Literature DB >> 25708626

Barriers to and Facilitators of a Career as a Physician-Scientist Among Rheumatologists in the US.

Alexis Ogdie1, Ami A Shah2, Una E Makris3, Yihui Jiang1, Amanda E Nelson4, Alfred H J Kim5, Sheila T Angeles-Han6, Flavia V Castelino7, Amit Golding8, Eyal Muscal9, J Michelle Kahlenberg10, Frances K Barg1.   

Abstract

OBJECTIVE: To determine perceived barriers to and facilitators of a career in rheumatology research, examine factors leading rheumatologists to leave an academic research career, and solicit ways to best support young physician-scientists.
METHODS: A web-based survey was conducted among the domestic American College of Rheumatology (ACR) membership from January through March 2014. Inclusion criteria were ACR membership and an available e-mail address. Non-rheumatologists were excluded. The survey assessed demographics, research participation, barriers to and facilitators of a career in research, reasons for leaving a research career (when applicable), and ways in which the ACR could support junior investigators. Content analysis was used to extract relevant themes.
RESULTS: Among 5,448 domestic ACR members, 502 responses were obtained (9.2% response rate). After exclusions (38 incomplete, 2 duplicates, 32 non-rheumatologists), 430 responses were analyzed. Participants included fellows, young investigators, established investigators, mentors, clinicians, and those who previously pursued a research career but have chosen a different career path. Funding and mentoring were the most highly ranked barriers and facilitators. Protection from clinical and administrative duties, institutional support, and personal characteristics such as resilience and persistence were also ranked highly. The most commonly cited reasons for leaving an academic research career were difficulty obtaining funding and lack of department or division support.
CONCLUSION: This is the first study to examine barriers to and facilitators of a career in rheumatology research from the perspectives of diverse groups of rheumatologists. Knowledge of such barriers and facilitators may assist in designing interventions to support investigators during vulnerable points in their career development.
© 2015, American College of Rheumatology.

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Year:  2015        PMID: 25708626      PMCID: PMC4546916          DOI: 10.1002/acr.22569

Source DB:  PubMed          Journal:  Arthritis Care Res (Hoboken)        ISSN: 2151-464X            Impact factor:   4.794


  16 in total

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Authors:  Claude Desjardins; E William St Clair; Ronald G Ehrenberg
Journal:  Arthritis Rheum       Date:  2010-12

2.  The attrition of young physician-scientists: problems and potential solutions.

Authors:  Mark Donowitz; Greg Germino; Fabio Cominelli; James M Anderson
Journal:  Gastroenterology       Date:  2007-02       Impact factor: 22.682

3.  Enhancing research in academic radiology departments: recommendations of the 2003 Consensus Conference.

Authors:  Philip O Alderson; Linda B Bresolin; Gary J Becker; James H Thrall; N Reed Dunnick; Bruce J Hillman; Joseph K T Lee; Edward C Nagy
Journal:  J Am Coll Radiol       Date:  2004-08       Impact factor: 5.532

4.  Physician-scientist: attitude of graduates of clinical medicine graduate schools.

Authors:  Ken N Kuo; Tsann-Long Hwang; Pei-Jer Chen
Journal:  J Formos Med Assoc       Date:  2008-07       Impact factor: 3.282

5.  Rheumatology fellows' perception on training and careers in academia: the American College of Rheumatology Fellow Research and Academic Training Survey.

Authors: 
Journal:  Arthritis Rheum       Date:  2009-02-15

6.  The physician scientist: balancing clinical and research duties.

Authors:  Penelope A Morel; Gillian Ross
Journal:  Nat Immunol       Date:  2014-12       Impact factor: 25.606

7.  Challenges facing physician scientist trainees: a survey of trainees in Canada's largest undergraduate and postgraduate programs in a single centre.

