The attrition of young physician-scientists: Problems and potential solutions
The attrition of young physician-scientists: Problems and potential solutions
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DOI：
10.1053/j.gastro.2006.12.023
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发表时间：
2007-02-01
期刊：
影响因子：
29.4
通讯作者：
Anderson, James M.
中科院分区：
文献类型：
--
作者：
Donowitz, Mark;Germino, Greg;Anderson, James M.
在过去的世纪里，医生科学家作为美国医学的思想领袖发挥了突出的作用。该小组取得了许多基础科学进展，并率先将这些进展转化为临床实践。现在，我们正处于后基因组时代，比以往任何时候都更需要这一群体的持续参与，因为他们具有独特的能力，能够在“从板凳到床边”之间架起桥梁。“然而，从事这一职业的医生人数是静态的，他们的平均年龄正在上升。最近的数据表明，这条职业道路的许多好处被许多负面因素所抵消，从而引发了一个问题，“这是一个合理的人应该在2007年及以后从事的职业吗？以下分析表明，目前的答案是“不“。“我们已经确定缺乏职业安全是促使年轻医生放弃医生科学家轨道的一个主要因素。由于这一问题没有得到充分强调，我们认为目前的努力不可能扭转这一令人不安的趋势。我们提出的战略，寻求解决这个问题，并帮助维持年轻的医生，科学家在职业生涯的过渡点，他们最容易放弃。
Physician-scientists have played a prominent role as thought leaders in American medicine over the past century. This group has produced many basic scientific advances and pioneered the translation of these advances into clinical practice. Now that we are in the postgenomic era, there is a greater need than ever for the continued participation of this group because of their unique ability to bridge the "bench to bedside." However, the number of physicians pursuing this career is static and their average age is rising. Recent data indicate that the many benefits of this career path are seen as being outweighed by so many negative factors, as to prompt the question, "Is this a career that a reasonable person should undertake in 2007 and beyond?" The following analysis suggests that the current answer is "no." We have identified the lack of professional security as a major factor that prompts young physicians to abandon the physician-scientist track. Because this problem has not been sufficiently emphasized, we believe current efforts are unlikely to reverse this disturbing trend. We propose strategies that seek to address this problem and help sustain young physician-scientists at career transition points at which they are most vulnerable to give up.