More than grit: growing and sustaining physician-scientists in obstetrics and gynecology.
More than grit: growing and sustaining physician-scientists in obstetrics and gynecology.
复制标题
DOI：
10.1016/j.ajog.2021.09.045
复制
发表时间：
2022-01
影响因子：
9.8
通讯作者：
中科院分区：
文献类型：
--
作者：
产科医生知道统计数据：每 10 个婴儿中就有 1 个早产，每 25 个孕妇中就有一个患有先兆子痫，美国的孕产妇死亡率是发达国家中最高的。然而，医生和科学家仍然不完全了解正常怀孕的生物学，更不用说导致这些并发症的原因了。受过妇产科培训的医师科学家具有独特的优势，可以通过基础研究解决临床相关问题并解释临床背景下基础研究和转化研究的见解，从而填补关键知识空白。然而，在我们的专业范围内，医师科学家相对较少见。指导不足、缺乏支持和社区以及结构性障碍阻碍了研究员和早期教师追求医师科学家的道路。帮助培养下一代妇产科医师科学家的一种方法是揭开这一过程的神秘面纱，并解决导致早期研究人员流失的常见障碍。在这里，我们从母胎医学早期研究人员的角度回顾了主要挑战，并提出了在指导、获得受保护的研究时间和资源以及确保多样性、公平和包容性等方面的潜在途径。我们讨论了机构和国家层面的早期研究人员和领导者在留住和发展我们的医师科学家队伍的集体努力中的作用。我们的目标是为早期研究人员开始他们的研究生涯提供一个框架，并为与学术利益相关者进行讨论提供一个起点。我们不能因为可改变的因素而失去才华横溢的个人的宝贵贡献，也不能失去我们作为影响怀孕人口问题的倡导者的声音。
Obstetricians know the statistics: one out of every 10 babies is born premature, preeclampsia affects one in 25 pregnant people, the United States has the highest rate of maternal mortality in the developed world. Yet, physicians and scientists still do not fully understand the biology of normal pregnancy, let alone what causes these complications. Obstetrics and gynecology-trained physician-scientists are uniquely positioned to fill critical knowledge gaps by addressing clinically-relevant problems through fundamental research and interpreting insights from basic and translational studies in the clinical context. Within our specialty, however, physician-scientists are relatively uncommon. Inadequate guidance, lack of support and community, and structural barriers deter fellows and early stage faculty from pursuing the physician-scientist track. One approach to help cultivate the next generation of physician-scientists in obstetrics and gynecology is to demystify the process and address common barriers that contribute to the attrition of early stage investigators. Here, we review major challenges and propose potential pathways forward in the areas of mentorship, obtaining protected research time and resources, and ensuring diversity, equity, and inclusion, from our perspective as early stage investigators in maternal-fetal medicine. We discuss the roles of early stage investigators and leaders at the institutional and national level in the collective effort to retain and grow our physician-scientist workforce. We aim to provide a framework for early stage investigators initiating their research careers and a starting point for discussion with academic stakeholders. We cannot afford to lose the valuable contributions of talented individuals due to modifiable factors or forfeit our voices as advocates for issues that impact pregnant populations.
登录
查看更多内容
影响因子：
8
作者：
Brass, Lawrence F.;Akabas, Myles H.
通讯作者：
Akabas, Myles H.
DOI：
10.1073/pnas.1915378117
发表时间：
2020-04-28
影响因子：
11.1
作者：
Hofstra, Bas;Kulkarni, Vivek V.;McFarland, Daniel A.
通讯作者：
McFarland, Daniel A.
影响因子：
5.7
作者：
Holliday, Emma;Griffith, Kent A.;Jagsi, Reshma
通讯作者：
Jagsi, Reshma
影响因子：
8.9
作者：
Hayes, Sharonne N.;Noseworthy, John H.;Farrugia, Gianrico
通讯作者：
Farrugia, Gianrico
影响因子：
7.2
作者：
通讯作者：
--