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Basic Science And Surgery Or Surgeon Scientist

Adishesh Kalya Narahari, Eric J Charles, J Hunter Mehaffey, Robert B Hawkins, Ashish K Sharma, Victor E Laubach, Curtis G Tribble, Irving L Kron
BACKGROUND: Today's declining federal budget for scientific research is making it consistently more difficult to become federally funded. We hypothesized that even in this difficult era, surgeon-scientists have remained among the most productive and impactful researchers in lung transplantation. METHODS: Grants awarded by the NIH for the study of lung transplantation between 1985 and 2015 were identified by searching NIH RePORTER for 5 lung transplantation research areas...
January 8, 2019: Heart Surgery Forum
Robert P Jones, Chandrakanth Are, Thomas J Hugh, Dirk J Grünhagen, Jianmin Xu, Charles M Balch, Graeme J Poston
Surgery remains a mainstay in the treatment of most solid cancers. Surgeons have always engaged in various forms of high-quality cancer research to optimize outcomes for their patients, for example, contributing to clinical research and outcomes research as well as health education and public health policy. Over the past decade, however, concerns have been raised about a global decline in the number of surgeons performing basic science research alongside clinical activity - so-called surgeon scientists. Herein, we describe some of the unique obstacles faced by contemporary trainee and practising surgeons engaged in research, as well as providing a perspective on the implications of the diminishing prominence of the surgeon scientist...
January 7, 2019: Nature Reviews. Clinical Oncology
Allan M Goldstein, Alex B Blair, Sundeep G Keswani, Ankush Gosain, Michael Morowitz, John S Kuo, Matthew Levine, Nita Ahuja, David J Hackam
OBJECTIVE: Surgeon-scientists are an essential component of the field of academic surgery, contributing to the fundamental understanding of disease and the discovery of innovative therapies. Despite this recognized value, the current landscape of academic medicine presents significant barriers to establishing and maintaining a successful career as a surgeon performing basic/translational research. Our objective is to define these barriers to academic success for surgeons, and to provide a consensus strategy for optimizing the chances of success...
January 2019: Annals of Surgery
Francesca Taraballi, Guillermo Bauza, Patrick McCulloch, Josh Harris, Ennio Tasciotti
Musculoskeletal reconstruction is an ongoing challenge for surgeons as it is required for one out of five patients undergoing surgery. In the past three decades, through the close collaboration between clinicians and basic scientists, several regenerative strategies have been proposed. These have emerged from interdisciplinary approaches that bridge tissue engineering with material science, physiology, and cell biology. The paradigm behind tissue engineering is to achieve regeneration and functional recovery using stem cells, bioactive molecules, or supporting materials...
December 2017: Stem Cells Translational Medicine
Teresa M Bell, Nakul Valsangkar, Mugdha Joshi, John Mayo, Casi Blanton, Teresa A Zimmers, Laura Torbeck, Leonidas G Koniaris
OBJECTIVE: To determine the academic contribution as measured by number of publications, citations, and National Institutes of Health (NIH) funding from PhD scientists in US departments of surgery. SUMMARY BACKGROUND DATA: The number of PhD faculty working in US medical school clinical departments now exceeds the number working in basic science departments. The academic impact of PhDs in surgery has not been previously evaluated. METHODS: Academic metrics for 3850 faculties at the top 55 NIH-funded university and hospital-based departments of surgery were collected using NIH RePORTER, Scopus, and departmental websites...
January 2017: Annals of Surgery
Sundeep G Keswani, Chad M Moles, Michael Morowitz, Herbert Zeh, John S Kuo, Matthew H Levine, Lily S Cheng, David J Hackam, Nita Ahuja, Allan M Goldstein
OBJECTIVE: The aim of this study was to examine the challenges confronting surgeons performing basic science research in today's academic surgery environment. SUMMARY OF BACKGROUND DATA: Multiple studies have identified challenges confronting surgeon-scientists and impacting their ability to be successful. Although these threats have been known for decades, the downward trend in the number of successful surgeon-scientists continues. Clinical demands, funding challenges, and other factors play important roles, but a rigorous analysis of academic surgeons and their experiences regarding these issues has not previously been performed...
June 2017: Annals of Surgery
Yoshiharu Kawaguchi, Pedro Guarise da Silva, Francine Wurzius Quadros, Luiz Henrique Merlin, Lucas Radaelli, Juan Pablo Guyot, Diego Dozza, Délio Martins, Nicolas Scheverin, Daniel K Riew, Tomoatsu Kimura, Asdrubal Falavigna
BACKGROUND: Over the last decade, the growing body of work on spine pathology has led to developments and refinements in the areas of basic science, diagnosis and treatment of a variety of spine conditions. Scientific publications have a global impact on the international scientific community as they share vital information that can be applied by physicians worldwide to solve their everyday medical problems. The historical background of scientific publication in journals in Japan on the subject of spine is unclear...
January 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Heath J Charvet, Hakan Orbay, Michael S Wong, David E Sahar
Fat grafting is increasingly popular and is becoming a common practice in plastic surgery for postmastectomy breast reconstruction and aesthetic breast augmentation; however, concerns over the oncologic safety remains a controversial and hot topic among scientists and surgeons. Basic science and laboratory research repeatedly show a potentially dangerous effect of adipose-derived stem cells on breast cancer cells; however, clinical research, although limited, continually fails to show an increase in breast cancer recurrence after breast fat grafting, with the exception of 1 small study on a subset patient population with intraepithelial neoplasm of the breast...
