Physiologists as medical scientists: An early warning from the German academic system.

funding medical scientists physiologists professional development training white paper

Journal

Physiological reports
ISSN: 2051-817X
Titre abrégé: Physiol Rep
Pays: United States
ID NLM: 101607800

Informations de publication

Date de publication:
Nov 2024
Historique:
revised: 07 09 2024
received: 12 06 2024
accepted: 07 09 2024
medline: 28 10 2024
pubmed: 28 10 2024
entrez: 27 10 2024
Statut: ppublish

Résumé

"Medical scientists" are postgraduate investigators who are engaged in biomedical research, and either hold a biomedical PhD or are qualified in medicine but do not participate in patient care. Medical scientists constitute ~40% of staff at medical faculties and >90% at nonuniversity medical research institutions in Germany. However, medical scientists in Germany face limited long-term career prospects and a lack of dedicated training and support programmes. They also face time limits on their career progression arising from national academic employment legislation, and imminent reforms by the German government are likely to make this worse. Nevertheless, recent developments in the educational landscape including the introduction of increasingly focused MSc, pre-PhD, and doctoral programmes to train medically aware basic scientists, as well as improved general recognition of the roles and relevance of medical scientists in health research, are encouraging. Physiologists have taken essential steps to improve the recognition of medical scientists in Germany by introducing a "specialist physiologist" qualification; this initiative could be applied to support medical scientists in other fields and countries. In this review, we describe the particular challenges facing medical scientists in Germany and make recommendations that may apply to other academic systems.

Identifiants

pubmed: 39462686
doi: 10.14814/phy2.70055
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e70055

Subventions

Organisme : Deutsche Forschungsgemeinschaft (DFG)
Organisme : University Heart Centre Freiburg · Bad Krozingen

Informations de copyright

© 2024 The Author(s). Physiological Reports published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society.

