Bridging the Bed-Bench Gap Contributions of the Markey Trust (2004) / Chapter Skim
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Appendix B: The Endangered Physician-Scientist: Opportunities for Revialization Emerge
Appendix B: The Endangered Physician-Scientist: Opportunities for Revialization Emerge
Pages 60-68
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From page 60... ...
, the National Research Council's Committee on National Needs for Biomedical and Behavioral Research (NRC, 2000) , the American Medical 1A number of individuals generously provided us with information for this report: Marc Horowitz, Ruth Kirschstein, Burton Shapiro, and Judith Vaitukaitis of the National Institutes of Health; Andrew Quon of American Association of Medical Colleges; Carl Rhodes of the Howard Hughes Medical Institute; and Hui Wen Chan and Tamara Zemlo of the Federation of American Societies for Experimental Biology.
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From page 61... ...
This decline was noted at the most researchintensive medical schools as well as those with less research activity. A distinctly smaller fraction of female students, who now constitute about 49 percent of all medical students, expressed stronger research intentions than did their male counterparts (Guelich et al., under review)
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From page 62... ...
These pathways differ in many ways other than when the career choice is made. First, the late-bloomer pool remains far larger than that of the M.D./Ph.D.; M.D.s still account for about 70 percent of physicianscientists serving as principal investigators on NIH research project grants.
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From page 63... ...
Second, whereas medical school education is not aimed at teaching one how to obtain scientific answers, it is the ideal place to raise a wide range of questions about health and disease that can be answered only through basic or applied research. It is the questions that physician-scientists ask because of their involvement with sick patients that distinguish their approach to research, and that make them critical members of the health research workforce.
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From page 64... ...
Too often the stipends are insufficient to meet individual or family responsibilities and repay enormous medical school loans. For those intrepid enough to soldier on and achieve faculty status, the challenges continue, and perhaps grow even larger.
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From page 65... ...
Horowitz, personal communication, 2001~. · The NIH also supports focused loan repayment programs for trainees in the intramural program working in any of four areas of special need: AIDS; underrepresented minorities doing clinical research; contraceptive and infertility research; and general research.
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From page 66... ...
· A growing number of academic institutions (e.g., Duke, Harvard, Johns Hopkins, Yale, UCLA, and Washington University) have develTABLE B.1 Nonprofit Organizations Supporting Training and Career Development of Physician-Scientists Stage of Support Offered Fellow Junior Senior Organization Faculty Faculty American Cancer Society American Federation for Aging Research X American Gastroenterologic Association American Lung Association American Society of Hematology Berlex Foundation Burroughs Wellcome Fund Damon Runyon Fund Doris Duke Charitable Trust Leukemia and Lymphoma Society National Foundation for Infectious Diseases Rockefeller Brothers Fund X X X X X X X X X X X X X X X X X SOURCE: Modified from Chan and Zemlo (2001)
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From page 67... ...
is justified by the large applicant pool and the positive outcome of those so trained. But this action alone will not solve the problem of M.D.s doing clinical research with patients.
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From page 68... ...
Journal of the American Medical Association 16:1427-1431. National Research Council.
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