Pritchett E L, Wagner G S, Wallace A G, Greenfield J C
Am J Cardiol. 1986 Feb 1;57(4):313-5. doi: 10.1016/0002-9149(86)90910-0.
Alarm has been expressed at recently presented evidence showing that diminishing numbers of physicians are entering academic careers. The experience of the cardiology training program at a university medical center between 1970 and 1984 was reviewed to determine the career paths chosen by its trainees. During the study period, 135 physicians received training. Between 1970 and 1978 the percentage of trainees making academic medicine their initial career choice fluctuated considerably. Beginning in 1978, the percentage entering academic medicine steadily increased; in the most recent class, 8 of 9 trainees accepted academic faculty positions. Among 72 former trainees who joined an academic faculty after finishing training, approximately 7% per year left academic medicine for clinical practice. The median length of an academic career was 10 years. Individual institutions may be able to reverse the national trend of trainees making clinical practice their initial career choice. However, physicians who leave academic medicine for clinical practice may continue to deplete faculty ranks.
最近有证据表明进入学术生涯的医生数量在减少，这引发了人们的担忧。回顾了一所大学医学中心1970年至1984年期间心脏病学培训项目的情况，以确定其学员所选择的职业道路。在研究期间，135名医生接受了培训。1970年至1978年期间，将学术医学作为初始职业选择的学员比例波动很大。从1978年开始，进入学术医学领域的比例稳步上升；在最近一届学员中，9名学员中有8人接受了学术教职岗位。在72名完成培训后加入学术教职队伍的前学员中，每年约有7%的人离开学术医学领域转而从事临床实践。学术生涯的中位数时长为10年。个别机构或许能够扭转学员将临床实践作为初始职业选择的全国性趋势。然而，离开学术医学领域转而从事临床实践的医生可能会继续导致教职队伍人员减少。
