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拉丁美洲医学科学家指导工作中的挑战与前景:一项叙述性综述及建议

Challenges and prospects in mentoring medical scientists in Latin America: a narrative review and recommendations.

作者信息

Menezes Rodrigo C, Vinhaes Caian L, Ridolfi Felipe, Ferreira Isabella B B, Huaman Moises A, Ugarte-Gil Cesar, Andrade Bruno B

机构信息

Laboratório de Pesquisa Clínica e Translacional, Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador, Brazil.

Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador, Brazil.

出版信息

Front Med (Lausanne). 2025 Jul 16;12:1595325. doi: 10.3389/fmed.2025.1595325. eCollection 2025.

Abstract

OBJECTIVE

To identify the challenges for the development and mentorship of physician-scientists in Latin America, outline the key barriers to integrating research training into medical education and post-graduate pathways, and propose recommendations to foster structured mentorship, improve institutional support, and strengthen the research ecosystem for future physician-scientists.

STUDY DESIGN

Narrative review.

METHODS

A narrative review of relevant literature, institutional reports, and existing educational models was undertaken. The authors synthesized information on current educational pathways, funding opportunities, institutional infrastructures, and mentorship practices for physician-scientists in Latin America and derived practical recommendations for improving mentorship and training structures.

RESULTS

Latin America's aspiring physician-scientists face fragmented educational programs, limited or inconsistent research integration in medical curricula, and inadequate mentorship support. These issues are exacerbated by overburdened healthcare systems, insufficient funding, low stipends, and a scarcity of dual-degree training programs. Institutional and funding barriers frequently force trainees and established researchers to choose between clinical practice and research, stifling the growth of a skilled physician-scientist workforce. Proposed solutions include developing integrated dual-degree and research residency programs, reforming medical curricula to include foundational research skills, strengthening mentorship networks through structured support and incentives, increasing research fellowship funding and removing exclusivity clauses, and creating regional consortia to standardize training and foster cross-border collaboration.

CONCLUSION

Addressing the systemic barriers to mentoring and training physician-scientists in Latin America is essential for building a robust, research-oriented medical community. The recommended structural reforms, with increasing funding, enhanced mentorship frameworks, and promoting regional partnerships, can help Latin America cultivate a sustainable environment for the development of physician-scientists.

摘要

目的

确定拉丁美洲医师科学家发展与指导面临的挑战,概述将研究培训纳入医学教育和研究生培养途径的关键障碍,并提出建议,以促进结构化指导、改善机构支持并加强未来医师科学家的研究生态系统。

研究设计

叙述性综述。

方法

对相关文献、机构报告和现有教育模式进行叙述性综述。作者综合了拉丁美洲医师科学家当前教育途径、资金机会、机构基础设施和指导实践的信息,并得出了改善指导和培训结构的实用建议。

结果

拉丁美洲有抱负的医师科学家面临教育项目分散、医学课程中研究整合有限或不一致以及指导支持不足的问题。医疗系统负担过重、资金不足、津贴低以及双学位培训项目稀缺加剧了这些问题。机构和资金障碍常常迫使受训人员和资深研究人员在临床实践和研究之间做出选择,抑制了熟练医师科学家队伍的成长。提议的解决方案包括制定综合双学位和研究住院医师项目、改革医学课程以纳入基础研究技能、通过结构化支持和激励加强指导网络、增加研究奖学金资金并取消排他性条款,以及创建区域联盟以规范培训并促进跨境合作。

结论

解决拉丁美洲医师科学家指导和培训的系统性障碍对于建立一个强大的、以研究为导向的医学社区至关重要。建议的结构性改革,包括增加资金、加强指导框架和促进区域伙伴关系,有助于拉丁美洲为医师科学家的发展营造一个可持续的环境。

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