Essentials of neonatal-perinatal medicine fellowship: scholarship perspective

Neonatal-perinatal medicine fellows must achieve a meaningful accomplishment in scholarly activity as part of their training. Despite the requirement for scholarly training in fellowship, there is a vanishingly small number of MD-only physician-scientists pursuing a research-oriented career. Recent neonatal trainees have identified several factors that preclude their careers in research-focused academic neonatology, including lower pay in academic positions, inadequate training in research techniques, and the perception that individuals in research careers have a poor work-life balance. High competition for limited pediatric research funds also contributes to a diminishing pool of physician-scientists in neonatology. This small number of physician-scientists is threatened by a high rate of attrition among physicians who enter this career path. In order to prevent further declines in the number of neonatal physician-scientists, we need improvements in funding and strong intra- and cross-institutional mentorship to foster individuals interested in a career as a physician-scientist.

Automated summary

Neonatal-perinatal medicine fellows are required to achieve scholarly accomplishment in training, but there is a small number of MD-only physician-scientists pursuing research-oriented careers. Factors contributing to the decline in physician-scientists in neonatology include low pay, inadequate research training, and perceptions of poor work-life balance. Improvements in funding and mentorship are needed to foster interest in physician-scientist careers and prevent further declines.