Bose-Brill Seuli, Riley Sean R, Fried Martin, Childerhose Janet E, Hanks Christopher, Moss Karen O, Miles Laura, Xu Wendy, Schnell Patrick M, Hyer J Madison, Fernandez Soledad, Retchin Sheldon, Jonas Daniel E
Acad Med. 2025 May 1;100(5):562-566. doi: 10.1097/ACM.0000000000005929. Epub 2024 Nov 14.
The U.S. physician scholar workforce, currently comprising less than 1.5% of U.S. physicians, continues to decrease, threatening national status as a global biomedical research leader. Academic medical center (AMC) trends away from tenure-track physician faculty appointments toward clinical faculty appointments have contributed to this decrease, but AMCs have limited strategies to equip clinical faculty to conduct research. Infrastructure fostering clinical faculty research may establish new mechanisms for expanding physician scholar workforce and supporting academic goals of clinical faculty. This article presents one such model, the Center for Health Outcomes in Medicine Scholarship and Service (HOMES), from the Department of Internal Medicine, The Ohio State University College of Medicine.
Established in 2019, HOMES provides research infrastructure, support, and mentorship tailored to clinical faculty needs. Multidisciplinary core faculty support research across 5 cores: clinical networks, biostatistics and secondary data, qualitative methods, mixed methods, and research ethics. HOMES services include research consultation, mentorship, microgrants, a training toolkit, and symposia.
In 4 years, HOMES supported 50 faculty on 99 projects. Forty-five (90%) of these faculty have reported scholarly output, including 127 national presentations, authorship on 41 peer-reviewed articles, and 53 grant submissions. Forty HOMES-supported grant submissions have received funding, and 4 HOMES-supported physicians in training have pursued or plan to pursue AMC research careers.
HOMES has fostered scholarly productivity among AMC physicians, competitive grant applications, and research focus among physicians in training. As demand for HOMES services increases, HOMES will prioritize projects based on their innovation and research skill development potential. Academic medical centers can apply HOMES lessons through fostering clinical faculty collaboration with multidisciplinary research teams and increasing research training opportunities for residents and fellows. National expansion of funding opportunities dedicated to building biomedical research capacity and expertise among clinical faculty can facilitate sustainable scaling of HOMES-like models.
美国医师学者队伍目前占美国医师总数不到1.5%，且仍在持续减少，这威胁到美国作为全球生物医学研究领导者的地位。学术医疗中心（AMC）正从终身教职医师聘任转向临床教职聘任，这一趋势导致了医师学者队伍的减少，但AMC为临床教职人员开展研究提供支持的策略有限。促进临床教职人员研究的基础设施可能会建立新机制，以扩大医师学者队伍，并支持临床教职人员的学术目标。本文介绍了俄亥俄州立大学医学院内科的一个这样的模式，即医学奖学金与服务健康结果中心（HOMES）。
HOMES成立于2019年，提供针对临床教职人员需求的研究基础设施、支持和指导。多学科核心教职人员支持跨越5个核心领域的研究：临床网络、生物统计学和二手数据、定性方法、混合方法以及研究伦理。HOMES的服务包括研究咨询、指导、小额资助、培训工具包和研讨会。
在4年时间里，HOMES为99个项目的50名教职人员提供了支持。其中45名（90%）教职人员有学术成果报告，包括127次全国性报告、在41篇同行评审文章上署名以及提交53份资助申请。HOMES支持的40份资助申请获得了资金，4名接受HOMES支持的在训医师已从事或计划从事AMC研究职业。
HOMES提高了AMC医师的学术生产力、竞争性资助申请以及在训医师的研究关注度。随着对HOMES服务需求的增加，HOMES将根据项目的创新性和研究技能发展潜力对项目进行优先排序。学术医疗中心可以通过促进临床教职人员与多学科研究团队的合作，以及增加住院医师和研究员的研究培训机会来借鉴HOMES的经验。在全国范围内扩大致力于培养临床教职人员生物医学研究能力和专业知识的资助机会，有助于类似HOMES模式的可持续推广。
