Sir.—In. the opening article of his excellent series on pediatric training, Michael Kappy, MD, PhD,1 addresses the changing role of the pediatrician. He indicates that many have left practice and opted for other careers, including administration.
A recent survey by the American Academy of Medical Directors confirms that pediatrics is one of the most common specialty backgrounds for physician executives.2 Some argue that pediatricians shift to administration as a way to improve income and relieve job burnout. An alternative explanation is that pediatricians are well suited by both disposition and experience for the unique demands of an administrative career.
Physicians who are used to seeing immediate results and working independently may be frustrated by the slowness of administrative remedies and by the constraints of working in bureaucratic organizations. In contrast, pediatricians are accustomed to the gradual pace of human growth and development, the ambiguities of pediatric diagnosis