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  2. Research Domains
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  6. Underfunding For Research Training And Career Development: The Impact On Family Medicine Research.
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  3. Biomedical And Clinical Sciences
  4. Clinical Sciences
  5. Rural Clinical Health
  6. Underfunding For Research Training And Career Development: The Impact On Family Medicine Research.

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Underfunding for Research Training and Career Development: The Impact on Family Medicine Research.

Mechelle Sanders1, Kevin Fiscella1

  • 1Department of Family Medicine, University of Rochester Medical Center, Rochester, NY.

Family Medicine
|March 20, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Family medicine residents receive significantly lower federal research training and career development awards compared to other specialties. This disparity may hinder research funding and career progression in family medicine.

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Area of Science:

  • Medical research funding
  • Physician career development
  • Academic medicine

Background:

  • Federal awards for research training (RT) and research career development (RCD) aim to foster research careers.
  • Ten medical specialties were included: anesthesiology, dermatology, emergency medicine, family medicine, internal medicine, neurology, obstetrics-gynecology, pathology, pediatrics, and psychiatry.

Purpose of the Study:

  • To compare funding rates for RT and RCD across ten medical specialties.
  • To examine the correlation between RCD funding and overall research funding.

Main Methods:

  • Residency graduate data (2001-2010) from the Association of American Medical Colleges provided the denominator.
  • Federally funded awards data (2011-2020) by specialty constituted the numerator.
  • Correlation analysis was performed between RCD funding rates and overall research funding.
  • Main Results:

    • Family medicine exhibited the lowest RT (0.01%) and RCD (0.77%) award rates per graduating resident among the ten specialties.
    • These rates were substantially lower than the mean/median rates observed in the other nine specialties.
    • A significant positive correlation (ρ=0.77, P=.0098) was found between RCD award rates and mean federal funding per active physician.

    Conclusions:

    • Lower RT and RCD award rates in family medicine may contribute to insufficient federal funding for family medicine research.
    • There is a clear need to enhance the research career pathway for family medicine physicians.