Where are the junior investigators?
A junior investigator is a clinician-scientist who is defined as junior by years of training, not by age. Disturbingly, the number of junior investigators has been falling, in part because of the decreased funding available to sponsor their research efforts. A junior investigator in pediatrics is a physician who has finished medical school, a three-year pediatric residency and an additional three or more years of fellowship or pediatric subspecialty. The junior investigator can either continue to specialize in the basic sciences, where the fundamental concern is basic biology and molecular biology (bench science), or as a clinical investigator concerned with the application of therapies to sick patients. The clinical investigator makes the most immediate impact on medicine, but their numbers are in short supply. The reasons for this are clear: there is less grant money for senior clinical investigators, greater personal debt is required to finance medical education, and some individuals are unwilling to further their time spent as a student. This situation is reaching alarming levels and solutions must be examined. Included in the list of possible solutions would be a more realistic payback schedule for medical education loans, increased salaries at universities and hospitals, and more collaboration with better-funded basic researchers by junior clinical investigators. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Diseases of Children
Telemedicine: where it is and where it's going
There are many aspects if telemedicine, but the most important part is the ability to provide medical services to persons at a distance from the provider. There are still relatively few patients served in that way, despite the expansion of facilities, access and data. The quality of the medical services delivered seems excellent, but one obstacle in the development is the difficulty of computing cost-effectiveness, since there are so many different elements involved.
Publication Name: Annals of Internal Medicine
Of disparities and diversity: Where are we?
There is a remarkable improvement in the health of women over the past century, however disparities among minority populations persist. Because the reasons for disparities, usually poorer health, are multiple and complex, eliminating health disparities will require a multifaceted approach.
Publication Name: American Journal of Obstetrics and Gynecology
- Abstracts: The adolescent with pelvic inflammatory disease: assessment and management. part 2 Factors related to the initiation of prenatal care in the adolescent nullipara
- Abstracts: Narcolepsy: Nursing the sleeping sickness. Research and local audit to improve nursing care
- Abstracts: Is focal chronic autoimmune thyroiditis an age-related disease? Differences in incidence and severity between Japanese and British
- Abstracts: Pharmacoepidemiology: current status, prospects, and problems. part 2 The use of elearning in medical education: a review of the current situation
- Abstracts: Midline episiotomies: more harm than good? Taxing harm for health. Keeping Research Subjects Out of Harm's Way