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Results: 1 to 10 of 25

Publication Record


Building a Career as a Pediatric Stroke Neurologist.
Fullerton HJ, Ganesan V, Jordan LC, Kirton A, Mackay MT, Steinlin M
(2019) Stroke 50: e287-e289
MeSH Terms: Career Choice, Humans, Neurologists, Neurology, Pediatrics, Stroke
Added March 24, 2020
0 Communities
1 Members
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MeSH Terms
The Most Valuable Resource Is Time: Insights From a Novel National Program to Improve Retention of Physician-Scientists With Caregiving Responsibilities.
Jones RD, Miller J, Vitous CA, Krenz C, Brady KT, Brown AJ, Daumit GL, Drake AF, Fraser VJ, Hartmann KE, Hochman JS, Girdler S, Libby AM, Mangurian C, Regensteiner JG, Yonkers K, Jagsi R
(2019) Acad Med 94: 1746-1756
MeSH Terms: Adult, Biomedical Research, Career Choice, Education, Medical, Faculty, Medical, Female, Financing, Organized, Humans, Male, Middle Aged, Physicians, Program Development, Prospective Studies, Research Personnel
Show Abstract · Added August 5, 2020
PURPOSE - To enhance understanding of challenges related to work-life integration in academic medicine and to inform the ongoing implementation of an existing program and the development of other interventions to promote success of physician-scientists.
METHOD - This study is part of a prospective analysis of the effects of the Fund to Retain Clinical Scientists (FRCS), a national program launched by the Doris Duke Charitable Foundation at 10 U.S. institutions, which provides financial support to physician-scientists facing caregiving challenges. In early 2018, 28 of 33 program awardees participated in semistructured interviews. Questions were about challenges faced by physician-scientists as caregivers and their early perceptions of the FRCS. Multiple analysts reviewed deidentified transcripts, iteratively revised the coding scheme, and interpreted the data using qualitative thematic analysis.
RESULTS - Participants' rich descriptions illuminated 5 interconnected themes: (1) Time is a critical and limited resource, (2) timing is key, (3) limited time resources and timing conflicts may have a particularly adverse effect on women's careers, (4) flexible funds enable reclamation and repurposing of time resources, and (5) FRCS leaders should be cognizant of time and timing conflicts when developing program-related offerings.
CONCLUSIONS - Programs such as the FRCS are instrumental in supporting individuals to delegate time-consuming tasks and to control how they spend their valuable time. Qualitative analysis suggests that access to and command of valuable time resources are crucial to career advancement, research productivity, and work-life flexibility, especially during critical time points along the physician-scientist trajectory.
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MeSH Terms
Training the physician-scientist: views from program directors and aspiring young investigators.
Williams CS, Iness AN, Baron RM, Ajijola OA, Hu PJ, Vyas JM, Baiocchi R, Adami AJ, Lever JM, Klein PS, Demer L, Madaio M, Geraci M, Brass LF, Blanchard M, Salata R, Zaidi M
(2018) JCI Insight 3:
MeSH Terms: Awards and Prizes, Biomedical Research, Career Choice, Charities, Education, Education, Medical, Education, Medical, Graduate, Foundations, Humans, National Institutes of Health (U.S.), Physicians, Research Personnel, Societies, Medical, Students, Medical, Surveys and Questionnaires, Training Support, United States, Workforce
Show Abstract · Added April 15, 2019
There is growing concern that the physician-scientist is endangered due to a leaky training pipeline and prolonged time to scientific independence (1). The NIH Physician-Scientist Workforce Working Group has concluded that as many as 1,000 individuals will need to enter the pipeline each year to sustain the workforce (2). Moreover, surveys of postgraduate training programs document considerable variability in disposition and infrastructure (3). Programs can be broadly grouped into two classes: physician-scientist training programs (PSTPs) that span residency and fellowship training, and research-in-residency programs (RiRs), which are limited to residency but trainees are able to match into PSTPs upon transitioning to fellowship (Figure 1). Funding sources for RiRs and PSTPs are varied and include NIH KL2 and T32 awards, charitable foundations, philanthropy, and institutional support. Furthermore, standards for research training and tools for evaluating programmatic success are lacking. Here, we share consensus generated from iterative workshops hosted by the Alliance of Academic Internal Medicine (AAIM) and the student-led American Physician Scientists Association (APSA).
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18 MeSH Terms
Life paths and accomplishments of mathematically precocious males and females four decades later.
