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Career paths for clinical scientists

G C Farrell1

  • 1Storr Liver Unit, Department of Medicine, University of Sydney, Westmead Hospital, New South Wales, Australia.

Journal of Gastroenterology and Hepatology
|September 1, 1996
PubMed
Summary
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Clinical investigators are declining globally, particularly in Australia, due to career barriers and reduced research output. Solutions involve earlier recruitment and integrated training for medical research careers.

Area of Science:

  • Medical Research
  • Clinical Investigation

Background:

  • The number and research productivity of clinical investigators have declined globally over 16 years.
  • This decline is particularly evident in Australia, with fewer clinical scientists maturing and reduced research output relative to basic scientists.

Purpose of the Study:

  • To analyze the decline of clinical investigators and identify reasons for fewer medical graduates entering and remaining in research careers.
  • To propose strategies for revitalizing clinical research and supporting clinical scientists.

Main Methods:

  • Review of the Australian context over the past 16 years.
  • Analysis of factors influencing medical graduates' entry and retention in research careers.

Main Results:

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  • Identified factors include late entry age, negative role modeling, peer review biases, and perceived career instability.
  • Concerns exist regarding clinical investigators' ability to secure research grants compared to basic researchers.
  • Conclusions:

    • Proposed solutions include earlier recruitment for research training, combined medical and research training, and streamlined postgraduate clinical training.
    • Emphasized the need for generic research skills and collaborative training with basic scientists for clinical scientists.