Clinician Innovator: A Novel Career Path in Academic Medicine A Presidentially Commissioned Article From the American Heart Association
Clinician Innovator: A Novel Career Path in Academic Medicine A Presidentially Commissioned Article From the American Heart Association
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DOI：
10.1161/jaha.115.001990
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发表时间：
2015-10-01
影响因子：
5.4
通讯作者：
McConnell, Michael V.
中科院分区：
文献类型：
--
作者：
Majmudar, Maulik D.;Harrington, Robert A.;McConnell, Michael V.
医学实践正在发生重大变化，而这一变化的关键驱动力是技术创新的加速。传统的医疗保健创新主要集中在开发新的诊断方法、药物和设备，供医院和诊所使用，最近的扩展包括质量改进和成本控制。以智能手机和联网设备为中心的数字医疗技术的爆炸式发展，以及先进的低成本、小型化电子设备的支持，为临床医生、研究人员和医疗保健管理人员提供了重大机遇。这与个人和人口“大数据”的快速增长相吻合-从基因组到生理组-可以帮助我们更有效地诊断和治疗疾病，包括心脏病和中风护理。随着医疗保健领域的这些进步加速，学术医疗中心应该在与行业合作方面发挥积极作用，支持创新，包括实施技术支持的医疗保健解决方案。学术医学创新者比以往任何时候都更需要在职业道路上接受培训和适当的支持，以满足不断变化和具有挑战性的医疗保健系统的需求。美国心脏协会（AHA）最近在德克萨斯州奥斯汀举行的第一届心脏技术论坛上召集了临床医生，科学家，工程师和企业家，以激励和增加合作和创新，以实现AHA 2020年减少心脏病和中风的目标。2会议的一个关键组成部分是讨论和促进这一迅速出现的领域的职业发展。学术医学一直是创新的重要贡献者，基础研究的进步为医疗创新提供了基础。然而，随着我们继续见证技术和医疗保健的前所未有的变化，学术医学需要促进，教育和支持学员在基础和转化研究，医疗保健提供和实施科学以及新兴数字健康技术的融合中的职业生涯。越来越多的数字健康工具和其他新形式的技术需要新的培训模式和思维，以了解它们在临床实践中的适当位置和价值。此外，这一领域需要年轻的学员和教师，他们可能需要采用新的分析或技术工具的职业道路，包括连接设备、行为改变和社交媒体。
The practice of medicine is transforming substantially and a pivotal driver of this change has been the accelerating pace of technology innovation. Traditional healthcare innovation has focused on the development of new diagnostics, drugs, and devices for use in hospitals and clinics, with more recent expansion to include quality-improvement and costcontainment efforts. The explosion of digital health technologies, centered around smartphones and connected devices, and enabled by advanced low-cost, miniaturized electronics, presents significant opportunities for clinicians, researchers, and healthcare administrators. 1 This is coinciding with the rapid growth of personal and population “big data”—from genome to physiome—that can help us diagnose and treat illness more effectively and efficiently, including in heart disease and stroke care. As these advances in healthcare accelerate, academic medical centers should play an active role in collaborating with industry in championing innovation, including implementation of technology-enabled healthcare solutions. More than ever before, innovators in academic medicine need to be trained and appropriately supported in their career path to meet the needs of a changing, and challenging, healthcare system. The American Heart Association (AHA) recently convened clinicians, scientists, engineers, and entrepreneurs at the first Heart Tech Forum in Austin, Texas to inspire and increase collaboration and innovation toward AHA’s 2020 goal of reducing heart disease and stroke. 2 A key component of the meeting was discussion and promotion of career development in this rapidly emerging area. Academic medicine has always been a significant contributor to innovation, with the advances in basic research providing the foundation of healthcare innovation. However, as we continue to witness unprecedented change in technology and health care, there is a need for academic medicine to promote, educate, and support trainees for a career at the convergence of basic and translational research, healthcare delivery and implementation science, and emerging digital health technologies. The growing number of digital health tools and other novel forms of technology require new training paradigms and thinking to understand their appropriate place and value in clinical practice. Additionally, young trainees and faculty are needed in this area and may require career paths that incorporate new analytical or technological tools, including connected devices, behavior change, and social media.