University-basedpsychiatryresidencyprograms encourage thepursuit qfacademic careers, both on admission, byfiworing applicants with evidence qf a commitment to investigation, and afler residency training, by selecting asfa culty residents who have demonstrated academic and research productivity. While attempting to achieve multiple goals, some residents may be discouraged to pursue an academic career as a result of marked conflict between the clinical and academic components oftraining. The substantial diffirences in priorities among psychiatry residents ought to be explored early in residency training by devoting seminars to career planning and by facili tating the pursuit qf academic activities under a preceptorship program. Furthermore, the option fo r research track residencyprograms should be available to those with a strong commitment to academic psychiatry. In th e past 15 yea rs medi cal ed uca tors and research ers havc been incrcasin gly conce rne d abou t th e future of academic medi cin e ( 1-9) . Su ch conce rn stems from various threats to th e academic medi cal es tablishmen t, including fina ncial const raints (I 0) , litigation issu es (II) , insufficient funds to suppo r t research ( 12, 13), a nd a decline of interest by medi cal students and resid ents to pu rsu e a clini cal resea rch academic ca reer (I,3,9,14,15) . The trend towards fewer ph ysician-investigators has been identified in th e U.S. a nd worldwide (16). Wyngaarden (I) addressed th e declining interest in biom edi cal research on th c part of young physicians. He pointed out that ph ysician-investigat or s a re an enda nge re d species , basing this s ta te me n t on th e substantial declin e of th e pr op ort ion of fed eral postdoctoral fellowships awarded to M.Do's (physician-scientist s) com pare d with those granted to Ph.Dv's (non-physicians biomedi cal scie nt ists ), fro m 46% in 1977 to 20% in 1986. By 1977, of 2800 postdoctoral fellowships in th e clini cal sciences, only 2304 were filled, and 500 positions were not used. The pr oportion of federa l research grants awarded to principal investigators who are physician-scientist s also declined , from 43% in 1966 to 32% in 1977. A more recent article in th e American Journal ofMedicine com pa res academic physi cians to din osaurs, st ruggling to survive (17) . In the 80's fed eral research support to M .D o's con t inue d to decline; by 1987 68% of all NIH grants were awarded to investigators with a Ph .D. Strong recommendations to correc t th e decline in number of those en te r ing clinical investigation have been mad e, including eco no mic incentives and reexa mina-
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