Références

Bundesministerium für Bildung und Forschung. (2020). Act on fixed‐term employment contracts in academia of 12 April 2007 Federal Law Gazette I (p. 506 as last amended by Article 1 of the Act of 25 May 2020 (Federal Law Gazette I, p.1073)). Bundesministerium für Bildung und Forschung. https://www.bmbf.de/bmbf/shareddocs/downloads/files/wisszeitvg‐englisch.pdf
Bundesministerium für Bildung und Forschung BMBF‐funded Advanced Clinician Scientist Programmes. https://www.med.uni‐freiburg.de/de/forschung/karrierewege/immediate‐advanced‐clinician‐scientist‐program/copy_of_immediate‐immune‐mediated‐diseases‐advanced‐clinician‐scientist‐program
Bundesministerium für Bildung und Forschung. (b). Die Reform des Wissenschaftszeitvertragsgesetzes. https://www.bmbf.de/bmbf/shareddocs/faq/wisszeitvg‐reform.html
Consortium for the National Report on Junior Scholars. (2021). 2021 National Report on Junior Scholars: Statistical Data and Research Findings on Doctoral Students and Doctorate Holders in Germany. https://www.buwin.de/dateien/2021/buwin‐2021‐keyresults.pdf
Davidson, J. D., de Oliveira Lopes, F. N., Safaei, S., Hillemann, F., Russell, N. J., & Schaare, H. L. (2023). Postdoctoral researchers' perspectives on working conditions and equal opportunities in German academia. Frontiers in Psychology, 14, 1217823. https://doi.org/10.3389/fpsyg.2023.1217823
de Goede, M., Belder, R., & de Jonge, J. (2013). Academic careers in The Netherlands. Rathenau Instituut. https://www.rathenau.nl/sites/default/files/2018‐05/Facts_and_Figures_Academic_Careers_01.pdf
Destatis Statistches Bundesamt. (2023c). Women in research and development: Germany lags behind. October 2023 https://www.destatis.de/Europa/EN/Topic/Science‐technology‐digital‐society/FemaleResearchers.html
Destatis Statistiches Bundesamt. (2023a). Pressemitteilung Nr. 328 vom 18. August 2023. https://www.destatis.de/DE/Presse/Pressemitteilungen/2023/08/PD23_328_213.html
Destatis Statistiches Bundesamt. (2023b). Pressemitteilung Nr. 481 vom 15. Dezember 2023. https://www.destatis.de/DE/Presse/Pressemitteilungen/2023/12/PD23_481_213
Destatis Statistiches Bundesamt. (2024). Pressemitteilung Nr. 258 vom 2. Juli 2024. https://www.destatis.de/DE/Presse/Pressemitteilungen/2024/07/PD24_258_213.html
Destatis Statistisches Bundesamt. (2022). Press release no. 347 of 16 august 2022: 200,300 doctoral students enrolled at German institutions of higher education in 2021. Destatis Statistisches Bundesamt. https://www.destatis.de/EN/Press/2022/08/PE22_347_213.html
Deutsche Forschungsgemeinschaft. (2022). Jahresbericht 2022. Deutsche Forschungsgemeinschaft. https://www.dfg.de/resource/blob/203820/ee6e3b9d62f9cc7145439efa2d89681c/dfg‐jb2022‐data.pdf
Deutsche Forschungsgemeinschaft. (2024a). Guidelines research training groups and international research training groups. Deutsche Forschungsgemeinschaft. https://www.dfg.de/resource/blob/168100/f34bc994988033c122c2f9c7c4cf9c13/50‐07‐en‐data.pdf
Deutsche Forschungsgemeinschaft. (2024b). Module research training group. Deutsche Forschungsgemeinschaft. https://www.dfg.de/resource/blob/168186/d053279bf7a4b6f26147781adcf7e610/52‐15‐en‐data.pdf
Deutsche Forschungsgemeinschaft. Clinician Scientist Programmes of the DFG. https://www.dfg.de/en/research_funding/funding_initiative/clinician_scientist_programme/index.html
Deutsche Physiologische Gesellschaft. Weiterbildungsordnung zur/zum Fachphysiologin/Fachphysiologen der Deutschen Physiologischen Gesellschaft (DPG). https://www.physiologische‐gesellschaft.de/fileadmin/user_upload/files/Weiterbildungsordnung_02_2022.pdf
Deutsches Zentrum für Hochschul‐ und Wissenschaftsforschung (DZHW). (2014). Befufswunsch Wissenschaft? https://www.dzhw.eu/pdf/pub_fh/fh‐201408.pdf
Deutsches Zentrum für Hochschul‐ und Wissenschaftsforschung (DZHW) (2024). https://nacaps‐datenportal.de/indikatoren/E1.html
Dias Lopes, A., & Wakeling, P. (2022). Inequality in early career research in the UK life sciences. University of York. https://www.ukri.org/wp‐content/uploads/2022/11/BBSRC‐301122‐BBSRCInequalityInECRReport.pdf
Eisner, D., Pohl, U., & van der Vusse, G. (2013). Physiology in Europe: The role of FEPS now and in the near future. Physiology News, Summer, 2013(91), 31–32. https://doi.org/10.36866/pn.91.31
Else Kröner Fresenius Stiftung Else Kröner Schools for Medical Scientists. https://www.ekfs.de/en/scientific‐funding/funding‐lines/graduate‐and‐research‐schools/else‐kroener‐schools‐for‐medical‐scientists
European Commission. (2020). Commission Staff Working Document Country Report Germany 2020. European Commission, Secretariat‐General. https://eur‐lex.europa.eu/legal‐content/EN/TXT/?qid=1584543810241&uri=CELEX%3A52020SC0504
