Windsor John, Garrod Tamsin, Talley Nicholas J, Tebbutt Carmel, Churchill James, Farmer Elizabeth, Baur Louise, Smith Julian A
Department of Surgery, School of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Section of Academic Surgery, Royal Australasian College of Surgeons, North Adelaide, South Australia, Australia.
Intern Med J. 2017 Apr;47(4):394-399. doi: 10.1111/imj.13356.
There has been a decline in the proportion of clinical academics compared with full-time clinicians, since 2004. A Working Party was established to help develop and implement a model for the training of clinical academics. After a highly successful first summit in 2014 that summarised the challenges faced by clinical academics in Australia and New Zealand, a second summit was convened late in 2015 to report on progress and to identify key areas for further action. The second summit provided survey results that identified the varied training pathways currently offered to clinical academics and the institutions willing to be involved in developing improved pathways. A literature review also described the contributions that clinical academics make to the health sector and the challenges faced by this workforce sector. Current training pathways created for clinical academics by Australasian institutions were presented as examples of what can be done. The perspectives of government and research organisations presented at the summit helped define how key stakeholders can contribute. Following the summit, there was a strong commitment to continue to work towards developing a sustainable and defined training pathway for clinical academics. The need for a coordinated and integrated approach was highlighted. Some key objectives were agreed upon for the next phase, including identifying and engaging key advocates within government and leading institutions; publishing and profiling the contributions of successful clinical academics to healthcare outcomes; defining the stages of a clinical academic training pathway; and establishing a mentoring programme for training clinical academics.
自2004年以来，临床学术人员在全体临床医生中所占的比例有所下降。为此成立了一个工作小组，以协助制定和实施临床学术人员培训模式。在2014年成功举办了首次峰会，总结了澳大利亚和新西兰临床学术人员面临的挑战之后，于2015年末召开了第二次峰会，汇报进展情况并确定进一步行动的关键领域。第二次峰会提供的调查结果确定了目前为临床学术人员提供的各种培训途径，以及愿意参与制定改进途径的机构。一项文献综述还阐述了临床学术人员对卫生部门的贡献以及这一劳动力群体所面临的挑战。澳大利亚各机构为临床学术人员制定的现行培训途径被作为范例展示了所能取得的成果。峰会上所展示的政府和研究组织的观点有助于明确关键利益相关者可以如何做出贡献。峰会之后，各方坚定承诺继续努力为临床学术人员制定可持续且明确的培训途径。会上强调了采取协调一致和综合方法的必要性。就下一阶段达成了一些关键目标，包括确定并争取政府和主要机构内的关键倡导者参与；公布并宣传成功临床学术人员对医疗成果的贡献；明确临床学术人员培训途径的各个阶段；以及建立一个培训临床学术人员的指导计划。
