{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:02:56Z","timestamp":1790038976100,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The career sustainability of early\u2010career faculty in the health professions is often framed as a matter of individual resilience, a perspective that obscures institutional determinants of ill\u2010being and attrition. We argue that retention and thriving depend on an institutional ecosystem that integrates structured mentoring, psychopedagogical support and formal recognition of faculty work. Drawing on recent evidence on burnout, resilience and career development in academic medicine, we propose the Health Professions Faculty Career Sustainability Institutional Ecosystem (EISCD\u2010Health) and the Faculty Institutional Resilience Index (IRID\u2010Health). We describe causal mechanisms for each axis, formulate testable predictions and outline a phased implementation agenda guided by gender and racial equity, offering clinical teachers and institutional leaders concrete levers and metrics to make early\u2010career faculty careers more sustainable and just.<\/jats:p>","DOI":"10.1111\/tct.70496","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T01:29:11Z","timestamp":1786757351000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From the Individual to the Ecosystem: An Institutional Framework for the Career Sustainability of Early\u2010Career Health Professions Faculty"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9513-1083","authenticated-orcid":false,"given":"Emerson Roberto","family":"dos Santos","sequence":"first","affiliation":[{"name":"S\u00e3o Jos\u00e9 do Rio Preto Medical School \u2010 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