Yale Child Health Research Center, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Acad Med. 2011 May;86(5):644-8. doi: 10.1097/ACM.0b013e318212be02.
Pediatric academia is evolving in the face of many changes: a challenging funding environment, trainees who favor clinical care and part-time careers over biomedical research, and a shrinking pipeline of physician-scientists and clinician-scholars. The trend toward fewer pediatric-based academicians with classical academic interests is the consequence of numerous factors and parallels the decline in MDs entering research careers in other fields. With increasing interest in clinical positions. After fellowship, fewer trainees focus on the rigorous prospective clinical or basic projects which used to dominate fellowship research training. Trainees increasingly choose clinician or clinician-educator career paths. Contributing to this shift are substantial economic pressures that favor the recruitment and development of clinician faculty over research scholars. As these trends continue, there will be a less pluralistic pediatric research base, and high-value pediatric research will become consolidated at institutions with the financial capacity to support pediatric research. The challenge in pediatrics is to anticipate and manage these academic shifts and determine where pediatric academia should move. The author offers several ideas for managing and adapting to the challenges facing academic pediatrics.
充满挑战的资金环境、与生物医学研究相比更倾向于临床医疗和兼职职业的受训者、以及医生科学家和临床学者人数减少的人才储备。这种具有传统学术兴趣的儿科基础学者数量减少的趋势是多种因素共同作用的结果，与其他领域从事研究职业的医生人数减少的趋势一致。随着对临床职位的兴趣增加，完成专科培训后，较少的受训者专注于过去主导专科培训研究的严格前瞻性临床或基础项目。受训者越来越多地选择临床医生或临床教育者的职业道路。造成这种转变的原因是巨大的经济压力，有利于招聘和发展临床教师，而不是研究学者。随着这些趋势的持续，儿科研究基础将变得更加单一，高价值的儿科研究将集中在有能力支持儿科研究的机构。儿科面临的挑战是预测和管理这些学术转变，并确定儿科学术界应该向何处发展。作者提出了一些管理和适应学术儿科面临的挑战的想法。
