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Pediatric Rheumatology


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On 10/23/2018 at 6:38 PM, friedchickendudeMD said:

Hi,

How does this compare to regular rheumatology in terms or jobs pay etc...is it too hyperspecialized? thank you :) would appreicate any general info

Can't comment on adult rheum but peds rheum is fairly specialized, but basically required at any pediatric tertiary care centre. Your ability to practice outside of cities with these centres is limited by patient volume, however. In terms of fellowships, their are only a few a year across the country but usually you can match if you want. At this point if you're willing to work anywhere you can probably get a job but you might not be able to get a job in the specific city/hospital you want. The kinds of problems and patients you see will also be relatively different. Pediatric rheumatology's bread and butter are the juvenile arthritides, autoimmune stuff like lupus, and vasculitides. Adult you'll see these and a lot more degenerative stuff. Also consider that most of the pediatric pts you see will just have JIA or kawasaki's, where your adult patients are much more likely to have comorbidities and be more complex which can be good or bad.

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17 minutes ago, bearded frog said:

Can't comment on adult rheum but peds rheum is fairly specialized, but basically required at any pediatric tertiary care centre. Your ability to practice outside of cities with these centres is limited by patient volume, however. In terms of fellowships, their are only a few a year across the country but usually you can match if you want. At this point if you're willing to work anywhere you can probably get a job but you might not be able to get a job in the specific city/hospital you want. The kinds of problems and patients you see will also be relatively different. Pediatric rheumatology's bread and butter are the juvenile arthritides, autoimmune stuff like lupus, and vasculitides. Adult you'll see these and a lot more degenerative stuff. Also consider that most of the pediatric pts you see will just have JIA or kawasaki's, where your adult patients are much more likely to have comorbidities and be more complex which can be good or bad.

Adult rheumatologists don't see much of any "degenerative" stuff because they're too busy with all the RA, PSA, etc. 

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