Association of American Medical Colleges, Washington, DC 20037, USA.
Acad Med. 2011 Jan;86(1):127-31. doi: 10.1097/ACM.0b013e3181ffae5e.
Faculty members in medical schools and academic medical centers are in a constant process of generating new knowledge. The cornerstone of academia--and academic medicine--is scholarship. Traditionally, tenure and/or academic promotion in the professorial ranks is awarded to those who meet institutional criteria in the missions of research, teaching, and service, including patient care. In the academic review process, priority is often placed on a record of demonstrated, consistent success in traditional laboratory research, also known as the scholarship of discovery. More recently, there has been greater recognition of other forms of scholarship: education, application, and integration. These forms of scholarship, although less recognized, also result in the generation of new knowledge. In an attempt to understand the breadth and scope of clinical scholarship, the authors searched the extant literature in academic medicine for a definition of clinical scholarship and expanded the search to disciplines outside of medicine. They found that succinct, discrete definitions of clinical scholarship have been published in other disciplines, but not in academic medicine. After reviewing definitions of clinical scholarship from other disciplines, adapting definitions of educational scholarship in academic medicine, and including qualities unique to clinical scholarship, the authors developed a framework for understanding clinical scholarship in academic medicine as a means for opening a dialogue within the academic medical community. This dialogue hopefully will lead to formulating a succinct, discrete definition of clinical scholarship that will allow greater recognition and reward for clinical scholars in the promotion and tenure process.
医学院校和学术医学中心的教职员工一直在不断地产生新知识。学术界——以及学术医学——的基石是学术研究。传统上，教授职位的终身教职和/或学术晋升授予那些在研究、教学和服务（包括患者护理）使命中符合机构标准的人。在学术审查过程中，通常优先考虑在传统实验室研究中表现出的、一致的成功记录，也称为发现学术研究。最近，人们越来越认识到其他形式的学术研究：教育、应用和整合。这些形式的学术研究虽然得到的认可较少，但也会产生新知识。为了了解临床学术研究的广度和范围，作者在学术医学的现有文献中搜索了临床学术研究的定义，并将搜索范围扩大到医学以外的学科。他们发现，其他学科已经发表了简洁、明确的临床学术研究定义，但在学术医学中没有。在回顾了其他学科的临床学术研究定义、采用了学术医学中的教育学术研究定义，并纳入了临床学术研究特有的特点之后，作者提出了一个理解学术医学中临床学术研究的框架，作为在学术医学社区内开展对话的一种手段。这种对话有望促成制定一个简洁、明确的临床学术研究定义，以便在晋升和终身教职过程中更好地认可和奖励临床学者。
