Clinical research career development: The individual perspective
Clinical research career development: The individual perspective
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DOI：
10.1097/00001888-200211000-00004
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发表时间：
2002-11-01
影响因子：
7.4
通讯作者：
Wolf, M
中科院分区：
文献类型：
--
作者：
Wolf, M
将医学科学突破整合到改进的临床实践中的过程需要有才华和敬业的临床研究人员。不幸的是，实质性的障碍阻碍了有天赋的医生进行临床研究。“罗斯博士”是一位有抱负的(虚构的)临床研究员，他的经历被呈现在这份报告中。本文探讨了最终导致罗斯博士选择放弃学术临床研究生涯的因素。从他个人的角度分析了与研究培训、指导、资金和学术提升标准相关的问题。特别强调学员面临的巨大财务压力。最后，提出了可能的解决方案。其中包括对国立卫生研究院K23、K24和K30计划的描述及其为临床研究人员提供的新的校外贷款偿还计划。这些重要进展提供了急需的支持，但还必须做更多的工作。在没有进一步改革的情况下，学术医学培养未来临床研究人员的使命将进一步受到侵蚀。
The process of integrating medical scientific breakthroughs into improved clinical practice requires talented and dedicated clinical investigators. Unfortunately, substantial impediments deter gifted physicians from clinical research. The experience of "Dr. Ross," an aspiring (fictional) clinical investigator, is presented in this report. The factors that ultimately contribute to Dr. Ross' choice to abandon an academic clinical research career are explored. Issues retating to research training, mentoring, funding, and academic promotion standards are analyzed from his individual perspective. Special emphasis is given to the intense financial pressure trainees face. Finally, potential solutions are presented. These include a description of the National Institutes of Health K23, K24, and K30 programs and its new extramural Loan Repayment Program for clinical researchers. These important advances provide much-needed support, but additional work must be done. In the absence of further reform, academic medicine's mission to train tomorrow's clinical investigators will erode further.