Removing Career Obstacles for Young Physician-Scientists — Loan-Repayment Programs
New England Journal of MedicinePublished 31 January 2002
Timothy J. Ley, León E. Rosenberg
Citations108
SJR quartileQ1
SJR score19.08
SNIP13.47
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The pool of physician-scientists is dwindling, as it has been for more than two decades, and there are many reasons for this problem but the most important one involves the initial decision to hire a doctor.
Abstract
The pool of physician-scientists is dwindling, as it has been for more than two decades.1,2 There are many reasons for this problem,317 but the most important one involves the initial decision whether to pursue a career in research.16,17 When considering a career as a physician-scientist, students must weigh their interest in research against three factors: accumulated debt, a long period of training, and the uncertainty of success. These factors deter many persons from pursuing careers in research. In 1983, the total number of physicians in the United States was 479,439, and the number of physician-scientists was 18,535 . . .
Keywords
Social SciencesMedicine
New England Journal of MedicineThe Clinical Investigator as an Endangered Species
502 Citations1979James Β. Wyngaarden
The physician-investigator as an endangered species and with the future of clinical research are dealt with.
Journal of Clinical InvestigationThe clinical investigator: bewitched, bothered, and bewildered--but still beloved.
293 Citations1997J L Goldstein, Michael S. Brown
JAMAClinical Research<SUBTITLE>Perceptions, Reality, and Proposed Solutions</SUBTITLE>
218 Citations1998David G. Nathan
The panel's final recommendations to NIH included maintaining at least the present proportion of NIH funding for clinical research; continuing mentored opportunities in clinical research for medical students; and developing a joint policy between academic health centers and NIH for the support of clinical research and clinical research training.
Journal of Clinical InvestigationThe physician-scientist: An essential — and fragile — link in the medical research chain
150 Citations1999León E. Rosenberg
Reflections are offered on why preparing one’s self for a career in research, as epitomized by coming to NIH, was so clearly the thing for recent medical school graduates to do then and, just as clearly and paradoxically, is not the thing to do today.
JAMACareers in Clinical Research: Obstacles and Opportunities.
92 Citations1995William N. Kelley
This paper will concern you to try reading careers in clinical research obstacles and opportunities as one of the reading material to finish quickly.
New England Journal of MedicineTraining Basic Scientists to Bridge the Gap between Basic Science and Its Application to Human Disease
48 Citations1989I M Arias
The opportunities are greater than in the past because of the great conceptual and tech advances of the past, but who will solve them?
Academic MedicineThe changing landscape for clinical research [published erratum appears in Acad Med 1999 Sep;74(9):950]
39 Citations1999Stephen J. Heinig, A. S.W. Quon +2 more
The history of U.S. clinical research is reviewed to identify the profound changes stemming from advancements in the biomedical sciences, the recent transformation in the organization and financing of health care delivery, and the increasing application of information technologies.
Annals of Internal MedicineYoung Physician-Scientists: Internal Medicine's Challenge
34 Citations2000León E. Rosenberg
It is concluded that few internal medicine subspecialty programs are currently designed to provide adequate research training as defined by the Institute of Medicine and the ABIM, and that the role of departments of internal medicine in being responsible for the national problems in clinical research and in helping resolve them is prompt.
New England Journal of MedicineEducational-Debt Relief for Clinical Investigators — A Vote of Confidence
32 Citations2002David G. Nathan
Programs of educational-debt relief sponsored by the National Institutes of Health (NIH) have recently been enacted as a means of recruiting and retaining clinical investigators who perform patient-oriented research should be extended immediately to include all physician-scientists.
Academic MedicineThe MD-PhD researcher
26 Citations1996Jon Sutton, C D Killian
A review of the types of research proposed by dual-degree and other investigators in 12,116 applications to the National Institutes of Health found that the research interests of the MD-PhDs studied were more closely aligned with the laboratory pursuits of most of their PhD counterparts than with the more clinically-oriented endeavors of those with the MD degree alone.
ScienceThe Biomedical Research Bottleneck
23 Citations2001Thomas R. Cech, Lorraine W. Egan +5 more
The major funder of biomedical research in the United States, the National Institutes of Health, has also responded to the U.S. decline in physician-investigators by targeting new award programs to these individuals, but these efforts alone are not enough.
New England Journal of MedicineAllocating Limited Resources
10 Citations2002Jeffrey M. Drazen
A number of programs have been established to help attract and retain physician-scientists to pursue full-time investigative careers, including one established by the National Institutes of Health under congressional mandate through the Public Health Improvement Act.