Abstract
Background
Amid concerns about the pediatrician-scientist workforce, we hypothesized that declining numbers of pediatric subspecialists devote at least 25% of their professional time to research with fewer younger and female pediatricians engaged in research over the study period.
Methods
Board-certified pediatricians enrolling online in the American Board of Pediatrics (ABP’s) Maintenance of Certification (MOC) program October 2009 through 2016 were invited to complete a survey with questions about the allocation of their professional time. Responses from individuals in the 14 ABP-certified subspecialties were analyzed. The number and proportions of respondents devoting 25−49% and 50% or more of professional time to research were calculated over time. Age and gender were also examined.
Results
We analyzed 21,367 responses over 8 years. A small number of pediatric subspecialists engaged in research with 5.2−6.7% devoting 25−49% and 5.6−8.4% at least 50% of their professional time to research across subspecialties. There was no discernable increase or decrease over time or pattern by age or gender.
Conclusion
Less than 10% of pediatric medical subspecialists devote at least 50% of their professional time to research. Efforts to promote research among pediatric subspecialists have not increased the size of the population that reports engaging in research at this level.
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References
Rivkees, S. A. & Genel, M. American pediatric academia: the looming question. J. Pediatrics 151, 223–224 (2007).
McKinney, R. E. Jr. The daunting career of the physician-investigator. Academic Med.: J. Assoc. Am. Med. Coll. 92, 1368–1370 (2017).
Furuya, H., Brenner, D. & Rosser, C. J. On the brink of extinction: the future of translational physician-scientists in the United States. J. Transl. Med. 15, 88 (2017).
Donowitz, M., Germino, G., Cominelli, F. & Anderson, J. M. The attrition of young physician-scientists: problems and potential solutions. Gastroenterology 132, 477–480 (2007).
Daye, D., Patel, C. B., Ahn, J. & Nguyen, F. T. Challenges and opportunities for reinvigorating the physician-scientist pipeline. J. Clin. Investig. 125, 883–887 (2015).
Daniels, R. J. A generation at risk: young investigators and the future of the biomedical workforce. Proc. Natl. Acad. Sci. USA 112, 313–318 (2015).
Cornfield, D. N. et al. Patching the pipeline: creation and retention of the next generation of physician-scientists for child health research. J. Pediatrics 165, 882–4.e1 (2014).
Cornfield, D. N., Lane, R. & Abman, S. H. Creation and retention of the next generation of physician-scientists for child health research. JAMA 309, 1781–1782 (2013).
Abkowitz, J. L. & Hromas, R. Confronting the research funding crisis: medical societiesʼ role in filling the gap. Academic Med.: J. Assoc. Am. Med. Coll. 93, 961–962 (2018).
Hromas, R., Abkowitz, J. L. & Keating, A. Facing the Nih funding crisis: how professional societies can help. JAMA 308, 2343–2344 (2012).
Salata, R. A. et al. U.S. physician-scientist workforce in the 21st century: recommendations to attract and sustain the pipeline. Acad. Med.: J. Assoc. Am. Med. Coll. 565–573 (2017).
National Institutes of Health Physician-Scientist Workforce Working Group Report. https://report.nih.gov/workforce/psw/index.aspx (2014).
Daniels, R. & Dzau, V. Supporting the next generation of biomedical researchers. JAMA 320, 29–30 (2018).
Hirschtritt, M. E., Heaton, P. M. & Insel, T. R. Preparing physician-scientists for an evolving research ecosystem. JAMA 320, 31–32 (2018).
Nichols, D. G. & Lister, G. The physician-scientist workforce and board certification. JAMA Pediatrics 169, 417–418 (2015).
Burns, A. M. et al. Strengthening the pipeline for clinician-scientists: the pediatrician-scientist training and development program at Texas Children's Hospital. J. Pediatrics 172, 5–6 e5 (2016).
Burns, A. M. et al. Implementation of a novel curriculum and fostering professional identity formation of pediatrician-scientists. J. Pediatrics 205, 5–7 e1 (2019).
