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Introduction to Editorials on Crises in Academic Medicine: Diagnoses and Treatments

Robert H. Knopp^* and Andrzej Bartke

^* President, SEBM, University of Washington, Seattle, Washington 98195; and
Editor-in-Chief, PSEBM, Southern Illinois University, School of Medicine, Carbondale, Illinois 62966–6512

The Society for Experimental Biology and Medicine was founded in 1903 by Samuel J. Meltzer who was both a practicing physician and clinical investigator. The ensuing century has seen an astonishing growth in the biomedical sciences driven in great part by excellent clinical research on the model of Meltzer himself.

Now, at the turn of a new century, it is a surprise to learn that clinical research as we have known it is in decline. New NIH grants for clinical investigation have fallen by 50% in the last several years. Medical students appear to be less interested in conducting and pursuing medical specialty study, or medical research careers, per se. Fellowship applicants for research-intensive medical specialties are fewer. The funding of faculty engaged in clinical research is increasingly unstable. Medical specialty journals and national meetings are increasingly filled with innovative clinical research from abroad with fewer contributions from the United States.

It is the purpose of the Society for Experimental Biology and Medicine and the Editorial Board of the PSEBM to initiate a dialog of informed opinion among leaders in American medical research and teaching on the outstanding issues confronting faculty and researchers currently engaged or planning to engage in medical research. No other forum has presented a detailed, extended, and thoughtful discussion of these issues that so trouble current medical school faculty from the basic to the clinical research departments. As the first in this series, we are pleased to present this editorial, by Dr. R. Paul Robertson, on the need for research-based faculty in medical school teaching, especially at the clinical level. We hope this commentary will initiate an informed and enduring examination of the challenges confronting medical science and clinical research.

Footnotes

We welcome comments by our readers reflecting agreement or disagreement with the material published in this section and, at the discretion of the Editor-in-Chief, will publish such comments. We would like to emphasize that material published anywhere in the PSEBM, including this section, does not necessarily reflect the opinions of the Society, Editor-in-Chief, or the Publisher.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Knopp, R. H. Articles by Bartke, A. Search for Related Content PubMed PubMed Citation Articles by Knopp, R. H. Articles by Bartke, A.