ArticleNeurology2015
Decline of clinical research in academic medical centers.
Article in Neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessments of Research Competencies for Clinical Investigators: A Systematic Review.Evaluation & the health professions · 2021Pooled it
- Pooled it
- "Protected time" for clinical investigators in medical oncology: The persistent gap between expectation and reality.Cancer · 2026Article
- Stabilizing and strengthening the US physician-scientist faculty workforce in academic medicine: a proposed institutional framework.JCI insight · 2026Article
- Research Exposure and Training Among Pediatric Cardiology Fellows in the United States: A National Survey.Pediatric cardiology · 2026Article
- Amyotrophic Lateral Sclerosis Clinical Research Site Operations: Emerging Challenges and Potential Solutions From Multiple Sites in the US.Muscle & nerve · 2026Article
- Undergraduate medical students' perspectives on research education and their confidence in research skills: a cross-sectional study from Palestine.BMC medical education · 2025Article
- Medical research and health care finance: Evidence from Academic Medical Centers.Research policy · 2025Article
- An Investigation into the Current Landscape, Challenges, and Training Imperatives of Clinical Research Among Anesthesiologists in China.Risk management and healthcare policy · 2025Article
- The importance of physician engagement in medical research.Frontiers in medicine · 2025Article
- Challenges in teacher-student communication during family medicine residency: A qualitative study.PloS one · 2024Article
- Flexner has fallen: Transitions in medical education system across time, a gradual return to pre-Flexnerian state (de-Flexnerization).World journal of clinical cases · 2023Review
- Challenges and opportunities for research clinicians interested in pain: results of a survey.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Status of the Clinician Investigator in America: An Essential Healthcare Provider Driving Advances in Cancer Care.Journal of the National Comprehensive Cancer Network : JNCCN · 2021Article
- The world needs our science: broadening the research pipeline in anesthesiology.Regional anesthesia and pain medicine · 2021Article
- Teaching undergraduate students gynecological and obstetrical examination skills: the patient's opinion.Archives of gynecology and obstetrics · 2020Article
- Perspectives on Research Internships for Medical Students and Young Doctors in Ghana: An Opportunity to Replenish the Stock of Physician Investigators?Advances in medical education and practice · 2020Article
- Multivariable analysis of factors associated with USMLE scores across U.S. medical schools.BMC medical education · 2019Article
- Who's Contributing Most to American Neuroscience Journals: American or Foreign Authors?AJNR. American journal of neuroradiology · 2018Article
- The state of clinical research in neurology.Neurology · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
Marked changes in US medical school funding began in the 1960s with progressively increasing revenues from clinical services. The growth of clinical revenues slowed in the mid-1990s, creating a funding crisis for US academic health care centers, who responded by having their faculty increase their clinical duties at the expense of research activities. Surveys document the resultant stresses on the academic clinician researcher. The NIH provides greater funding for basic and translational research than for clinical research, and the new Patient-Centered Outcomes Research Institute is inadequately funded to address the scope of needed clinical research. An increasing portion of clinical research is funded by industry, which leaves many important clinical issues unaddressed. There is an inadequate supply of skilled clinical researchers and a lack of external support for clinical research. The impact on the academic environment in university medical centers is especially severe on young faculty, who have a shrinking potential to achieve successful academic careers. National health care research funding policies should encourage the right balance of life-science investigations. Medical universities need to improve and highlight education on clinical research for students, residents, fellows, and young faculty. Medical universities also need to provide appropriate incentives for clinical research. Without training to ensure an adequate supply of skilled clinical researchers and a method to adequately fund clinical research, discoveries from basic and translational research cannot be clinically tested and affect patient care. Thus, many clinical problems will continue to be evaluated and treated with inadequate or even absent evidence-based knowledge.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.