The Future of the surgeon-scientist: A Journey Funneled through inspiration, Roadblocks and Resilience

Fanfan, Dino; Ehrlich, Haley; Elkbuli, Adel

doi:10.1016/j.amsu.2020.12.047

Cited by 8 publications

(8 citation statements)

References 21 publications

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“…In 2 surveys administered by the Society of University Surgeons in the past 2 decades, surgeons have called for institutions to recognize the value of surgical research and decrease the barrier to research by lowering clinical demands . Other recommendations included protection from academic duties, especially for women and junior faculty, as well as more mentorship support for early and midcareer faculty . This protected time can be used to mentor the next generation of surgeon-scientists as well as serving on NIH study sections to increase surgical representation, which can increase the rate of application success among surgeons …”

Section: Discussionmentioning

confidence: 99%

“…17,22 Other recommendations included protection from academic duties, especially for women and junior faculty, 17,20 as well as more mentorship support for early and midcareer faculty. 4,23,24 This protected time can be used to mentor the next generation of surgeon-scientists 4,23 as well as serving on NIH study sections to increase surgical representation, which can increase the rate of application success among surgeons. 25 In addition to increased support for protected research time, a second strategy to enhance the surgeon-scientist workforce is to move toward team-based science.…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated that 28% to 30% of the global burden of disease is treatable by surgery . Uniquely positioned at the intersection between the laboratory and clinical settings, surgeon-scientists are capable of accelerating the translation of biomedical research to drive innovation in patient care . Surgeons who are funded by the National Institutes of Health (NIH) are very productive .…”

Section: Introductionmentioning

confidence: 99%

“…1 Uniquely positioned at the intersection between the laboratory and clinical settings, surgeon-scientists are capable of accelerating the translation of biomedical research to drive innovation in patient care. [2][3][4][5] Surgeons who are funded by the National Institutes of Health (NIH) are very productive. [6][7][8] Despite the importance of surgeon-scientists to the biomedical research workforce, the surgeon-scientist workforce is decreasing.…”

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Rates of National Institutes of Health Funding for Surgeon-Scientists, 1995-2020

et al. 2023

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ImportanceSurgeon-scientists are uniquely positioned to facilitate translation between the laboratory and clinical settings to drive innovation in patient care. However, surgeon-scientists face many challenges in pursuing research, such as increasing clinical demands that affect their competitiveness to apply for National Institutes of Health (NIH) funding compared with other scientists.ObjectiveTo examine how NIH funding has been awarded to surgeon-scientists over time.Design, Setting, and ParticipantsThis cross-sectional study used publicly available data from the NIH RePORTER (Research Portfolio Online Reporting Tools Expenditures and Results) database for research project grants awarded to departments of surgery between 1995 and 2020. Surgeon-scientists were defined as NIH-funded faculty holding an MD or MD-PhD degree with board certification in surgery; PhD scientists were NIH-funded faculty holding a PhD degree. Statistical analysis was performed from April 1 to August 31, 2022.Main OutcomeNational Institutes of Health funding to surgeon-scientists compared with PhD scientists, as well as NIH funding to surgeon-scientists across surgical subspecialties.ResultsBetween 1995 and 2020, the number of NIH-funded investigators in surgical departments increased 1.9-fold from 968 to 1874 investigators, corresponding to a 4.0-fold increase in total funding (1995, $214 million; 2020, $861 million). Although the total amount of NIH funding to both surgeon-scientists and PhD scientists increased, the funding gap between surgeon-scientists and PhD scientists increased 2.8-fold from a $73 million difference in 1995 to a $208 million difference in 2020, favoring PhD scientists. National Institutes of Health funding to female surgeon-scientists increased significantly at a rate of 0.53% (95% CI, 0.48%-0.57%) per year from 4.8% of grants awarded to female surgeon-scientists in 1995 to 18.8% in 2020 (P &lt; .001). However, substantial disparity remained, with female surgeon-scientists receiving less than 20% of NIH grants and funding dollars in 2020. In addition, although there was increased NIH funding to neurosurgeons and otolaryngologists, funding to urologists decreased significantly from 14.9% of all grants in 1995 to 7.5% in 2020 (annual percent change, −0.39% [95% CI, −0.47% to −0.30%]; P &lt; .001). Despite surgical diseases making up 30% of the global disease burden, representation of surgeon-scientists among NIH investigators remains less than 2%.Conclusion and RelevanceThis study suggests that research performed by surgeon-scientists continues to be underrepresented in the NIH funding portfolio, highlighting a fundamental need to support and fund more surgeon-scientists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Rates of National Institutes of Health Funding for Surgeon-Scientists, 1995-2020

et al. 2023

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“…Desgraciadamente, el número de cirujanos académicos esta paulatinamente disminuyendo, ya que por recarga del trabajo clínico, limitación de aspiraciones personales, tiempo dedicado a familia, factores económicos, entre otros, aspectos que atentan contra el entusiasmo para incorporarse a programas de desarrollo de un cirujano académico, es más cada día vemos como cirujanos jóvenes con gran expectativa y proyección emigran de los centros académicos 9,10 . Las otros factores como posibles causas de este fenómeno son la presión institucional que afecta el equilibrio productibilidadrendimiento, afecta el equilibrio de distribución del tiempo familia/trabajo, la rentabilidad y posibilidad de obtención de recursos, limita el éxito económico y los salarios ofrecen menos incentivos.…”

Section: B) Problema Actualunclassified

Cirujano académico, centro académico: su rol en la atención de pacientes

2022

Rev. Cirugia

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ResumenUn cirujano académico tiene características y atributos especiales que lo distinguen de otros cirujanos. Su misión no es solo asistencial, sino que además es un investigador, docente, comunicador, deber ejercer liderazgo, debe ser innovador. Además de su función primordial que es ofrecer la óptima atención de sus pacientes. Al estar inserto en un centro académico cumple estas funciones y se convierte, dado su prestigio, en un referente individual e institucional para la comunidad y los futuros cirujanos.

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Partnerships Between Surgeons and Chemists

Driggers

2023

Perspectives on the History of Chemistry

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The Future of the surgeon-scientist: A Journey Funneled through inspiration, Roadblocks and Resilience

Cited by 8 publications

References 21 publications

Rates of National Institutes of Health Funding for Surgeon-Scientists, 1995-2020

Rates of National Institutes of Health Funding for Surgeon-Scientists, 1995-2020

Cirujano académico, centro académico: su rol en la atención de pacientes

Partnerships Between Surgeons and Chemists

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