from the AAP Department of Research
;e Academy is committed to understanding the
training experiences of young pediatricians. Data from
the 2015 AAP Annual Survey of Graduating Residents
highlight that most residents are satisfied with their
overall training and the amount of time spent on various areas in pediatrics.
• Among residents graduating in 2015, 93% would
repeat a pediatric residency, if given the choice.
• More than three-fourths are satisfied with the training time spent on pediatric intensive care units,
inpatient general pediatrics and subspecialty pediatrics, outpatient subspecialty pediatrics, and using
quality improvement methods to improve patient
care (see figure).
• Over half are satisfied with training time in outpatient general pediatrics, research and inpatient-focused procedures.
• One-third think too much time is spent on training
in neonatal intensive care units.
• Half feel too little time is spent on outpatient focused procedures.
• Eight in 10 think too little time is spent on practice
management, such as billing, coding and payment.
Residents have diverse career goals, including subspecialty (42%), primary care (41%), hospitalist (11%)
and both primary care and subspecialty (6%) practice.
Residents whose career goal is primary care are more
likely than residents with a subspecialty or hospitalist
goal to report too much time is spent on inpatient
general pediatrics (23%, 13% and 11%, respectively)
and pediatric intensive care units (11%, 3% and 2%,
respectively) and too little time in outpatient general
pediatrics (40%, 17% and 26%, respectively).
Residents with a subspecialty or hospitalist goal are
more likely than residents with a primary care goal to
report too little time is spent on inpatient-focused proce-
dures (51%, 56% and 39%, respectively) and outpatient
subspecialty pediatrics (24%, 27% and 14%, respective-
ly). Residents whose career goal is subspecialty pediatrics
also are more likely to report too little time in research.
Dissatisfaction with the amount of training spent
on practice management is similar across career goals.
“Academy leadership values the information we are
gaining from graduating residents and is grateful to
those who respond to the resident survey,” said Chris-
tian D. Pulcini, M.D., M.Ed., M.P.H., chair of the
AAP Section on Pediatric Trainees. “;e information
that we are learning from recent residency graduates
— including their need for more information on prac-
tice management — is shaping the Academy’s future
programs and services for our members. It is also won-
derful to have the opportunity to confirm that a large
majority of residents are satisfied with their decisions
to become pediatricians, as we all knew anecdotally it
is the best career choice of all.”
;e Annual Survey of Graduating Residents, a 20-
year AAP program, is sent to a nationally represen-
tative random sample of 1,000 residents graduating
from U.S. pediatric programs. Surveys are mailed and
emailed each year from May to August. ;e response
rate for the 2015 survey was 55%.
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Too little Just right Too much
Outpatient general pediatrics
Outpatient subspecialty pediatrics
Using QI methods to improve care
Inpatient subspecialty pediatrics
Pediatric ICU (excluding NICU)
Inpatient general pediatrics
79% 21% 0%
51% 49% 0%
47% 52% 1%
43% 56% 1%
27% 68% 5%
20% 79% 1%
15% 78% 7%
8% 80% 12%
7% 87% 6%
5% 60% 35%
3% 81% 16%
Satisfaction with amount of time spent on training among 2015 pediatric graduates, n=546
Source: AAP 2015 Annual Survey of Graduating Residents
from the Food and Drug Administration Office of
Pediatric Therapeutics, Division of Pediatric and
Maternal Health, and Center for Devices and Radio-
;e Food and Drug Administration (FDA) has per-mitted marketing of the Seeker System (Baebies Inc.,
Durham, N.C.), the first newborn screening test for
four rare lysosomal storage disorders (LSDs) — Gaucher disease, Fabry disease, mucopolysaccharidosis type
1 and Pompe disease. Estimated prevalence of LSDs
is between one in 1,500 and one in 185,000 people,
depending on the disease.
Newborn screening is o;ered to parents of all babies
in the U.S. to identify conditions that are treatable but
not clinically evident at birth, and for which early intervention may improve long-term clinical outcomes.
A delay in treatment of LSDs may lead to permanent
damage of multiple organs, neurological disability,
bone abnormalities and/or death.
;e Seeker System measures the activity of four lysosomal storage enzymes using the dried blood sample
collected from a newborn heel prick. Reduced enzyme
activity detected by the device indicates the potential
presence of a disorder and must be confirmed using
additional diagnostic methods.
A clinical study of 105,089 newborns, including 39
with LSD diagnoses, demonstrated the Seeker System
was safe and e;ective for newborn screening. On Aug.
10, 2016, the Clinical Chemistry and Clinical Toxicology Devices Panel of the Medical Devices Advisory Committee recommended allowing the Seeker System to be
marketed. ;e panel noted the lack of approved devices
and said the benefit of potentially improving timely detection of LSDs using the Seeker System outweigh the
risks, including false-positive and false-negative results.
Marketing authorization of the Seeker System will
enable greater access to LSD newborn testing for state
public health programs.
Newborn screening test for lysosomal storage disorders can be marketed
• Additional information on LSDs is available at
• FDA news release on marketing approval for Seeker
• Decision summary, http://bit.ly/2nHkJvD
• Panel meeting website (meeting held Aug. 10, 2016),
Nearly all residents satisfied with training; few satisfied
with time devoted to practice management
• For information on practice transformation and managing your career (early career decisions), visit http://
• For methodologies and tools on coding and payment,
• For more information on the Annual Survey of Graduating Residents, visit http://www2.aap.org/research/
graduatingressurvey.htm or contact Mary Pat Frintner,
in the AAP Division of Health Services Research, at 847-
434-7664 or firstname.lastname@example.org.