European Commission. (2023). Employment and Social Developments in Europe: 2023 Annual Review. Directorate‐General for Employment, Social Affairs and Inclusion Directorate F. https://ec.europa.eu/social/BlobServlet?docId=26989&langId=en
Forum Gesundheitsforschung. (2020). Konzept zur Förderung von Medical Scientists in der Gesundheitsforschung in Deutschland. Forum Gesundheitsforschung. https://projekttraeger.dlr.de/media/gesundheit/GF/Konzept_Medical_Scientists_final.pdf
Gemeinsame Wissenschaftskonferenz (GWK). (2023). Pressemitteilung: Chancengleichheit in Wissenschaft und Forschung. https://www.gwk‐bonn.de/fileadmin/Redaktion/Dokumente/Pressemitteilungen/pm2023‐07.pdf
Gregorio, J. (2019). The future of physiology—A prospective view from Physioma2019. Proceedings—Physioma, 16, 1–15. https://doi.org/10.19277/bbr.16.2.218
Jaksztat, S., Preßler, N., Briedis, K., & Promotionen im Fokus. (2012). Hanover: HIS: Forum Hochschule. https://www.wissenschaftsmanagement‐online.de/sites/www.wissenschaftsmanagement‐online.de/files/migrated_wimoarticle/fh‐201215_promotionenimfokus.pdf
Kordel, M., Schmaus, C., Hummel, K., Poschadel, S., & Lücke, A. (2022). Erhebung zur beruflichen Situation der Medical Scientists. Bundesministerium für Bildung und Forschung. https://projekttraeger.dlr.de/media/gesundheit/GF/2022‐04‐14_Ergebnisbericht_Befragung_MedicalScientists_final.pdf
Langin, K. (2022). U.S. labs face severe postdoc shortage. Science, 376, 1369–1370. https://doi.org/10.1126/science.caredit.add4693
Lerchenmüller, C., Zelarayan, L., Streckfuss‐Bömeke, K., Gimenez, M. R., Schnabel, R., Hashemi, D., Baldus, S., Rudolph, T. K., & Morbach, C. (2023). Moving toward gender equity in the cardiology and cardiovascular research workforce in Germany: A report from the German cardiac society. European Heart Journal Open, 3(2), oead034. https://doi.org/10.1093/ehjopen/oead034
Marie Skłodowska‐Curie Actions MSCA awards €429.4 million for doctoral programmes. https://marie‐sklodowska‐curie‐actions.ec.europa.eu/news/doctoral‐networks‐2022‐call‐results
Medizinischer Fakultätentag. (2020). Minimaldefinition von clinician scientist Programmen. Medizinischer Fakultätentag. https://medizinische‐fakultaeten.de/wp‐content/uploads/2020/08/Minimaldefinition‐CSP‐MFT_August_2020.pdf
Medizinischer Fakultätentag Clinician Scientist Programme—Nachwuchs an forschenden Ärzten. https://medizinische‐fakultaeten.de/themen/forschung/clinician‐scientist‐programme/
Pittet, M. (2023). MFT‐Clinician Scientist‐Umfrage 2022. Medizinischer Fakultätentag. https://medizinische‐fakultaeten.de/wp‐content/uploads/2023/03/MFT‐Ergebnisse‐Umfrage‐Clinician‐Scientist‐Programme‐2022.pdf
Rodrigues, L. M., Guerreiro, I., Isca, V. M. S., & Gregório, J. (2024). Charting the course of physiology within the post‐Bologna European higher education area: Insights from Portugal. Physiological Reports, 12(5), e15959. https://doi.org/10.14814/phy2.15959
Sengupta, J., & Barman, S. M. (2018). Global status of physiology in research, education, and outreach. Physiology (Bethesda, Md.), 33(1), 7–9. https://doi.org/10.1152/physiol.00027.2017
Silander, C., & Pietilä, M. (2023). Teaching and research staff at Swedish universities—A view through the lens of internationalization and diversity. Högre Utbildning, 13(2), 72–87. https://doi.org/10.23865/hu.v13.5226
Spoon, K., Laberge, N., Hunter Wapman, K., Zhang, S., Morgan, A. C., Galesic, M., Fosdick, B. K., Larremore, D. B., & Clauset, A. (2023). Gender and retention patterns among U.S. faculty. Science Advances, 9(42), eadi2205. https://doi.org/10.1126/sciadv.adi2205
Statista (a) Number of full‐time professors at universities in Germany from 1999 to 2021. https://www.statista.com/statistics/1184595/number‐of‐full‐time‐professors‐at‐universities‐germany/
Statista (b) Number of doctoral students in Sweden from 2010 to 2021. https://www.statista.com/statistics/549782/sweden‐number‐of‐doctoral‐students/
Statista (c). (2022). Durchschnittsalter von Absolventen in der Fächergruppe Humanmedizin und Gesundheitswissenschaft in Deutschland im Jahr. https://de.statista.com/statistik/daten/studie/986118/umfrage/alter‐von‐absolventen‐der‐humanmedizin‐und‐der‐gesundheitswissenschaft/
Stiftung Charité. (2023). Clinician scientists – An initiative by Stiftung Charité. Stiftung Charité. https://www.stiftung‐charite.de/en/funding/research‐funding/clinician‐scientists
Zelarayán, L. C., Kohl, P., Kränkel, N., Lerchenmueller, C., Maack, C., Schnabel, R., & Streckfuß‐Bömeke, K. (2023). Stellungnahme zum Entwurf eines Gesetzes zur Änderung des Befristungsrechts für die Wissenschaft (WissZeitVG). Deutsche Gesellschaft für Kardiologie. https://dgk.org/daten/v2023_092‐wisszeitvg.pdf

