Rescuing the physician-scientist workforce: the time for action is now

• Published in: The Journal of clinical investigation Vol. 125; no. 10; pp. 3742 - 3747
• Main Authors: Milewicz, Dianna M, Lorenz, Robin G, Dermody, Terence S, Brass, Lawrence F
• Format: Journal Article
• Language: English
• Published: United States American Society for Clinical Investigation 01.10.2015
• Subjects: Biomedical research; Biomedical Research - education; Biomedical Research - trends; Career Choice; Career development planning; Demographics; Education, Medical, Graduate; Forecasts and trends; Grants; Humans; Labor supply; Leadership; Medical research personnel; Medical schools; National Institutes of Health (U.S.); Personal; Physicians; Research Personnel - supply & distribution; Schools, Medical; Societies, Medical; Studies; Training; United States; Universities; Workforce; United States; United States > US
• ISSN: 0021-9738; 1558-8238
• DOI: 10.1172/jci84170

The 2014 NIH Physician-Scientist Workforce (PSW) Working Group report identified distressing trends among the small proportion of physicians who consider research to be their primary occupation. If unchecked, these trends will lead to a steep decline in the size of the workforce. They include high rates of attrition among young investigators, failure to maintain a robust and diverse pipeline, and a marked increase in the average age of physician-scientists, as older investigators have chosen to continue working and too few younger investigators have entered the workforce to replace them when they eventually retire. While the policy debates continue, here we propose four actions that can be implemented now. These include applying lessons from the MD-PhD training experience to postgraduate training, shortening the time to independence by at least 5 years, achieving greater diversity and numbers in training programs, and establishing Physician-Scientist Career Development offices at medical centers and universities. Rather than waiting for the federal government to solve our problems, we urge the academic community to address these goals by partnering with the NIH and national clinical specialty and medical organizations.