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The Journal of Bone and Joint Surgery 83:131 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

The Orthopaedic Forum

The Orthopaedic Clinician-Scientist

Douglas W. Jackson, MD

Most applicants for orthopaedic residencies and fellowships state that they wish to do some teaching and research when they finish their training. However, this initial interest in research is not sufficiently maintained to replenish the pool of clinician-scientists in orthopaedics. This problem is not unique to our field; clinician-scientists are an endangered species in many other specialties as well. From 1994 to 1997, the actual number of all first-time physician applicants for National Institutes of Health research grants plummeted 31%. If this progression were to continue linearly, there would be no first-time physician applicants by 20031. While support from the National Institutes of Health is not the only way to sustain a research career, it is a bellwether of clinician-scientists doing work at that recognized high level. James Wyngaarden, former director of the National Institutes of Health, called attention to this developing trend in 1979 in an article entitled . . . [Full Text of this Article]


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