Jaffe R B
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco 94143-0556, USA.
Am J Obstet Gynecol. 1997 Oct;177(4):892-3. doi: 10.1016/s0002-9378(97)70290-4.
Because of changes in health care reimbursement and decreasing federal funding, academic obstetrics and gynecology is at a pivotal point. Either the discipline can regress to the past, when the field and its practitioners were viewed negatively and failed to attract the academic upper echelons of medical students, or it can build on the immense gains it has made in recent years and develop a critical cadre of well-trained clinician-scientists who maintain the discipline at the leading edge of medicine and biology. Data from two programs in which extensive contemporary training in biomedical research is provided, the Reproductive Scientist Development Program and the American Association of Obstetricians and Gynecologists Foundation fellowship program, indicate that the superb physician-scientists in these programs are obtaining peer-reviewed funding in excess of 70%. Thus the risk of recruiting such individuals to academic faculties is small. More important, these individuals are the linchpins for an even more exciting future. The alternatives are unthinkable.
由于医疗保健报销政策的变化以及联邦资金的减少，学术性妇产科正处于一个关键节点。该学科要么退回到过去，那时这个领域及其从业者受到负面评价，无法吸引医学专业学生中的学术精英；要么在近年来取得的巨大成就基础上继续发展，培养一批训练有素的临床科学家骨干，使该学科保持在医学和生物学的前沿。来自两个提供广泛当代生物医学研究培训项目的数据，即生殖科学家发展项目和美国妇产科医师协会基金会奖学金项目，表明这些项目中优秀的医师科学家获得同行评审资金的比例超过70%。因此，招募这些人进入学术教职的风险很小。更重要的是，这些人是更加令人兴奋的未来的关键。其他选择是不可想象的。
