Building a System to Engage and Sustain Research Careers for Physicians
Building a System to Engage and Sustain Research Careers for Physicians
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DOI：
10.1097/acm.0000000000003886
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发表时间：
2021-04-01
影响因子：
7.4
通讯作者：
Parent, Leslie J.
中科院分区：
文献类型：
--
作者：
Huang, Xuemei;Dovat, Sinisa;Parent, Leslie J.
在与年龄相关的残疾和传染病不断增加的时候，越来越需要医生调查人员将知识，技术/干预措施和大数据的快速扩展转化为临床领域。然而，医生调查员的数量持续下降，美国只有少数医学院毕业生积极从事研究。由于教育和辅导基础设施较为有限，这一问题在中小型学术机构中可能尤为突出。无论是联邦政府的努力，还是孤立的机构计划，都不能有效地解决这个问题。本文介绍了在宾夕法尼亚州立大学医学院进行的一项综合机构战略，重点是发展和维持一个医生调查人员的劳动力。这一战略的关键要素是新的方案，以缩小医生-研究人员的专业生命周期中的差距，专门的高级领导人与经验丰富的多元化咨询委员会合作，以及数据驱动的方案评估方法。在这篇文章中，实施综合机构计划，包括机构模拟审查前提交的拨款申请，医生，科学家的教师指导，努力匹配计划的评估。详细的策略提供了定制这些方案，以特定机构的背景，以最大限度地提高效率和可持续性。总体战略包括聘请多学科教师作为导师和学员，与临床和基础科学部门合作，将新项目与既定方法相结合，并培养新一代的医生调查人员作为近同行导师和未来的领导者。这种方法可以作为一个有用的范例，建立一个环境，培养初级医生研究人员在其他中等规模的学术机构，也可能有价值的较大的机构，其中有碎片化的努力，以维持医生的研究生涯。
There are increasing needs for physician-investigators to translate the rapid expansion of knowledge, technology/interventions, and big data into the clinical realm at a time of increasing age-related disabilities and communicable diseases. Yet, the number of physician-investigators has continued to decline, and only a small number of medical school graduates in the United States are actively engaged in research. This problem may be particularly pronounced in small- and medium-sized academic institutions due to more limited educational and mentoring infrastructure. Neither efforts by the federal government nor isolated institutional programs alone have been effective yet in solving this problem. This article describes an integrated institutional strategy undertaken at Penn State College of Medicine that is focused on developing and sustaining a physician-investigator workforce. Key elements of this strategy are new programs to close gaps in the professional life cycle of physician-investigators, dedicated senior leaders collaborating with an experienced and diverse advisory committee, and a data-driven approach to programmatic evaluation. In this article, the implementation of integrated institutional programs including Institutional Mock Review for evaluation of grant proposals before submission, physician-scientist faculty mentoring, and effort matching programs are described. Detailed tactics are offered for tailoring these programs to a particular institution's background to maximize both efficiency and sustainability. The overarching strategy includes engaging multidisciplinary faculty as mentors and mentees, partnering with both clinical and basic science departments, integrating new programs with established approaches, and cultivating an emerging generation of physician-investigators as near-peer mentors and future leaders. This approach may serve as a useful paradigm for building an environment to nurture junior physician-investigators at other mid-sized academic institutions and may also have value for larger institutions in which there is fragmentation of the efforts to sustain the research careers of physicians.