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Clinical research career development: the individual perspective.

Myles Wolf1

  • 1Renal Unit, Department of Medicine, Massachusetts General Hospital, USA. mswolf@partners.org

Academic Medicine : Journal of the Association of American Medical Colleges
|November 15, 2002
PubMed
Summary

Barriers in clinical research deter physicians, impacting academic medicine. Financial pressures and inadequate support systems hinder the training of future clinical investigators, requiring further reform.

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Area of Science:

  • Medical Research
  • Clinical Investigation
  • Academic Medicine

Background:

  • Integrating medical breakthroughs into clinical practice necessitates skilled clinical investigators.
  • Significant obstacles deter physicians from pursuing clinical research careers.
  • The fictional case of "Dr. Ross" illustrates challenges faced by aspiring clinical investigators.

Purpose of the Study:

  • To explore factors contributing to the abandonment of academic clinical research careers.
  • To analyze issues in research training, mentoring, funding, and promotion standards from an individual perspective.
  • To highlight the intense financial pressures experienced by trainees in clinical research.

Main Methods:

  • Case study analysis of a fictional clinical investigator ("Dr. Ross").

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  • Examination of personal experiences regarding research training, mentorship, and funding.
  • Review of academic promotion standards and financial pressures on trainees.

    • Main Results:

    • Identified significant impediments deterring physicians from clinical research.
    • Highlighted intense financial pressures as a major deterrent for trainees.
    • Found existing support programs (e.g., NIH K awards, LRP) insufficient without further reform.

    Conclusions:

    • Current challenges threaten academic medicine's ability to train future clinical investigators.
    • Enhanced financial support and systemic reforms are crucial for retaining talent in clinical research.
    • Continued efforts are needed to address barriers and strengthen the clinical research workforce.