Hurst, J. H. et al. Cultivating research skills during clinical training to promote pediatric-scientist development. Pediatrics 144, e20190745 (2019).
Rivkees, S. A. The missing link of Nih funding in pediatric research training program restructuring. Pediatrics 134, e1521–e1522 (2014).
Twombly, D. A. et al. Association of National Institute of Child Health and Human Development Career Development Awards with subsequent research project grant funding. JAMA Pediatrics 172, 226–231 (2018).
Pediatric Scientist Development Program (Psdp) Website. Duke University Medical Center. https://amspdc-psdp.org/ (2019).
Dermody, T. S., Hirsch, R., Hostetter, M. K., Orange, J. S. & St Geme, J. W. 3rd Expanding the pipeline for pediatric physician-scientists. J. Pediatrics 207, 3–7 e1 (2019).
Good, M., McElroy, S. J., Berger, J. N. & Wynn, J. L. Name and characteristics of National Institutes of Health R01-Funded Pediatric Physician-Scientists: hope and challenges for the vanishing pediatric physician-scientists. JAMA Pediatrics 172, 297–299 (2018).
Dickler, H. B., Fang, D., Heinig, S. J., Johnson, E. & Korn, D. New physician-investigators receiving National Institutes of Health research project grants: a historical perspective on the “endangered species”. JAMA 297, 2496–2501 (2007).
Gitterman, D. P., Langford, W. S. & Hay, W. W. The uncertain fate of the National Institutes of Health (Nih) pediatric research portfolio. Pediatr. Res. 84, 328–332 (2018).
Gitterman, D. P., Langford, W. S. & Hay, W. W. Jr. The fragile state of the National Institutes of Health Pediatric Research Portfolio, 1992−2015: doing more with less? JAMA Pediatrics 172, 287–293 (2018).
Jeffe, D. B. & Andriole, D. A. Prevalence and predictors of US Medical Graduates' Federal F32, Mentored-K, and R01 Awards: a national cohort study. J. Investigative Med.: Off. Publ. Am. Federation Clin. Res. 66, 340–350 (2018).
Schwartz, A. L. Physician-scientist career awards and a dilemma: National Institute of Child Health and Human Development K Awards—individual, institutional, or national? JAMA Pediatrics 172, 218–219 (2018).
American Board of Pediatrics. Pediatric Physicians Workforce Data Book, 2017−2018 (American Board of Pediatrics, Chapel Hill, NC, 2018).
American Board of Pediatrics Subspeciality Fellowship Tracking Data. https://www.abp.org/content/subspecialty-fellowship-tracking-data#overlay-context=content/general-information-all-certified-diplomates (2018).
Acknowledgements
This study was funded by the American Board of Pediatrics (ABP) Foundation, a nonprofit, supporting organization to the ABP. M.L.M. and G.L.F. were contracted to lead in developing the study design; analyzing the data; and drafting, editing, and submitting the manuscript. L.K.L. is an employee of the American Board of Pediatrics (ABP) and received salary compensation for their role in this research, including the collection, analysis, and interpretation of data; preparation of the manuscript; and the decision to submit the article for publication. The content is solely the responsibility of the authors and does not necessarily represent the official views of the ABP or the ABP Foundation.
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Substantial contributions to concept and design, acquisition of data, or analysis and interpretation of data: M.L.M., K.D.V., L.K.L., G.L.F. Drafting the article or revising it for critically important intellectual content: M.L.M., K.D.V., L.K.L., G.L.F. Final approval of the version to be published: M.L.M., K.D.V., L.K.L., G.L.F.
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Macy, M.L., Van, K.D., Leslie, L.K. et al. Engagement in research among pediatric subspecialists at the time of enrollment in maintenance of certification, 2009−2016. Pediatr Res 87, 1128–1134 (2020). https://doi.org/10.1038/s41390-019-0703-2
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DOI: https://doi.org/10.1038/s41390-019-0703-2
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