Auteurs

Katrin Streckfuss-Bömeke (K)

Institute of Pharmacology and Toxicology, University of Würzburg, Würzburg, Germany.
Clinic for Cardiology and Pneumology, Georg-August University Göttingen, Göttingen, Germany.
DZHK (German Center for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.

Nicolle Kränkel (N)

Deutsches Herzzentrum der Charité, Klinik für Kardiologie, Angiologie Und Intensivmedizin, Campus Benjamin-Franklin (CBF), Berlin, Germany.
DZHK (German Centre for Cardiovascular Research) Partner Site Berlin, Berlin, Germany.
Friede Springer Centre of Cardiovascular Prevention at Charité, Charité-University Medicine Berlin, Berlin, Germany.

Christoph Maack (C)

Comprehensive Heart Failure Center, University Clinic Würzburg, Würzburg, Germany.
Medical Clinic 1, University Clinic Würzburg, Würzburg, Germany.

Renate B Schnabel (RB)

Department of Cardiology, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
German Center for Cardiovascular Research (DZHK) Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany.

Laura C Zelarayán (LC)

DZHK (German Center for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Institute of Pharmacology and Toxicology, University Medical Center, Göttingen, Germany.
Medical Clinic I, Cardiology and Angiology, Experimental Cardiology, Justus-Liebig-University, Giessen, Germany.

Norbert Frey (N)

Department of Medicine III: Cardiology, Angiology, and Pneumology, Heidelberg University, Heidelberg, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site, Heidelberg, Germany.

Peter Jezzard (P)

Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, UK.

Martina Krüger (M)

Institute of Cardiovascular Physiology, University Hospital Düsseldorf, Düsseldorf, Germany.
Cardiovascular Research Institute Düsseldorf, Düsseldorf, Germany.

Nico Lachmann (N)

Department for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hanover, Germany.
German Center for Lung Research (DZL), Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Hanover, Germany.
Cluster of Excellence RESIST (EXC 2155), Hannover Medical School, Hanover, Germany.
Fraunhofer Institute for Toxicology and Experimental Medicine, Hanover, Germany.

Susanne Lutz (S)

DZHK (German Center for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Institute of Pharmacology and Toxicology, University Medical Center, Göttingen, Germany.

Claudia Noack (C)

Nuvisan ICB GmbH, Department Therapeutic Research, Berlin, Germany.

Eric Schoger (E)

DZHK (German Center for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Institute of Pharmacology and Toxicology, University Medical Center, Göttingen, Germany.

Katrin Schröder (K)

Institute for Cardiovascular Physiology, Goethe University, Frankfurt Am Main, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site RheinMain, Frankfurt, Germany.

Laura C Sommerfeld (LC)

German Center for Cardiovascular Research (DZHK) Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany.
University Center of Cardiovascular Science (UCCS), University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Sabine Steffens (S)

Institute for Cardiovascular Prevention (IPEK), Ludwig-Maximilians-Universität, Munich, Germany.
DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Holger Winkels (H)

University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, Cologne, Germany.
Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany.

Christina Würtz (C)

Institute of Cardiovascular Physiology, University Medical Center Göttingen, Göttingen, Germany.
Office of the Dean of Studies, Faculty of Medicine/University Medical Center Göttingen, Göttingen, Germany.

Tanja Zeller (T)

Department of Cardiology, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
German Center for Cardiovascular Research (DZHK) Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany.
University Center for Cardiovascular Science, University Heart & Vascular Center Hamburg, Hamburg, Germany.

Eva A Rog-Zielinska (EA)

Institute for Experimental Cardiovascular Medicine, University Heart Center Freiburg · Bad Krozingen, University of Freiburg, Freiburg, Germany.
Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Peter Kohl (P)

Institute for Experimental Cardiovascular Medicine, University Heart Center Freiburg · Bad Krozingen, University of Freiburg, Freiburg, Germany.
Faculty of Medicine, University of Freiburg, Freiburg, Germany.
CIBSS Centre for Integrative Biological Signalling Studies, University of Freiburg, Freiburg, Germany.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH