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Primary care and child medicine

Pediatricians, General

General pediatricians care for infants, children, and teens through routine checkups, illness visits, and ongoing management of childhood conditions. The work is different from many other doctor roles because it blends hands-on medical care with a lot of parent counseling, growth tracking, and prevention. The tradeoff is a long training path and high responsibility in exchange for strong pay and close, long-term relationships with families.

Also known as PediatricianGeneral PediatricianPhysician, PediatricsStaff PediatricianPediatrics Physician
Median Salary
$210,130
Mean $222,340
U.S. Workforce
~43K
1.2K openings per year
10-Year Growth
+0.8%
46.4K to 46.8K
Entry Education
Doctoral or professional degree
+ None experience

What This Role Looks Like in Practice

Pediatricians, General sits in the Healthcare category. In practical terms, this role combines day-to-day execution, cross-team coordination, and consistent decision-making under real business constraints.

U.S. employment is currently about ~43K workers, with a median annual pay of $210,130 and roughly 1.2K openings each year. Based on BLS projections, total employment is expected to grow from 46.4 K in 2024 to 46.8K in 2034.

Most hiring paths start with Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) plus pediatrics residency, and employers typically expect none of related experience. Many careers in this track begin around Resident Physician, Pediatrics and can progress toward Medical Director, Pediatrics. High-value skills usually include Pediatric Diagnosis & Treatment Planning, Electronic Health Records (Epic, Cerner & Athenahealth), and Growth Charts & Developmental Screening Tools, paired with soft skills such as Critical Thinking, Judgment and Decision Making, and Speaking.

Core Responsibilities

A Day in the Life

01 Check children's growth, development, and overall health during routine visits.
02 Order tests, review results, and figure out what is causing a child's symptoms.
03 Explain diagnoses, medicines, and treatment plans to parents or guardians in clear language.
04 Give families practical advice on nutrition, vaccines, exercise, hygiene, and disease prevention.
05 Follow children with ongoing conditions like asthma or attention problems and adjust care when needed.
06 Coordinate with nurses, therapists, and other doctors while keeping medical records accurate and up to date.

Industries That Hire

🏥
Children's Hospitals
Boston Children's Hospital, Children's Hospital of Philadelphia, Texas Children's Hospital
🩺
Private Pediatric Practices
Pediatric Associates, US Pediatric Partners, Pediatrix Medical Group
🎓
Academic Medical Centers
Mayo Clinic, Cleveland Clinic, Stanford Health Care
🏘️
Community Health Systems
Kaiser Permanente, Ascension, AdventHealth
💻
Telehealth and Virtual Care
Teladoc Health, Amwell, Included Health

Pros and Cons

Advantages
+ Pay is strong for a primary care role, with a mean annual wage of $222,340 and a median of $210,130.
+ You build long-term relationships with families and often watch children grow from infancy through the teen years.
+ The work mixes prevention, diagnosis, and coaching, so the day is varied instead of repetitive.
+ There is steady need for trained doctors, with about 1.2 million annual openings when replacements are included.
+ The job has a clear professional path: medical school, residency, licensure, and board certification.
Challenges
- The training path is long and expensive, and you cannot practice independently without medical school and residency.
- Growth is almost flat, with only 0.8% projected employment growth from 46.4K to 46.8K by 2034, so there is limited expansion in the field.
- A lot of time goes into documentation, test review, and coordination with staff, which cuts into face-to-face patient care.
- The emotional load can be high because you are treating sick children while also managing anxious or overwhelmed parents.
- Despite the six-figure pay, general pediatrics usually does not match the earnings of more procedure-heavy specialties, so compensation can feel limited relative to the training and responsibility.

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