Easiest Test to Pass
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The Child Abuse Pediatrician has been the easiest test to pass of all Pediatric Specialties.
- In the last 3 test cycles, there has only been one candidate that did not pass the test on the first try.

Comments on Social Media Forums
"definitely not competitive. you could almost go anywhere"
"short answer is that it is not competitive at all. It's a tough, but critical job."
Shortages Make if Difficult to Oversee - Or -Fire Incompetent Providers.
Recruitment Challenges: Fewer Applicants Than Positions
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According to AMSPDC data, in the 2024 fellowship match:
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There were 12 applicants for 21 child abuse pediatrics positions (about 0.57 applicants per position), meaning fellowship slots go unfilled PMC+6Packard Foundation+6PMC+6.
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For context, many other pediatric subspecialties also faced short applicant-to-position ratios, but CAP was notably low.
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Overview: Child Abuse Pediatricians Are the Smallest Pediatric Subspecialty
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A 2024 Pediatrics supplement notes there are only about 363 child abuse pediatricians in active practice—far fewer than neonatologists (~5,319), critical care physicians (~3,128), and cardiologists (~3,096) Packard Foundation+5Children's Mercy+5PubMed+5Packard Foundation.
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Despite growing child maltreatment rates, CAP remains the smallest pediatric subspecialty PubMed.