Lubinski D, Benbow CP, Kell HJ
(2014) Psychol Sci 25: 2217-32
MeSH Terms: Achievement, Adaptation, Psychological, Adolescent, Aptitude, Career Choice, Cohort Studies, Family, Female, Humans, Income, Intelligence, Leadership, Life Style, Male, Mathematics, Middle Aged, Occupations, Personal Satisfaction, Sex Distribution
Show Abstract · Added April 10, 2018
Two cohorts of intellectually talented 13-year-olds were identified in the 1970s (1972-1974 and 1976-1978) as being in the top 1% of mathematical reasoning ability (1,037 males, 613 females). About four decades later, data on their careers, accomplishments, psychological well-being, families, and life preferences and priorities were collected. Their accomplishments far exceeded base-rate expectations: Across the two cohorts, 4.1% had earned tenure at a major research university, 2.3% were top executives at "name brand" or Fortune 500 companies, and 2.4% were attorneys at major firms or organizations; participants had published 85 books and 7,572 refereed articles, secured 681 patents, and amassed $358 million in grants. For both males and females, mathematical precocity early in life predicts later creative contributions and leadership in critical occupational roles. On average, males had incomes much greater than their spouses', whereas females had incomes slightly lower than their spouses'. Salient sex differences that paralleled the differential career outcomes of the male and female participants were found in lifestyle preferences and priorities and in time allocation.
© The Author(s) 2014.
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Challenges facing early career academic cardiologists.
Tong CW, Ahmad T, Brittain EL, Bunch TJ, Damp JB, Dardas T, Hijar A, Hill JA, Hilliard AA, Houser SR, Jahangir E, Kates AM, Kim D, Lindman BR, Ryan JJ, Rzeszut AK, Sivaram CA, Valente AM, Freeman AM
(2014) J Am Coll Cardiol 63: 2199-208
MeSH Terms: Academic Medical Centers, Cardiology, Career Choice, Humans, Mentors, National Heart, Lung, and Blood Institute (U.S.), Physicians, United States
Show Abstract · Added May 4, 2014
Early career academic cardiologists currently face unprecedented challenges that threaten a highly valued career path. A team consisting of early career professionals and senior leadership members of American College of Cardiology completed this white paper to inform the cardiovascular medicine profession regarding the plight of early career cardiologists and to suggest possible solutions. This paper includes: 1) definition of categories of early career academic cardiologists; 2) general challenges to all categories and specific challenges to each category; 3) obstacles as identified by a survey of current early career members of the American College of Cardiology; 4) major reasons for the failure of physician-scientists to receive funding from National Institute of Health/National Heart Lung and Blood Institute career development grants; 5) potential solutions; and 6) a call to action with specific recommendations.
Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
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8 MeSH Terms
Satisfaction with work-life balance and the career and retirement plans of US oncologists.
Shanafelt TD, Raymond M, Kosty M, Satele D, Horn L, Pippen J, Chu Q, Chew H, Clark WB, Hanley AE, Sloan J, Gradishar WJ
(2014) J Clin Oncol 32: 1127-35
MeSH Terms: Adult, Career Choice, Family Characteristics, Female, Humans, Job Satisfaction, Male, Medical Oncology, Middle Aged, Personal Satisfaction, Physicians, Retirement, Societies, Medical, Surveys and Questionnaires, United States
Show Abstract · Added June 26, 2014
PURPOSE - To evaluate satisfaction with work-life balance (WLB) and career plans of US oncologists.
METHODS - The American Society of Clinical Oncology conducted a survey of US oncologists evaluating satisfaction with WLB and career plans between October 2012 and March 2013. The sample included equal numbers of men and women from all career stages.
RESULTS - Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys. From 1,117 oncologists (37.3% of overall sample) completing full-length surveys, we evaluated satisfaction with WLB and career plans among the 1,058 who were not yet retired. The proportion of oncologists satisfied with WLB (n = 345; 33.4%) ranked lower than that reported for all other medical specialties in a recent national study. Regarding career plans, 270 oncologists (26.5%) reported a moderate or higher likelihood of reducing their clinical work hours in the next 12 months, 351 (34.3%) indicated a moderate or higher likelihood of leaving their current position within 24 months, and 273 (28.5%) planned to retire before 65 years of age. Multivariable analyses found women oncologists (odds ratio [OR], 0.458; P < .001) and those who devoted greater time to patient care (OR for each additional hour, 0.977; P < .001) were less likely to be satisfied with WLB. Satisfaction with WLB and burnout were the strongest predictors of intent to reduce clinical work hours and leave current position on multivariable analysis.
CONCLUSION - Satisfaction with WLB among US oncologists seems lower than for other medical specialties. Dissatisfaction with WLB shows a strong relationship with plans to reduce hours and leave current practice. Given the pending US oncologist shortage, additional studies exploring interactions among WLB, burnout, and career satisfaction and their impact on career and retirement plans are warranted.
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15 MeSH Terms
Burnout and career satisfaction among US oncologists.
Shanafelt TD, Gradishar WJ, Kosty M, Satele D, Chew H, Horn L, Clark B, Hanley AE, Chu Q, Pippen J, Sloan J, Raymond M
(2014) J Clin Oncol 32: 678-86
MeSH Terms: Academic Medical Centers, Adult, Ambulatory Care, Burnout, Professional, Career Choice, Female, Humans, Job Satisfaction, Male, Medical Oncology, Middle Aged, Practice Patterns, Physicians', Private Practice, Surveys and Questionnaires, Time Factors, United States, Workforce
Show Abstract · Added June 26, 2014
PURPOSE - To evaluate the personal and professional characteristics associated with career satisfaction and burnout among US oncologists.
