With the highest birth rate in Europe (2.02 children per woman) France is facing a crises of available pediatricians. A petition with 130K signatures of doctors and parents was presented to the Health Minister with resulting press coverage. They key statistic:
One pediatrician for every 6000 children.
As I read this, I realized - it's not just us! One year ago our glamorous pediatrician, Dr. Hepburn, decided to only open her office part time - Tuesday to Thursday. Woe to you if your kid got sick on Friday! Trips to the ER abounded. Recently the news arrived that she's closing and moving altogether, and that she didn't find anyone to take her place. The map below says that we, living in the Alpes-Maritimes, are benfiting from a high-density of pediatricians.
In our agglomoration of towns it's about one pediatrician for every 4500 kids. (oh - and for info the government policy in the US is 1:1400 by 2020) And those pediatricians are all, except for one, located just next to the coast in one street in Antibes. Practially that means that in order to see a pediatrician I will have to spend a half-day schlepping back and forth.
If there is no local pediatrician (pediatre de ville) for state funded well-care or easy diagnosis of childhood illness then people have to rely on family practise generalists - which is what most people do with success. The problem I see with using generalists is that unless that family doctor has training in, and a practise of treating kids of all ages then they may not be up to date regarding policies for vaccines etc., be more likely to refer a sick kid to specialist (i.e. pediatrician) anyway, and have less knowledge regarding child development and behavior which can help parents identify potential problems before they become crises.
The alternative is to take time from work to visit the local hospital clinics which have pediatricians on staff or find a pediatrician further away from home.
So why don't med students want to become pediatricians in the first place?
As I was reading the press on this topic it was hard to tell. Everyone is hand-wringing about the problem and how France should graduate more pediatricians every year but not *why* students avoid the specialty in the first place. My own hypothesis is this:
low pay / hard work.
Dr Hepburn charged 31 euros a visit. For comparison my OB/GYN charges 65 euros. One thing I read is that for those that choose the specialty their hospital training can be greuling since there aren't enough to go around so that time spent in ER on-call rotation is demoralizing.
So what now? Well...we will have to find a new doctor one way or another. I'm pessimistic about a pediatrician coming back to our town so we will, like the other families, have to make do.
Image 1: Le Figaro. Image 2: Sophia-Antipolis.org