Bridging the Gap from T to K: Integrated Surgical Research Fellowship for the Next Generation of Surgical Scientists

Moore, Hunter B.; Moore, Ernest E.; Nehler, Mark R.; Cicutto, Lisa; Bacon, A. W.; Travis, Claire; Schulick, Richard D.

doi:10.1016/j.jamcollsurg.2013.10.026

Cited by 11 publications

(8 citation statements)

References 22 publications

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“…A number of postgraduate medical training programs in several specialties provide a research pathway that reduces the amount of core clinical training time during residency/fellowship and integrates research training. 40 Trainees still meet the clinical requirements for specialty board certification. Oversight and standards for these programs are the responsibility of the individual specialty boards, and the American Board of Medical Specialties is studying how board certification may best be combined with research training.…”

Section: What the Literature Tells Us About The Clinician–investigatomentioning

confidence: 99%

Clinician–Investigator Training and the Need to Pilot New Approaches to Recruiting and Retaining This Workforce

2017

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Clinician–investigators, also called physician–scientists, offer critical knowledge and perspectives that benefit research on basic science mechanisms, improved diagnostic and therapeutic approaches, population and outcomes medicine, health policy, and health services, yet few clinically trained health professionals pursue a research career. Sustaining this workforce requires attention to the unique challenges faced by investigators who must achieve clinical and research competence during training and their careers. These challenges include the duration of required clinical training, limited or discontinuous research opportunities, high levels of educational debt, balancing the dual obligations and rewards of clinical care and research, competition for research funding, and the need for leadership development after training. Women and individuals from underrepresented racial and ethnic groups comprise a small percentage of this workforce.The authors summarize the recent literature on training for clinician–investigators, emphasizing approaches with encouraging outcomes that warrant broader implementation. Using this overview as background, they convened three workshops at the National Institutes of Health in 2016 to identify and refine key priorities for potential new pilot programs to recruit and retain the clinician–investigator workforce. From these workshops emerged three priorities for future pilot programs: (1) support for research in residency, (2) new research on-ramps for health professionals at multiple career stages, and (3) national networks to diversify and sustain clinician–investigator faculty. Implementation of any pilot program will require coordinated commitment from academic health centers, medical licensing/certification boards, professional societies, and clinician–investigators themselves, in addition to support from the National Institutes of Health.

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Section: What the Literature Tells Us About The Clinician–investigatomentioning

confidence: 99%

Clinician–Investigator Training and the Need to Pilot New Approaches to Recruiting and Retaining This Workforce

2017

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“…When establishing the JCDA program, GSI leaders recognized the critical need for these types of early career scholar awards that “level the playing field” and bolster surgical subspecialty research in the field of geriatrics as part of a larger funding challenge; barriers to developing surgical specialty researchers include time commitments required for training in the field and providing patient care. Overall, the success rate in obtaining NIH funding is 2.5 times as high for nonsurgical specialties, and the number of independently funded surgeons is declining . Benchmarks for any program to increase the number of specialists trained in geriatrics must therefore include retention of past fellows in research careers and their ability to garner future funding and produce scholarly work.…”

mentioning

confidence: 99%

“…Overall, the success rate in obtaining NIH funding is 2.5 times as high for nonsurgical specialties, and the number of independently funded surgeons is declining. 1,2,4 Benchmarks for any program to increase the number of specialists trained in geriatrics must therefore include retention of past fellows in research careers and their ability to garner future funding and produce scholarly work.…”

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confidence: 99%

Expanding the Field of Surgical Researchers: The Jahnigen Career Development Award

Deiner

2017

J American Geriatrics Society

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Under a long‐standing collaboration with the John A. Hartford Foundation (JAHF), the Atlantic Philanthropies (AP), and specialty societies in 10 targeted specialties, the American Geriatrics Society (AGS) has been working to improve quality of care provided to older adults by surgical and related medical specialists. To support and nurture future academic leaders, the Geriatrics‐for‐Specialists Initiative (GSI) established the Dennis W. Jahnigen Career Development Scholar Award (JCDA) program in 2002, with AP joining JAHF as a core funder of the awards in 2003. Commencing in 2011, the National Institute on Aging (NIA) launched the Grants for Early Medical/Surgical Specialists’ Transition to Aging Research (GEMSSTAR) program, using an RO3 mechanism. Recipients of the JCDA and the GEMSSTAR are provided with 2 years of research support and networking opportunities with other scholars; 79 JCDA and 26 surgical and related medical specialty GEMSSTAR scholars have been funded through these award mechanisms, with AGS, JAHF, and surgical and related medical specialty societies providing matching support for 20 of the GEMSSTAR scholars for leadership development programs. One of the primary criteria for judging the overall success of the program was eventual transition of the award to a federally funded program, which was achieved when NIA launched the GEMSSTAR program in 2011.

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“…4 In the UK, the integrated academic pathway 7 has been an assertive step forward in securing the position of academic clinical practice, with similar proposals under consideration in the US. 8 While the majority of the RCS research fellowships are one year in duration, a small proportion are for two or three years, usually as joint awards with other bodies. This raises the question as to whether one year of research funding is adequate.…”

Section: Discussionmentioning

confidence: 99%

The impact of The Royal College of Surgeons of England research fellowship scheme

Shalhoub

Cromwell

Coomer

et al. 2016

annals

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Introduction The research fellowship scheme for surgeons in training run by The Royal College of Surgeons of England (RCS) had its 20th anniversary in 2013. A survey was undertaken to assess outcomes of the scheme during those 20 years. Methods Fellowship recipients were invited to complete an online 20-item questionnaire about their fellowship research and research activities since its completion. The questionnaire covered type of research undertaken, higher research degree enrolment, publications resulting from the fellowship research and subsequent research career. Results Of the 502 RCS fellowship recipients, 361 responded (72%). Their research covered a broad array of topics, Almost two-thirds (62%) undertook laboratory-based research and most of the remainder conducted patient-based clinical research. The vast majority (96%) of respondents had enrolled for a higher degree, with a high completion rate: 91% of fellowship recipients in the first 15 years of the scheme obtained their degree. Of the fellowships from the first 15 years of the scheme, between a fifth and a third of recipients subsequently held an academic position. The median number of peer reviewed articles and presentations per recipient was 3 and 6 respectively. Almost two-thirds (60%) of respondents had obtained funding for further research, with over half of these receiving grants from national research funding bodies. Conclusions The RCS research fellowship scheme has helped trainee surgeons to undertake research towards the start of their career. Most trainees used RCS fellowships as part of their funding towards a higher degree and this was regularly achieved, along with a number of peer reviewed publications. A significant proportion of fellowship recipients progressed into academic positions in surgery.

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Bridging the Gap from T to K: Integrated Surgical Research Fellowship for the Next Generation of Surgical Scientists

Cited by 11 publications

References 22 publications

Clinician–Investigator Training and the Need to Pilot New Approaches to Recruiting and Retaining This Workforce

Clinician–Investigator Training and the Need to Pilot New Approaches to Recruiting and Retaining This Workforce

Expanding the Field of Surgical Researchers: The Jahnigen Career Development Award

The impact of The Royal College of Surgeons of England research fellowship scheme

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