by Kristy Kennedy • Correspondent
When Marsha D.
FAAP, asked a patient his three greatest wishes, his first
was to be in the NBA. His second
and third were to help his family and
for things to get better.
“Most 16-year-old boys don’t say
that,” said Dr. Raulerson, who prac-
tices in rural Alabama. She often uses
the wish question to root out prob-
lems faced by her patients, many liv-
ing in or near poverty. She may find
out a family has housing insecurity
or not enough to eat. In the case of
the teen, Dr. Raulerson learned the
boy was acting out at school because
of stress at home. She referred him to
a counselor and, as she does with
every patient at every visit, she gave
him a book.
“That’s my biggest poverty prevention program,” she said.
Dr. Raulerson’s ease at uncovering problems associated with poverty and then offering support is
not uncommon in pediatrics. With
almost half of young children in the U.S. living in or
near poverty, pediatricians nationwide have firsthand
experience helping families, said AAP President Benard P. Dreyer, M.D., FAAP.
“We know these issues impact a child’s health, other
than immunizations, more than a lot of other things
we’re doing,” Dr. Dreyer said.
As a result, the Academy has released a new policy
statement and technical report that demonstrate a
commitment to help end child poverty and outline
ways individual pediatricians can offer support. The
policy Poverty and Child Health in the United States
is available at www.pediatrics.org/cgi/doi/10.1542/
peds.2016-0339 and is published in the April issue
by Jessica Pupillo • Correspondent
When Patricia N. Reams, M.D., M.P.H., FAAP,
accepted a position as chief physician at the Virginia Department of Juvenile Justice, she admittedly had little idea what she was getting into.
Quickly, she learned her incarcerated patients had a
lot in common with those she cared for previously.
“I’ve never had a child try to do anything that
would harm me,” she said. “They looked at me like
a co-conspirator to take care of them. It became very,
The kids she treated during her 15 years in juve-
nile justice were mostly from poor communities and
lacked access to quality health care. Mental illness,
dental problems and sexually transmitted infections
are “ridiculously overwhelming,” she said.
Incarcerated youths also have higher rates of sub-
stance abuse and are more likely to have had traumatic
experiences, injuries including traumatic brain injury,
and tuberculosis, according to a 2011 AAP policy
www.aapnews.org Volume 37 • Number 4 • April 2016
AAP resident survey
marks 20th anniversary
from the AAP Department of Research
The Academy is committed to understanding
the training experiences
and career interests of
young pediatricians. Since 1997, the AAP Annual Survey of Graduating Residents has been sent
to a nationally representative sample of residents
graduating from U.S. pediatric programs.
In 2016, the 20th survey will be sent to gather
key data on demographics, residency training,
career choice and job search experiences.
The Academy uses survey results for program
development and strategic planning. In addition,
results have been disseminated widely (e.g., published on 20 occasions in peer-reviewed journals
and presented at more than 40 conferences).
The following key trends on graduating pediatric residents have emerged across the last two
• More graduates today are female: 61% in
1997 and 72% in 2015.
• Many are married/partnered: 71% in 1997
and 69% in 2015. One-third of these residents’ spouses/partners also are physicians
(34% in 1997 and 35% in 2015).
• Fewer say their career goal is primary care
practice (66% in 1997 decreasing to 40% in
See Poverty, page 4
The AAP National Nominating Committee
has selected Michael T. Brady, M.D., FAAP, of
Columbus, Ohio, and Colleen A. Kraft, M.D.,
FAAP, of Cincinnati, as candidates for AAP president-elect.
Look to upcoming issues of AAP News for ongoing coverage of the candidates, including profiles and position statements.
Voting will begin Oct. 21 and ends Nov. 21.
Dr. Brady Dr. Kraft
AAP calls for concerted action to reduce
child poverty; releases new policy
Caring for incarcerated youths rewarding
A new AAP policy statement and technical report raise awareness of
how poverty affects child health and outline ways pediatricians can
make a difference in their patients’ lives.