{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:21:41Z","timestamp":1787509301624,"version":"build-2736575974"},"reference-count":27,"publisher":"American Society for Clinical Investigation","issue":"16","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,24]]},"abstract":"<jats:p>The American Board of Internal Medicine Research Pathway (ABIM RP) is designed to train physician-scientists by shortening postgraduate clinical training and increasing research time. We surveyed ABIM RP graduates to understand career trajectories, research engagement, and barriers to physician-scientist retention in academic research careers. We performed an anonymous, structured, web-based survey of 700 ABIM RP current and former trainees (2011\u20132022). We received 105 survey responses (97 RP graduates). The survey queried about demographics, training background, career outcomes, research involvement, and perceived barriers to retention in physician-scientist careers. Responses were stratified by trainee status, gender, and Medical Scientist Training Program (MSTP) participation, and select results were compared to test for statistical associations. Most respondents (79%) remained in academia, with 61% engaged in research-dominant roles. More MSTP graduates held research-focused academic positions than non-MSTP graduates. The most commonly reported barriers to sustaining research careers were funding instability, financial concerns, and lack of protected research time. Although many of the trainees in the ABIM RP who completed the survey remained in academia, systemic barriers such as funding instability and gaps in institutional support persist. Strategies to enhance financial stability, protected research time, and mentorship appear to be necessary to enhance physician-scientist career retention.<\/jats:p>","DOI":"10.1172\/jci.insight.195683","type":"journal-article","created":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:01:06Z","timestamp":1787508066000},"source":"Crossref","is-referenced-by-count":0,"title":["Navigating physician-scientist careers: insights from American Board of Internal Medicine Research Pathway graduates"],"prefix":"10.1172","volume":"11","author":[{"given":"Emily J.","family":"Gallagher","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Diabetes and Bone Disease, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8162-803X","authenticated-orcid":true,"given":"Barbara I.","family":"Kazmierczak","sequence":"additional","affiliation":[{"name":"Department of Microbial Pathogenesis, Department of Medicine (Infectious Diseases), Yale University School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kisielewski","sequence":"additional","affiliation":[{"name":"Alliance for Academic Internal Medicine, Alexandria, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Schoettler","sequence":"additional","affiliation":[{"name":"Section of Pulmonary and Critical Care Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clifford J.","family":"Steer","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Baiocchi","sequence":"additional","affiliation":[{"name":"Division of Hematology, Department of Internal Medicine, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9985-9565","authenticated-orcid":true,"given":"Jatin M.","family":"Vyas","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Medicine, Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyu Y.","family":"Rhee","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5611-8062","authenticated-orcid":true,"given":"Patrick J.","family":"Hu","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Cell and Developmental Biology, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4480-3484","authenticated-orcid":true,"given":"Carlos M.","family":"Isales","sequence":"additional","affiliation":[{"name":"Departments of Medicine, Neuroscience and Regenerative Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5720-0466","authenticated-orcid":true,"given":"Paul R.","family":"Conlin","sequence":"additional","affiliation":[{"name":"VA Boston Healthcare System and Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8056-3115","authenticated-orcid":true,"given":"Christopher D.","family":"Kontos","sequence":"additional","affiliation":[{"name":"Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Melfe","sequence":"additional","affiliation":[{"name":"American Board of Internal Medicine, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furman S.","family":"McDonald","sequence":"additional","affiliation":[{"name":"American Board of Internal Medicine, Philadelphia, Pennsylvania, USA."},{"name":"J. Edwin Wood Clinic of Pennsylvania Hospital, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3751-2961","authenticated-orcid":true,"given":"Don C.","family":"Rockey","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology and Digestive Disease Research Center, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1541-579X","authenticated-orcid":true,"given":"Christopher S.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Vanderbilt University Medical Center, Nashville, Tennessee, USA."},{"name":"Veterans Affairs Tennessee Valley Health Care System, Nashville, Tennessee, USA."},{"name":"Vanderbilt Ingram Cancer Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"232","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31826cba57"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3182a7f627"},{"key":"B3","unstructured":"American Board of Internal Medicine. Careers in Basic Science or Clinical Research: Research Pathway. https:\/\/www.abim.org\/certification\/policies\/careers-in-basic-science-or-clinical-research\/ Accessed August 7, 2026"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1904482"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31822225c5"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13513"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3180308155"},{"issue":"2","key":"B8","first-page":"123","article-title":"A time to be promoted. The Prospective Study of Promotion in Academia (Prospective Study of Promotion in Academia)","volume":"21","author":"Beasley","year":"2006","journal-title":"J Gen Intern Med"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-07144-4"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiy134"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31823592fd"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000004747"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2023.2822"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1172\/jci.insight.133010"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1172\/jci.insight.156168"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1172\/jci.insight.133009"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.16-3-215"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1172\/JCI136181"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.7554\/eLife.87148"},{"key":"B20","unstructured":"NIH. Stimulating Access to Research in Residency (StARR) (R38 Independent Clinical Trial Not Allowed). https:\/\/grants.nih.gov\/grants\/guide\/rfa-files\/RFA-HL-23-006.html Accessed July 10, 2026"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-058191"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006148"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002009"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0745"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e318212be02"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.22454\/FamMed.2024.453278"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/aqad091"}],"container-title":["JCI Insight"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/insight.jci.org\/articles\/view\/195683\/files\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:02:05Z","timestamp":1787508125000},"score":1,"resource":{"primary":{"URL":"https:\/\/insight.jci.org\/articles\/view\/195683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,24]]},"references-count":27,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2026,7,16]]},"published-print":{"date-parts":[[2026,8,24]]}},"alternative-id":["10.1172\/jci.insight.195683"],"URL":"https:\/\/doi.org\/10.1172\/jci.insight.195683","relation":{},"ISSN":["2379-3708"],"issn-type":[{"value":"2379-3708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,24]]},"article-number":"e195683"}}