Department of Cell Biology & Human Anatomy, School of Medicine, University of California, Tupper Hall 4303, Davis, CA 95616, USA.
Regen Med. 2013 Mar;8(2):223-5. doi: 10.2217/rme.13.1.
Stem cell-based regenerative and cellular medicine is an exciting, emerging area of medical practice. While bone marrow transplantation, a stem cell-based therapy, has been a part of medicine for decades, in recent years newer and more diverse forms of stem cell-based therapies are being used to treat a rapidly growing population of patients in the USA as well as worldwide. Nonetheless, to this author's knowledge, there is currently not a single academic medical fellowship training program in the USA that specifically prepares physicians for treating patients with stem cell-based therapies other than bone marrow or hematopoietic stem cell transplantation. An increasing number of physicians untrained in stem cell-based regenerative and cellular medicine are nonetheless transplanting stem cells into hundreds if not thousands of patients for a striking diversity of conditions. Furthermore, as stem cell technology advances, a growing number of physicians with academic affiliations may look to legitimately practice regenerative and cellular medicine. What little training that physicians can currently obtain must be found on an ad hoc basis. This article should act as a call for the development of formal academic medical fellowship programs to train physicians in the practice of cellular and regenerative medicine. The USA is used here as an example of a medical sphere in which it can be argued that such training would be helpful, however such programs would be quite helpful globally.
基于干细胞的再生和细胞医学是医学实践中一个令人兴奋的新兴领域。虽然骨髓移植作为一种基于干细胞的疗法已经存在了几十年,但近年来,越来越多的新型和多样化的基于干细胞的疗法被用于治疗美国乃至全球迅速增加的患者群体。尽管如此,据作者所知,目前美国还没有一个专门为医生提供骨髓或造血干细胞移植以外的基于干细胞的治疗方法的学术医学研究员培训计划。越来越多未经干细胞再生和细胞医学培训的医生,尽管如此,他们还是将干细胞移植到数百甚至数千名患者体内,用于治疗各种不同的疾病。此外,随着干细胞技术的进步,越来越多的有学术背景的医生可能希望合法地实践再生和细胞医学。目前,医生所能获得的培训只能临时进行。本文旨在呼吁建立正式的学术医学研究员培训计划,以培训医生进行细胞和再生医学的实践。这里以美国为例,认为这种培训是有帮助的,但这种计划在全球范围内也会非常有帮助。