R.D. Jones is research area specialist intermediate, Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan. J. Miller is research area specialist intermediate, Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0003-0110-0567. C.A. Vitous is qualitative research analyst, Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan. C. Krenz is research area specialist intermediate, Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-0514-4586. K.T. Brady is distinguished university professor, Medical University of South Carolina, Charleston, South Carolina. A.J. Brown is professor of medicine, Duke University School of Medicine, Durham, North Carolina. G.L. Daumit is Samsung Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. A.F. Drake is Newton D. Fischer Distinguished Professor, University of North Carolina School of Medicine, Chapel Hill, North Carolina. V.J. Fraser is Adolphus Busch Professor of Medicine and chair, Washington University School of Medicine, St. Louis, Missouri. K.E. Hartmann is professor, Vanderbilt University School of Medicine, Nashville, Tennessee. J.S. Hochman is Harold Snyder Family Professor of Cardiology, NYU School of Medicine, New York, New York; ORCID: https://orcid.org/0000-0002-5889-5981. S. Girdler is professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, North Carolina; ORCID: https://orcid.org/0000-0002-0190-0938. A.M. Libby is professor, CU School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado; ORCID: https://orcid.org/0000-0002-4564-9407. C. Mangurian is professor, University of California, San Francisco School of Medicine, San Francisco, California. J.G. Regensteiner is professor, CU School of Medicine, and director, Center for Women's Health Research, Judith and Joseph Wagner Chair in Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, Colorado; ORCID: https://orcid.org/0000-0002-9331-3908. K. Yonkers is professor, Yale School of Medicine, New Haven, Connecticut. R. Jagsi is professor, Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0001-6562-1228.
Acad Med. 2019 Nov;94(11):1746-1756. doi: 10.1097/ACM.0000000000002903.
To enhance understanding of challenges related to work-life integration in academic medicine and to inform the ongoing implementation of an existing program and the development of other interventions to promote success of physician-scientists.
This study is part of a prospective analysis of the effects of the Fund to Retain Clinical Scientists (FRCS), a national program launched by the Doris Duke Charitable Foundation at 10 U.S. institutions, which provides financial support to physician-scientists facing caregiving challenges. In early 2018, 28 of 33 program awardees participated in semistructured interviews. Questions were about challenges faced by physician-scientists as caregivers and their early perceptions of the FRCS. Multiple analysts reviewed deidentified transcripts, iteratively revised the coding scheme, and interpreted the data using qualitative thematic analysis.
Participants' rich descriptions illuminated 5 interconnected themes: (1) Time is a critical and limited resource, (2) timing is key, (3) limited time resources and timing conflicts may have a particularly adverse effect on women's careers, (4) flexible funds enable reclamation and repurposing of time resources, and (5) FRCS leaders should be cognizant of time and timing conflicts when developing program-related offerings.
Programs such as the FRCS are instrumental in supporting individuals to delegate time-consuming tasks and to control how they spend their valuable time. Qualitative analysis suggests that access to and command of valuable time resources are crucial to career advancement, research productivity, and work-life flexibility, especially during critical time points along the physician-scientist trajectory.
增进对学术医学中工作与生活融合相关挑战的理解，并为现有计划的持续实施和其他促进医师科学家成功的干预措施的制定提供信息。
本研究是对保留临床科学家基金（FRCS）影响的前瞻性分析的一部分，该基金是由多丽丝·杜克慈善基金会在 10 个美国机构发起的一项全国性计划，为面临照护挑战的医师科学家提供财政支持。2018 年初，33 名项目受助人中有 28 人参加了半结构化访谈。问题涉及医师科学家作为照护者所面临的挑战，以及他们对 FRCS 的早期看法。多名分析人员审查了匿名化的转录本，迭代修订了编码方案，并使用定性主题分析对数据进行了解释。
参与者的丰富描述阐明了 5 个相互关联的主题：（1）时间是一种关键且有限的资源，（2）时机至关重要，（3）有限的时间资源和时间冲突可能对女性的职业发展产生特别不利的影响，（4）灵活的资金使时间资源得以重新利用和重新规划，（5）FRCS 领导者在制定与项目相关的服务时应意识到时间和时间冲突。
像 FRCS 这样的计划有助于支持个人委派耗时任务，并控制他们如何利用宝贵的时间。定性分析表明，获得和掌控宝贵的时间资源对职业发展、研究生产力和工作生活灵活性至关重要，尤其是在医师科学家职业生涯的关键时间点。