October 2015: Annals of Plastic Surgery
Ira Leeds, Elizabeth C Wick
Although at first glance, the surgeon-scientist appears to be a rare breed in today's clinical revenue-driven world, with careful planning and mentorship this is still a vibrant career path. If one is considering this avenue, it is important to seize even small opportunities to pursue laboratory work during training-summers in college and medical school, rotation blocks, and dedicated time in the middle of residency. Publications and small grants during these times will lay the ground work for future success...
June 2014: Clinics in Colon and Rectal Surgery
Kivanc I Atesok, Shepard R Hurwitz, Kenneth A Egol, Jaimo Ahn, Brett D Owens, Lynn A Crosby, Vincent D Pellegrini
Orthopaedic research has advanced tremendously in parallel with accelerated progress in medical science. Possession of a fundamental understanding of basic and clinical science has become more essential than previously for orthopaedic surgeons to be able to translate advances in research into clinical practice. The number of medical graduates with prior education in scientific research who choose to pursue careers in orthopaedic surgery is small. Therefore, it is important that a core of research education be included during residency training to ensure the continued advancement of the clinical practice of orthopaedics...
May 2012: Academic Medicine
Alison P Murdoch
Most surgeons in academic hospitals will have had a request from an enthusiastic research scientist to take samples of tissue during an operation. It seems reasonable and most patients will respond positively. But of course it is not quite that simple. The regulation of donation of human tissue for basic research is clearly defined but usually less rigorous than that which covers translational research and clinical trials. An exception has been the donation of embryos for embryonic stem cell derivation. The specific issues related to obtaining cells from patients for this work has resulted in a different relationship between scientist and clinician...
September 1, 2009: Journal of Cellular Biochemistry
Aleksandra Krajewski, Rajiv Y Chandawarkar
Ensuring that scientific research is an integral element of surgical residency training is critical to the future viability of the field. The ability to nurture surgeon-scientists, invoke them to ask pertinent questions, design experiments, and translate these findings into clinical applications will set this specialty apart from competing fields. Involving residents and younger faculty in this process of translational research is crucial to develop academic leaders and improve patient care. It is as critical as it is complex...
July 2008: Journal of Surgical Education
James B Elder, Daniel J Hoh, Bryan C Oh, A Chris Heller, Charles Y Liu, Michael L J Apuzzo
The emerging future of cerebral surgery will witness the refined evolution of current techniques, as well as the introduction of numerous novel concepts. Clinical practice and basic science research will benefit greatly from their application. The sum of these efforts will result in continued minimalism and improved accuracy and efficiency of neurosurgical diagnostic and therapeutic methodologies.Initially, the refinement of current technologies will further enhance various aspects of cerebral surgery. Advances in computing power and information technology will speed data acquisition, storage, and transfer...
June 2008: Neurosurgery
Kevin C Chung, Melissa J Shauver
It is important for the field of hand surgery to develop a new generation of surgeon-scientists who can produce high-impact studies to raise the profile of this specialty. To this end, organizations such as the American Society for Surgery of the Hand have initiated programs to promote multicenter clinical research that can be competitive for fiscal support from the National Institutes of Health and other funding agencies. Crafting a well-structured grant proposal is critical to securing adequate funding to investigate the many clinical and basic science questions in hand surgery...
April 2008: Journal of Hand Surgery
Michael Mann, Amod Tendulkar, Noy Birger, Cheryl Howard, Mark B Ratcliffe
OBJECTIVE: The objective was to compare National Institutes of Health (NIH) funding rates and application success rates among surgeon and nonsurgeon-scientists over the past 2 decades. SUMMARY BACKGROUND DATA: Surgeons may be capable of accelerating the translation of basic research into new clinical therapies. Nevertheless, most surgeon-scientists believe they are at a disadvantage in competing for peer-reviewed funding, despite a recent emphasis on "translational science" by organizations such as the NIH...
February 2008: Annals of Surgery
G Willy Davila, Harold Drutz, Jan Deprest
With few exceptions, the current expansion of graft utilization in pelvic reconstructive surgery is not a product of evidence-based medicine. Abdominal sacrocolpopexy and suburethral sling procedures are two situations under which synthetic graft utilization is indicated, based on randomized prospective trials and reported clinical outcomes. Otherwise, indications and contraindications for graft utilization are unclear. Current published data on the biology of synthetic and biologic grafts are limited and overall not very helpful to the reconstructive surgeon who is faced with the selection of a graft for use during a reconstructive procedure...
June 2006: International Urogynecology Journal and Pelvic Floor Dysfunction
Prasad S Adusumilli, Mei-Ki Chan, Leah Ben-Porat, Michael Mullerad, Brendon M Stiles, Scott Tuorto, Yuman Fong
BACKGROUND: Basic science research (BSR) publications in general surgical (GS) journals are an important "translational bridge" for practicing surgeons and surgical trainees. The purpose of this study is to characterize the BSR publications in GS journals and to analyze their citation frequencies. METHODS: In 1996, all (224) BSR publications in the five highest rated U.S. GS journals (by impact factor) were reviewed, characterized, and their citation frequencies were compared to BSR publications in non-GS journals...
October 2005: Journal of Surgical Research
Mala R Chinoy, Jay Moskowitz, Douglas W Wilmore, Wiley W Souba
The number of Ph.D. faculty in clinical departments now exceeds the number of Ph.D. faculty in basic science departments. Given the escalating pressures on academic surgeons to produce in the clinical arena, the recruitment and retention of high-quality Ph.D.s will become critical to the success of an academic surgical department. This success will be as dependent on the surgical faculty understanding the importance of the partnership as the success of the Ph.D. investigator. Tighter alignment among the various clinical and research programs and between surgeons and basic scientists will facilitate the generation of new knowledge that can be translated into useful products and services (thus improving care)...
January 2005: Journal of Surgical Research
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