The road from disease research to disease cure isn't usually a smooth one. One role which bridges the laboratory and the clinic is that of the "clinician-scientist" – a doctor who understands disease both in the patient and in the Petri dish. Yet an editorial published in
Disease Models & Mechanisms (DMM),
http://dmm.biologists.org, contends that clinician-scientists in the UK and elsewhere are not prospering, but rather are "under threat in a hostile environment".
The editorial author, Dr Nick Lemoine, Director of the Cancer Research UK Clinical Centre and a clinician-scientist himself, believes that a lack of career support is partially to blame. Contrasting UK training programs to similar programs in the United States, he discusses how Britain's prospective doctors have fewer research training opportunities than their American counterparts. US dual-degree programs for a combined MD/PhD are comparatively well-funded. Additionally, follow-up studies show that graduates from US Medical Scientist Training Programs are successful in developing well-funded research careers. Clinician-scientists in the UK, however, lack a clear career structure, and are at a disadvantage compared to doctors who opt for traditional specialist training and seek out National Health Service posts.
Lemoine also calls attention to the major financial disadvantage of medical scientists in both countries. Pursuing an untraditional academic route adds a risk which is exacerbated by significant medical school debts. "Setting out on an academic path at qualification with a cloud of debt overhead is a brave move," Lemoine wrote, "and one that a diminishing proportion of graduates have been prepared to make."
However, the clinician-scientist environment might be changing in the UK, Lemoine observes. New funding is being allocated from both public organizations and private charities, and these sponsors are also developing mentorship programs to track participants in clinician-scientist training and monitor quality of their research.
Source: The Company of Biologists
Related stories:
New research projects shortage of general surgeons by 2010
In less than two years, there may not be enough surgeons in U.S. hospitals to treat the critically injured or chronically ill.
UW tackles neglected realm of training for science professors in training
U.S. science and engineering students emerge from graduate school exquisitely trained to carry out research. Yet when it comes to the other major activity they'll engage in as professors – teaching – they're usually left to their own devices.
Exercise is safe, improves outcomes for patients with heart failure
Working out on a stationary bicycle or walking on a treadmill just 25 to 30 minutes most days of the week is enough to modestly lower risk of hospitalization or death for patients with heart failure, say researchers from Duke Clinical Research Institute (DCRI).
ACC/AHA guidelines break new ground in adult congenital heart disease
These days most children born with congenital heart disease live well into adulthood, thanks to innovative surgical, interventional and medical treatments. That means that not only are cardiologists caring for a growing number of adults with repaired heart defects, but the resulting cardiac anatomy and physiology are often much more complex than in the past.
Occupational therapy gets people with osteoarthritis moving
Physical activity is the cornerstone of any healthy lifestyle – and especially for people with osteoarthritis as exercise helps maintain good joint health, manage their symptoms, and prevent functional decline. Osteoarthritis, however, often makes physical activity, such as exercise, and even performing daily activities, a challenge.
Coming soon: Self-guided, computer-based depression treatment
Self-guided treatment for depression could soon be only a mouse click away. Scientists with the National Space Biomedical Research Institute (NSBRI) are developing an interactive, multi-media program that will assist astronauts in recognizing and effectively managing depression and other psychosocial problems, which can pose a substantial threat to crew safety and mission operations during long-duration spaceflights.
Study takes a closer look at safety gaps during patient 'sign out'
Patients may receive poor or delayed care after sign-out—the transfer of a patient from one doctor to another during a shift change—Yale School of Medicine researchers report in an
Archives of Internal Medicine study.
Psychologists show new ways to deal with health challenges in space
As NASA prepares to send humans back to the moon and then on to Mars, psychologists are exploring the challenges astronauts will face on missions that will be much longer and more demanding than previous space flights. Psychologists outlined these mental health challenges Thursday at the American Psychological Association's 116th Annual Convention, and introduced a new interactive computer program that will help address psychosocial challenges in space.