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Updated: Jan 22, 2026
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从床边到长椅没有返回:外科医生到研究人员的转变 (2009-2024)
Joseph Sujka1, Rachel L Wolansky, Lorenzo Hiraldo
1Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, FL.
Journal of the American College of Surgeons
|January 21, 2026
概括
在NIH资助的手术研究中,外科医生科学家的领导地位正在转变,MD-Only主要调查员 (PI) 的下降和MD-PhD PI的增加. 越来越多的MD PIs保持证书没有最近的临床实践,可能阻碍研究翻译.
科学领域:
- 手术研究的研究.
- 美国国家卫生研究院 (NIH) 资金趋势
- 医生科学家发展计划
背景情况:
- 外科医生科学家对于将实验室发现转化为临床实践至关重要.
- 由于竞争激烈的NIH资金,人们对外科研究领导中的医生代表存在担忧.
- 这项研究分析了15年的NIH手术资金,以了解外科医生科学家领导和临床参与的趋势.
研究的目的:
- 描述了15年来NIH资助的外科研究中外科医生科学家领导和临床参与的趋势.
- 检查主要研究员 (PI) 资格证书的不断变化的格局及其与现有临床实践的关系.
- 确定对研究结果双向翻译的潜在影响.
主要方法:
- 对2009年,2014年,2019年和2024年的NIH RePORTER数据进行分析 (N=4,511个独特的PI,4,011个赠款,177亿美元).
- 通过网络扫描收集PI凭证 (学位类型,国家提供者标识符,董事会认证) 和医疗保险计费活动.
- 双向ANOVA和差距分析评估了基于时间的相互作用以及临床认证和积极实践之间的关系.
主要成果:
- 美国国立卫生研究院的手术资金增加了53%,但赠款数量保持稳定.
- 只有MD的PI从48.9%降至40.8%,而MD-PhD的PI增加了64% (15.2%至24.9%).
- 在MD PIs中,临床认证和积极实践之间存在着越来越大的差距,26.6%的患者在2024年没有Medicare计费.
结论:
- 传统的MD-only手术研究领导力正在下降,MD-PhD研究者显著增加.
- 很大一部分MD PIs保持凭证没有最近的临床计费,表明潜在的断开连接.
- 学术部门应促进支持临床活跃的外科医生科学家的途径,以确保有效的双向研究翻译.
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