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法医病理学中的研究问题:对聘用法医病理学家的学术机构的一项调查。

Research issues in forensic pathology: a survey of academic institutions employing forensic pathologists.

作者信息

Nolte Kurt B

机构信息

Office of the Medical Investigator, University of New Mexico School of Medicine, Albuquerque, NM 871312-0001, USA.

出版信息

Hum Pathol. 2004 May;35(5):532-5. doi: 10.1016/j.humpath.2004.01.010.

Abstract

In an effort to characterize research efforts in forensic pathology, a questionnaire was sent to a representative of each of the 14 academic medical centers that employ full-time faculty forensic pathologists. Responses were received from all 14 (100%) of the institutions queried, representing a total of 39 forensic pathology faculty positions; 21 positions were tenure track and 18 positions were clinical or other tracks. Of the 39 positions, 25 positions (64%) at 10 institutions required some degree of research or scholarly output. Of the 25 forensic pathologists with a research imperative, only 3 (12%) were principal investigators or co-investigators on funded forensic pathology-based projects. The major limitation cited by respondents on the performance of forensic pathology research was the lack of protected time from service responsibilities. Fellowship training in forensic pathology was available at 6 of the 14 respondent institutions. Of these institutions, 4 (67%) had a research requirement for trainees, and 4 (67%) provided research training. In conclusion, very few US medical schools currently employ full-time faculty forensic pathologists. Of these, only a small number of institutions prioritize research by these faculty members. Scant federal funds are available to support research in forensic pathology. Few forensic pathology fellowship programs provide research training. To achieve a robust research agenda in forensic pathology that is sufficient to support the needs of the criminal justice and public health systems will require a paradigm shift in the medicolegal death investigative system and investment by federal agencies.

摘要

为了描述法医病理学的研究工作,我们向14家聘用全职法医病理学教员的学术医疗中心的代表发送了一份调查问卷。收到了所有14家(100%)被调查机构的回复,共涉及39个法医病理学教员职位;其中21个职位是终身教职岗位,18个职位是临床或其他岗位。在这39个职位中,10家机构的25个职位(64%)要求一定程度的研究或学术成果。在这25名有研究要求的法医病理学家中,只有3人(12%)是基于法医病理学的资助项目的首席研究员或共同研究员。受访者提到的法医病理学研究开展的主要限制是缺乏从服务职责中抽出的受保护时间。14家回复机构中有6家提供法医病理学的 fellowship 培训。在这些机构中,4家(67%)对学员有研究要求,4家(67%)提供研究培训。总之,目前美国很少有医学院聘用全职法医病理学教员。其中,只有少数机构重视这些教员的研究工作。用于支持法医病理学研究的联邦资金很少。很少有法医病理学 fellowship 项目提供研究培训。要在法医病理学方面实现一个强大到足以支持刑事司法和公共卫生系统需求的研究议程,将需要法医学死亡调查系统的范式转变以及联邦机构的投资。

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