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影响耳鼻喉科临床科学家职业道路的因素。

Factors Influencing a Clinician-Scientist Career Path in Otolaryngology.

机构信息

Otolaryngology Department, University of California, San Diego, San Diego, California, U.S.A.

出版信息

Laryngoscope. 2022 Aug;132(8):1555-1560. doi: 10.1002/lary.29940. Epub 2021 Nov 13.

Abstract

OBJECTIVES/HYPOTHESIS: To better understand the obstacles facing residents and K-awardee faculty in choosing a clinician-scientist career in otolaryngology.

STUDY DESIGN

Anonymous survey.

METHODS

An anonymous, online Qualtrics survey was sent to residents participating in T32 training grants and K-awardee junior faculty. The survey was sent to the residents with the permission of their program chair. The results of this survey were compiled and analyzed. A separate survey was sent to current K-awardees in U.S. academic programs. Both surveys were then compared to a survey published in 2008 to determine if the concerns and obstacles faced by aspiring clinician-scientists are still present.

RESULTS

Residents felt that combining a research and clinical career presented many obstacles, including a lower salary, competition with PhDs for grant funding, and the lack of departmental support. Prolonging their training to include a fellowship was not a deterrent. Family/spousal issues which ranked as the primary concern previously were no longer given the same level of importance. The major concerns of K-awardees were the economic disparity of clinician-scientists with their clinical counterparts, the lack of mentors, and department support. Forty percent received their K-award after first try, 100% after two revisions, and one has received an R grant funding.

CONCLUSIONS

The obstacles facing clinician-scientists in otolaryngology are highlighted by this survey and require attention by our academic programs, National Institutes of Health, and specialty societies.

LEVEL OF EVIDENCE

NA Laryngoscope, 132:1555-1560, 2022.

摘要

目的/假设:更好地了解耳鼻喉科住院医师和 K 奖获得者在选择临床科学家职业时所面临的障碍。

研究设计

匿名调查。

方法

向参与 T32 培训资助和 K 奖初级教员的住院医师发送匿名在线 Qualtrics 调查。该调查是在获得其项目主席的许可后发送给住院医师的。对调查结果进行了汇编和分析。向美国学术项目中的现任 K 奖获得者发送了单独的调查。然后将这两个调查与 2008 年发表的一项调查进行比较,以确定有志于成为临床科学家的人所面临的问题和障碍是否仍然存在。

结果

住院医师认为将研究和临床工作结合起来存在许多障碍,包括工资较低、与博士竞争资助资金,以及缺乏部门支持。延长培训以包括奖学金并不是一个障碍。以前被列为首要关注的家庭/配偶问题不再受到同样程度的重视。K 奖获得者的主要关注点是临床科学家与临床同行之间的经济差距、缺乏导师和部门支持。40%的人在第一次尝试后获得了 K 奖,100%的人在两次修改后获得了 K 奖,其中一人获得了 R 资助。

结论

本调查突出了耳鼻喉科临床科学家所面临的障碍,需要我们的学术项目、美国国立卫生研究院和专业协会关注。

证据水平

无 喉镜,132:1555-1560,2022 年。

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