do Keyword(s) Children & Adolescents, Continuing Certification Questionnaire, Population Health, Practice Organization / Ownership, Rural, Shortage Areas, and Supply / Projections Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 1987 Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations Go to Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations 2024 Insights From a New National Academies Report on Caregiving Go to Insights From a New National Academies Report on Caregiving 2017 Fellowship or Further Training for Family Medicine Residents? Go to Fellowship or Further Training for Family Medicine Residents? 2025 Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019 Go to Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019
1987 Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations Go to Pilot study using ‘dangerous answers’ as scoring technique on certifying examinations
2024 Insights From a New National Academies Report on Caregiving Go to Insights From a New National Academies Report on Caregiving
2017 Fellowship or Further Training for Family Medicine Residents? Go to Fellowship or Further Training for Family Medicine Residents?
2025 Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019 Go to Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019