Training Clinician Scientists as Outstanding Clinicians and Imaging Scientists

项目总结 成像在临床护理和生物医学研究中的作用越来越大，导致了井的严重短缺。 训练有素的临床医生-放射学科学家。目前只有一小部分居民选择学术，更少的人 从事研究，获得资金的人更少。德克萨斯大学西南分校放射科 制定了一项独特的计划，以培养优秀的临床医生和可资助的团队领导人和科学家。它是 基于Mattrey博士在加入UTSW之前在UCSD建立的成功且经过验证的模型。我们选择 在研究方面有良好记录的申请者-那些将医学院延长一年或更长时间的申请者 进行研究，而不是依赖于将临床受训人员吸引到学术界。UTSW幸运的是 在过去的三年里，每年都有超过130名符合T32资格的申请者，有着这样的记录。我们 从这个小组采访那些在医学院表现优异的人，以确保他们的表现像 以及他们极具竞争力的临床同事。UTSW培训模式的改进有：1)保障 在我们排名靠前的内科或外科项目中提供实习机会，以及2)提供9个月的选修时间 最后一个培训年度，在董事会考试后，以磨练临床技能，完成或过渡他们的研究，如果 他们改变了临床重点，是时候在导师的指导下提交职业奖项了。 培训模式使学员在整个6年的时间里沉浸在指导性研究和临床培训中。它 从实习一年开始，在放射学方面有3个月的时间来选择导师和项目，以及 让他们做好准备，在不受临床责任束缚的情况下，花第二年时间致力于研究。它还 让学员在接下来的4个临床年中参与研究，通过花费6周的时间 每年投入的研究时间，在他们最后一年的临床中更是如此，为他们提供了近2年的 专心研究。除了研究培训外，临床培训将与他们的 临床同行使他们具有同样的技能，但将在最后一年量身定做，以满足他们的临床需求 作为他们的研究目标。除了广泛的标准临床讲座外，他们还将有额外的讲座 以及专门针对临床科学家需求的研讨会。在整整6年的时间里由 他们的职业导师--选自我们9位临床科学家之一--将得到他们的研究的补充 他们在实习年度结束时挑选导师，为他们提供指导未来职业生涯的榜样。 UTSW和UTSW放射科非常适合培训下一代成像 科学家。放射科有一位非常支持的主席，出色的资源和基础设施，以及 杰出的、资金充足的放射学导师(&gt；650万/年)。我们增加了4位非放射学导师 从事影像研究。我们的导师在过去的10年里培训了250多名学员，有40名 当前受训人员，是42项有效赠款的私人投资经理，总计2240万美元/年，非竞争续签通过 2022年他们的学员已经发表了690篇独特的手稿，其中大多数发表在影响力很大的期刊上。

PROJECT SUMMARY The growing role of imaging in clinical care and biomedical research has resulted in an acute shortage of well- trained clinician-scientists in Radiology. Only a small fraction of current residents choose academics, fewer pursue research, and fewer still garner funding. The UT Southwestern (UTSW) Department of Radiology developed a unique program to train outstanding clinicians and fundable team leaders and scientists. It is based upon the successful and proven model Dr. Mattrey built at UCSD prior to joining UTSW. We select applicants with proven track record in research – those that extended medical school by 1 or more years to perform research, rather than rely on attracting clinically bound trainees to academics. UTSW is fortunate to have attracted over 130 T32 qualified applicants per year over the past 3 years with such a track record. We interview from this group those with excellent medical school performance to ensure that they will perform as well as their highly competitive clinical colleagues. The UTSW training model was improved by 1) guaranteeing an internship slot in our top ranked medicine or surgery programs, and 2) providing 9 months of elective time in the last training year, after the board examination, to hone clinical skills, complete or transition their research if they changed their clinical focus, and time to submit a career award guided by their mentors. The training model immerses the trainee in mentored research and clinical training over the entire 6 years. It begins with the internship year that provides 3 months in Radiology to select a mentor and a project, and prepare them to spend their 2nd year dedicated to research unencumbered by clinical responsibilities. It also keeps trainees engaged during the subsequent 4 clinical years to build upon research by spending 6 weeks of dedicated research time per year, and more so in their last clinical year providing them nearly 2 years of dedicated research. In addition to research training, clinical training will be identical and in sync with their clinical peers making them equally skilled, but will be tailored during the last year to meet their clinical as well as their research goals. In addition to the extensive standard clinical lectures, they will have additional lectures and workshops specific to the needs of a clinician scientist. The mentorship provided over the entire 6 years by their career mentor – selected from one of our 9 clinician-scientists, will be supplemented by their research mentor they select by the end of their internship year providing them role models to guide their future careers. UTSW and the UTSW Department of Radiology are well suited to train the next generation of imaging scientists. Radiology has an extremely supportive Chairman, outstanding resources and infrastructure, and outstanding well-funded mentors in Radiology (>6.5M/year). We added 4 non-Radiology mentors that are engaged in imaging research. Our mentors have trained over 250 trainees in the past 10 years, have 40 current trainees, and are PIs on 42 active grants totaling $22.4M/year with non-competing renewals through 2022. Their trainees have published 690 unique manuscripts the majority of which in high impact journals.