Authors:  Brian G Ballios; Norman D Rosenblum
Journal:  Clin Invest Med       Date:  2014-10-04       Impact factor: 0.825

8.  The clinical investigator as an endangered species.

Authors:  J B Wyngaarden
Journal:  Bull N Y Acad Med       Date:  1981 Jul-Aug

9.  AMIGO: a novel approach to the mentorship gap in pediatric rheumatology.

Authors:  Peter A Nigrovic; Eyal Muscal; Meredith Riebschleger; L Nandini Moorthy; Hermine I Brunner; Barbara A Eberhard; Marisa Klein-Gitelman; Sampath Prahalad; Rayfel Schneider
Journal:  J Pediatr       Date:  2014-02       Impact factor: 4.406

Review 10.  Challenges facing early career academic cardiologists.

Authors:  Carl W Tong; Tariq Ahmad; Evan L Brittain; T Jared Bunch; Julie B Damp; Todd Dardas; Amalea Hijar; Joseph A Hill; Anthony A Hilliard; Steven R Houser; Eiman Jahangir; Andrew M Kates; Darlene Kim; Brian R Lindman; John J Ryan; Anne K Rzeszut; Chittur A Sivaram; Anne Marie Valente; Andrew M Freeman
Journal:  J Am Coll Cardiol       Date:  2014-04-02       Impact factor: 24.094

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Review 2.  Gaps in Aging Research as it Applies to Rheumatologic Clinical Care.

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Journal:  Clin Geriatr Med       Date:  2016-10-18       Impact factor: 3.076

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Journal:  Arthritis Care Res (Hoboken)       Date:  2015-09       Impact factor: 4.794

4.  Barriers and Facilitators of Mentoring for Trainees and Early Career Investigators in Rheumatology Research: Current State, Identification of Needs, and Road Map to an Inter-Institutional Adult Rheumatology Mentoring Program.

Authors:  Alexis Ogdie; Jeffrey A Sparks; Sheila T Angeles-Han; Kathleen Bush; Flavia V Castelino; Amit Golding; Yihui Jiang; J Michelle Kahlenberg; Alfred H J Kim; Yvonne C Lee; Kirthi Machireddy; Michael J Ombrello; Ami A Shah; Zachary S Wallace; Peter A Nigrovic; Una E Makris
Journal:  Arthritis Care Res (Hoboken)       Date:  2018-02-06       Impact factor: 4.794

5.  Building an ARC to Grant Success: The Aims Review Committee.

Authors:  Peter A Nigrovic
Journal:  Arthritis Care Res (Hoboken)       Date:  2017-03-03       Impact factor: 4.794

6.  Efficacy of an Interinstitutional Mentoring Program Within Pediatric Rheumatology.

Authors:  Lakshmi Nandini Moorthy; Eyal Muscal; Meredith Riebschleger; Marisa Klein-Gitelman; Lise E Nigrovic; Jeffrey R Horon; Kelly Rouster-Stevens; Polly J Ferguson; B Anne Eberhard; Hermine I Brunner; Sampath Prahalad; Rayfel Schneider; Peter A Nigrovic
Journal:  Arthritis Care Res (Hoboken)       Date:  2016-05       Impact factor: 4.794

7.  Professional fulfillment and parenting work-life balance in female physicians in Basic Sciences and medical research: a nationwide cross-sectional survey of all 80 medical schools in Japan.

Authors:  Yuka Yamazaki; Takanori Uka; Eiji Marui
Journal:  Hum Resour Health       Date:  2017-09-15

8.  The Highly Structured Physician Scientist Training Program (PSTP) for Medical Students at the University of Pittsburgh.

Authors:  Richard A Steinman; Chelsea N Proulx; Arthur S Levine
Journal:  Acad Med       Date:  2020-09       Impact factor: 7.840

9.  Mentoring for postdoctoral researchers in rheumatology: the Emerging EULAR Network (EMEUNET) post-doc mentoring programme.

Authors:  Javier Rodríguez-Carrio; Polina Putrik; James Gwinnutt; Alexandre Sepriano; Alessia Alunno; Sofia Ramiro; Jan Leipe; Elena Nikiphorou
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  9 in total

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