METHODS - Between October 2012 and March 2013, the American Society of Clinical Oncology conducted a survey of US oncologists evaluating burnout and career satisfaction. The survey sample included equal numbers of men and women and represented all career stages.
RESULTS - Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys (median age of respondents, 52 years; 49.6% women). Among the 1,117 oncologists (37.3% of overall sample) who completed full-length surveys, 377 (33.8%) were in academic practice (AP) and 482 (43.2%) in private practice (PP), with the remainder in other settings. Oncologists worked an average of 57.6 hours per week (AP, 58.6 hours per week; PP, 62.9 hours per week) and saw a mean of 52 outpatients per week. Overall, 484 oncologists (44.7%) were burned out on the emotional exhaustion and/or depersonalization domain of Maslach Burnout Inventory (AP, 45.9%; PP, 50.5%; P = .18). Hours per week devoted to direct patient care was the dominant professional predictor of burnout for both PP and AP oncologists on univariable and multivariable analyses. Although a majority of oncologists were satisfied with their career (82.5%) and specialty (80.4%) choices, both measures of career satisfaction were lower for those in PP relative to AP (all P < .006).
CONCLUSION - Overall career satisfaction is high among US oncologists, albeit lower for those in PP relative to AP. Burnout rates among oncologists seem similar to those described in recent studies of US physicians in general. Those oncologists who devote the greatest amount of their professional time to patient care seem to be at greatest risk for burnout.
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17 MeSH Terms
An international career development survey of critical care practitioners*.
Patel MB, Laudanski K, Pandharipande PP
(2014) Crit Care Med 42: e300-3
MeSH Terms: Adult, Attitude of Health Personnel, Career Choice, Education, Continuing, Female, Health Personnel, Humans, Internationality, Leadership, Male, Middle Aged, Socioeconomic Factors, Staff Development
Show Abstract · Added June 14, 2016
OBJECTIVES - To understand the career development needs of an international multidisciplinary group of critical care practitioners in the 21st century.
DESIGN - A web-accessible survey deployed by the In-Training Section of the Society of Critical Care Medicine.
SETTING - University health sciences center.
SUBJECTS - Physicians (doctor of medicine and doctor of osteopathic medicine), advance practice providers (nurse practitioner, physician assistant, nurses, pharmacists, and student members of the Society of Critical Care Medicine.
INTERVENTIONS - The survey covered domains of demographics, opinions about career development, and opinions about the Society of Critical Care Medicine In-Training Section.
MEASUREMENTS AND MAIN RESULTS - One thousand forty-nine of approximately 16,000 Society of Critical Care Medicine members responded to the survey (7% response rate). Continuing education (280, 26.7%), leadership skills (197, 18.8%), and scientific development (192, 18.3%) are among the most important issues for the respondents. Many critical care practitioners would like to assist Society of Critical Care Medicine's efforts in career development (948, 90.4%) and many would consider some aspect of committee involvement (796, 75.9%). The Society of Critical Care Medicine In-Training Section, whose primary mission is career development across the spectrum of providers and expertise levels, needs improved advertisement (981, 93.7%). There is strong support for upcoming Annual Congresses dedicated to career development (834, 79.5%). Of the three main methods of information dissemination for Society of Critical Care Medicine career development initiatives from the In-Training Section, respondents rank e-mail highest (762, 72.6%), followed by webpages (228, 21.7%) and I-rooms (59, 5.6%). Over half of the Society of Critical Care Medicine membership surveyed lack a career development mentor in critical care.
CONCLUSIONS - This is the largest assessment of the international critical care community regarding the career development needs of 21st century critical care practitioner although the limited response rate makes this work prone to sampling bias. Career development issues are broad and in need of further development by the Society of Critical Care Medicine In-Training Section. Although these initiatives need improved marketing, the Society of Critical Care Medicine membership is willing to help support them and work to further shape them in the future.
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13 MeSH Terms
Surgical care and career opportunities in a changing practice paradigm.
Tepas JJ, Hughes TG, Aaronson DS, Kesler JL, Buckley RJ, Dippolito AJ, Wall MJ, Merchant NB, Dandridge WC, Sinanan MN, Buchbinder D, Sussman HL, Hayes-Jordan A, Chen JC, Wetstein L, Arbutina DR, Dennehy JC, Alseidi A, Rege RV, Fink AS, Barney LM, Cloyd DW, Fallat ME, Loeff DS, Behrns KE, Vickers SM
(2013) J Am Coll Surg 217: 711-717.e1
MeSH Terms: Career Choice, Career Mobility, Delivery of Health Care, Efficiency, Organizational, Humans, Physician Incentive Plans, Practice Patterns, Physicians', Reimbursement Mechanisms, Specialties, Surgical, United States
Added March 7, 2014
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1 Members
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10 MeSH Terms
Developing physician-scientists: a perspective.
Brown NJ
(2013) Trans Am Clin Climatol Assoc 124: 218-29
MeSH Terms: Biomedical Research, Career Choice, Education, Medical, Humans, Physicians
Added December 10, 2013
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5 MeSH Terms