Puljak Livia
Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, TX, USA.
J Investig Med. 2007 Dec;55(8):402-5. doi: 10.2310/6650.2007.00029.
A shortage of physician-scientists in the United States is an ongoing problem. Various recommendations have been made to address this issue; however, none of them have ameliorated the situation. Foreign medical school graduates with postdoctoral training in the United States are an overlooked and untapped resource for combating the dearth of physician-scientists. Evaluation of the scientific staff at the University of Texas Southwestern Medical Center revealed that 11% of all postdoctoral fellows were international medical graduates. Interestingly, a survey taken by these individuals revealed a lack of institutional and/or mentor support for career development and preparation for becoming physician-scientists. Foreign postdoctoral fellows with medical degrees are not even eligible for physician-scientist grants and awards since they are not US citizens. Although physicians educated in the United States usually matriculate from medical school with high educational debt that prevents most of them from entering into scientific careers, doctors trained outside the United States generally have minimal, if any, debt. Furthermore, many of them have a keen interest in remaining in the United States once they complete their postdoctoral training. Thus, foreign-trained medical professionals who have pursued scientific training in the United States can be one of the solutions for the current dearth of physician-scientists.
美国内科医生 - 科学家短缺是一个长期存在的问题。人们提出了各种建议来解决这个问题;然而,没有一项建议改善了这种状况。在美国接受博士后培训的外国医学院毕业生是对抗内科医生 - 科学家短缺这一问题时被忽视且未被开发的资源。对德克萨斯大学西南医学中心科研人员的评估显示,所有博士后中有11%是国际医学毕业生。有趣的是,这些人进行的一项调查显示,他们在职业发展以及为成为内科医生 - 科学家做准备方面缺乏机构和/或导师的支持。拥有医学学位的外国博士后甚至没有资格获得内科医生 - 科学家的资助和奖项,因为他们不是美国公民。虽然在美国接受教育的内科医生通常从医学院毕业时背负着高额教育债务,这使得他们中的大多数人无法进入科研职业,但在美国以外接受培训的医生一般债务极少,甚至没有债务。此外,他们中的许多人在完成博士后培训后非常有兴趣留在美国。因此,在美国接受过科学培训的外国培养的医学专业人员可以成为解决当前内科医生 - 科学家短缺问题的办法之一。