Careers in Clinical Research Obstacles and Opportunities (1994) / Chapter Skim
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Appendix C: Report of the Task Force on Clinical Research in Surgery
Appendix C: Report of the Task Force on Clinical Research in Surgery
Pages 279-300
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From page 279... ...
A second strategy for widening the base of surgical research is to develop collaboration between the military and civilian sectors. Military surgical training programs currently have inadequate experience for their residents in He management of major trauma, whereas civilian trauma centers, particularly those in central city areas, have inadequate personnel and funding.
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From page 280... ...
. · Improve recruitment and retention of academic faculty in surgery through outreach programs to recruit students, minorities, and women; implementation of direct support of surgical research by the surgical community, and development of a formal program for the initial phase of faculty appointment of young academic surgeons.
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From page 281... ...
· Develop an NIH SST program and request that the Accreditation Committee for Graduate Medical Education (ACGME3 facilitate development of accreditation of the SSTP track by the Residency Review Committee on Surgery. · Shorten the length of clinical training in surgery and the surgical subspecialties.
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From page 282... ...
Having second-rate basic scientists that do research as "hired guns" is unacceptable. Indeed, especially in the era of unprecedented advances in biology, an opportune time exists for clinical departments to develop special collaboration with basic science departments.
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From page 283... ...
Fair critical review of surgical research proposals requires that review be conducted by individuals with appropriate surgical education and experience. In many instances the peer review process has not met this criteria and therefore is not true "peer review." Even when surgical study sections have been organized, the number of surgeons participating in these sections is frequently too small.
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From page 284... ...
It should be relatively easy to arrange for periods of training of the military surgical residents in civilian trauma centers. This arrangement would provide the needed training for the military while alleviating personnel shortages in trauma centers.
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From page 285... ...
clinical practice in surgery is lucrative and attracts increasing numbers of young surgeons away from academic careers; (3) even when surgeons have made a commitment to an academic career, the demands of patient care interfere with their ability to spend adequate time in research; (4)
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From page 286... ...
. Academic departments are unable to nurture young faculty, which is evidenced by inadequate protected time for research because of pressure to produce clinical practice revenues; inadequate start-up funds; inadequate mentoring and guidance; and inadequate provision of good clinical experience.
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From page 287... ...
Minorities in Surgical Research Faculry Careers The number of minorities in academic surgery is extremely low. Of He estimated 64,456 academic faculty members in medical schools, only 2,996 (or 4.6 percent)
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From page 288... ...
The task force discussed the need for an NlH-sponsored surgical scientist development program. A key requirement of such a program would have to be flexibility: flexibility in the period of training, site of training, and program content.
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From page 289... ...
Financial support for clinical research training in surgery is a major problem. Every advantage should be taken of existing sources of funding, such as Medical Scientist Training programs; National Research Service Award grants; NIH physician-scientist training programs; Howard Hughes medical student and postgraduate fellowships; Dana Foundation fellowships; VA grants; NIH research career development awards (RCDA)
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From page 290... ...
If research training does not occur during residency, the "entrapment" of bright individuals for academic careers might suffer. At the same time, the research training obtained and the data gathered during residency tend to lose currency by the time the clinical training is completed.
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From page 291... ...
Adding adequate research training of 2 to 3 years extends residency training to 9 to 10 years for many surgeons. Many surgical residents carry heavy indebtedness from undergraduate and medical school.
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From page 292... ...
The OREF has been highly successful in raising funds, improving the general funding of orthopaedic research, in greatly improving the amount of quality research, and in giving contributors a direct sense of pride and accomplishment in their contributions. The task force recommends that the American College of Surgeons should undertake direct support of research by surgeons.
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From page 293... ...
This means not only that grant proposals from academic surgeons should go to surgical study sections but that the proposals should be evaluated by academic surgeons, even if the proposal deals with basic science, such as molecular biology, signal-transduction mechanisms, or ligand-receptor interactions in cellular or humoral immunology. The current composition of surgery study sections shows the following: in Surgery and Bioengineering Study Section, ~ surgeons of 18 members; in Surgery, Anesthesiology and Trauma Study Section, 7 surgeons of 1X members; in the Orthopaedic and Musculoskeletal Study Section, 4 surgeons of 18 members.
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From page 294... ...
An opportunity appears to exist to enhance the training as well as the research opportunities by using civilian trauma centers for the training of military surgical residents. Recruitment and Retention of Academic Faculty in Surgery 1.
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From page 295... ...
Female surgeons in tenure-track positions should be identified and sponsored in academic surgery by senior academic surgeons within and outside their institutions. Special seminars and training sessions for women surgical scientists should be regularly conducted by NIH and by surgical societies such as the Association of Academic Surgeons and Society of University Surgeons.
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From page 296... ...
Few surgeons have participated in these programs because the program time commitments required in each year make it difficult for awardees to develop and maintain surgical clinical skills and may extend the total length of training beyond medical school to as much as 10 years or more, leaving many individuals with substantial debt. Completion of surgical clinical education frequently requires seven years or more following medical school.
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From page 297... ...
· Flexible levels of financial support: SST programs should allow awardees to receive levels of compensation that correspond to their level of education and experience. Ibis may be accomplished through joint sponsorship of surgical scientist training programs by NIH and academic programs or surgical professional societies or foundations.
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From page 298... ...
In 1991, OREF received $3.X million in contributions and committed $3.7 million to 79 new grants. AAOS supports the efforts of OREF by recognizing donors at the AAOS annual meeting and by supporting the efforts to increase contributions to OREF by orthopaedic surgeons and industry.
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From page 299... ...
SURGERY TASK FORCE OLGA JONAS SON, Professor and Chairman, Deparunent of Surgery, Ohio State University, Columbus, Ohio 299 FRANK R LEWIS, Jr., Professor of Surgery, Chief of Surgery, San Francisco General Hospital, University of California at San Francisco, San Francisco, California JAMES C
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