Overview
The AMSPDC Pediatrics Workforce Initiative (PWI) was launched in 2020 in response to growing concerns about the sustainability of the pediatric workforce in the United States. Despite rising child health needs, a declining proportion of graduating medical students are entering pediatrics, and several pediatric subspecialties face persistent shortages – threatening timely access to high-quality care for children, adolescents, and young adults.
Uniquely positioned within academic medicine, the PWI advances workforce solutions by building coalitions, coordinating cross-institutional learning, aligning and amplifying efforts across organizations, and equipping pediatric leaders with practical, actionable tools. Through shared knowledge and coordinated action, this work strengthens the pediatric workforce to support the health and wellness needs of children and families across the United States.
Our Mission
The mission of the Pediatrics Workforce Initiative (PWI) is to increase the number and diversity of high-quality trainees entering pediatrics and pediatric subspecialties, while improving the supply, distribution, and sustainability of the pediatric workforce to meet the health and wellness needs of U.S. children and families.
Children represent nearly one-quarter of the U.S. population, yet child health consistently receives less investment, fewer resources, and less policy attention than adult health care. At the same time, children’s health needs are becoming more complex – driven by rising rates of chronic disease, mental and behavioral health conditions, social and economic instability, and widening health inequities.
Despite this growing need, the pediatric workforce faces mounting pressures that constrain timely access to high-quality care. Across the country, families experience long wait times for pediatric subspecialty appointments, limited availability of care in rural and underserved communities, and increasing reliance on emergency departments for specialty and behavioral health services. Geographic maldistribution of pediatric subspecialists further exacerbates inequities in access.
Workforce challenges begin early in the training pathways. Many medical school curricula offer limited exposure to pediatrics, and trainees may encounter subtle or explicit discouragement from mentors.
Over the past decade, the total number of pediatric residents has increased (ABP Link) but this growth largely reflects expansion of the overall physician training slots rather than increased relative interest in pediatrics. As medical school enrollment and residency positions have grown, a smaller proportion of trainees are choosing pediatrics, raising concerns about long-term workforce capacity. Similar trends are evident in several pediatric subspecialties facing declining applicant pools.
A strong pediatric workforce is essential not only for addressing immediate access challenges, but for shaping lifelong health. Pediatricians provide preventive care, manage chronic conditions, address mental and behavioral health needs, and support families during critical developmental years. Investment in pediatric care is an investment in the long-term health, well-being, and productivity of the nation.