What are the chances? Clinician scientist' career pathways in Germany.

Autor/inn/en	Hendriks, Barbara; Reinhart, Martin
Titel	What are the chances? Clinician scientist' career pathways in Germany. Gefälligkeitsübersetzung: Was sind die Chancen? Karrierewege von klinischen Wissenschaftlern in Deutschland..
Quelle	[Charlottesville, VA] (2023), 12 S. PDF als Volltext kostenfreie Datei Link als defekt meldenVerfügbarkeit
Reihe	SocArXiv papers
Sprache	englisch
Dokumenttyp	online; Monographie
DOI	10.31235/OSF.IO/XEJ4V
Schlagwörter	Forschung und Entwicklung; Arbeitsbedingungen; Arzt; Deutschland; Forschung und Entwicklung; Medizin; Universität; Wissenschaftler; Auswirkung; Forschungsförderung; Wissenschaftliche Weiterbildung; Forschungsförderung; Biomedizin; Biomedizin; Medizin; Arbeitsbedingungen; Universität; Weiterbildungsförderung; Wissenschaftliche Weiterbildung; Arbeitspapier; Auswirkung; Forschungsumsetzung; Arzt; Wissenschaftler; Deutschland
Abstract	"Background: Germany faces a lack of clinician scientists. This problem is widely acknowledged, not just in Germany, as clinician scientists are crucial for medical translation and innovation: trained in medical practice and research they are capable of translating scientific problems into clinical application and vice versa, clinical problems into research. The implementation of nationwide clinician scientist programs (CSP) in Germany is supposed to solve the lack of trained clinician scientists and, as consequence, to improve the translational relationship between biomedical research and clinical practice. Against the backdrop of an increasing number of CSP, our study provides early insights into their effectiveness with a focus on what it means to become a clinician scientist and to establish a subsequent career path as a clinician scientist in Germany. Methods: During a three-year research project, funded by the Federal Ministry of Education and Research, we studied thirteen clinician scientist programs. We developed a qualitative questionnaire and interviewed clinician scientists in training, their program supervisors, as well as policy stakeholders. The goal of the interviews was to identify the key obstacles in establishing a career path for clinician scientists in Germany. Results: We find that CSP improve working conditions for the duration of the program and provide protected time for doing research. After the programs, however, the career paths remain unstable, mainly due to a lack of target positions for clinician scientists. CSP support the initial development of the clinician scientist' role, but not in a sustainable way, because the separation of research and patient care is stabilized on an institutional and systemic level. The tasks clinician scientists perform in research remain separate from patient care and teaching, thus, limiting their translational potential. In order to remain a clinician scientist within this differentiated system of university medicine, clinician scientists have to do a significant amount of extra work. Conclusion: We found three types of challenges for establishing and ensuring long term career paths for clinician scientists: First, local working conditions need to allow for clinician scientists to create and perform tasks that combine research, teaching, patient care and translation synergistically. Protection from the urgency of patient care and from metrics-based performance measures both in the clinic and in research seem key here. Second, a stable career path requires new target positions besides clinic management and senior residency. Third, there is a need for cultural change within university medicine that recognizes and rewards new translation-focused practices." The study refers to the period 2020-2023. (Author's abstract, IAB-Doku)..
Erfasst von	Institut für Arbeitsmarkt- und Berufsforschung, Nürnberg
Update	2023/1