| Peer-Reviewed

The Clinician Scientist: How Rehabilitation Fares ―A Scoping Review

Received: 22 November 2021     Accepted: 16 December 2021     Published: 24 December 2021
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Abstract

Background: Clinician scientists (CS) play a role in bridging the gap between research and practice. However, the role of a CS is less established for healthcare professionals in rehabilitation in comparison to medicine. Objective: The purpose of this scoping review was to explore different roles and models of a clinician scientist in rehabilitation and compare this to medicine and nursing. Methods: This review was structured according to the Arksey and O’Malley (2005) framework for scoping reviews. A literature search was conducted from the following databases: EMBASE, MEDLINE, AMED and Web of Science; a grey literature search was conducted from MacSphere, ProQuest, Duck DuckGo, and Google. Results: 95 articles met the inclusion criteria with 73 studies in medicine, including nursing, 10 articles from rehabilitation and 12 articles with mixed professions. The main barriers identified for rehabilitation involved time constraints and lack of funding for research, whereas primary facilitators included development of formalized training programs and presence of mentorship programs. Conclusion: The role of the clinician scientist is more established in medicine compared to rehabilitation. There is a need for an established career trajectory accompanied with training programs. Further studies are required to shape the role and development of secure funding models for CS positions.

Published in American Journal of Health Research (Volume 9, Issue 6)
DOI 10.11648/j.ajhr.20210906.15
Page(s) 246-268
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Clinician Scientist, Medicine, Rehabilitation, Role

References
[1] Lockyer JM, Brzezina S, Thake J, Beck PL, Hollenberg MD, Hemmelgarn B, Taber S, Harris KA, Gorman L, Strong M. Clinician scientists in Canada: supporting innovations in patient care through research. Royal College of Physicians and Surgeons of Canada=Collège royal des médecins et chirurgiens du Canada; 2016.
[2] Wojkowski S, Unger J, McCaughan M, Cole B, Kho ME. Development, Implementation, and Outcomes of an Acute Care Clinician Scientist Clinical Placement: Case Report. Physiotherapy Canada. 2017; 69 (4): 318-22.
[3] Van Dijk EE, Kluijtmans M, Vulperhorst JP, Akkerman SF. Disseminated learning from clinician-scientists: a multiple case study in physiotherapeutic care. BMC medical education. 2018 Dec; 18 (1): 1-9.
[4] Peters MD, McLean A. The evolution of the clinician-scientist model of neurological rehabilitation. Brain injury. 1995 Jan 1; 9 (6): 543-52.
[5] Morel PA, Ross G. The physician scientist: balancing clinical and research duties. Nature immunology. 2014 Dec; 15 (12): 1092-4.
[6] Harvey D, Plummer D, Nielsen I, Adams R, Pain T. Becoming a clinician researcher in allied health. Australian Health Review. 2016 Oct 31; 40 (5): 562-9.
[7] Lander B, Hanley GE, Atkinson-Grosjean J. Clinician-scientists in Canada: barriers to career entry and progress. PLoS one. 2010 Oct 4; 5 (10): e13168.
[8] Ballios BG, Rosenblum ND. Challenges facing physician scientist trainees: a survey of trainees in Canada’s largest undergraduate and postgraduate programs in a single centre. Clinical and Investigative Medicine. 2014 Oct 4: E268-83.
[9] Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implementation science. 2010 Dec; 5 (1): 1-9.
[10] Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int. J. Soc. Res. Methodol. 2005; 8 (1), 19-32.
[11] Davis K, Drey N, Gould D. What are scoping studies? A review of the nursing literature. International journal of nursing studies. 2009 Oct 1; 46 (10): 1386-400.
[12] Ridgway E, Terilli C, Conly T, Hunt J, Kelly D, Schaaf R. Exploring the Journey of Clinician-to-Clinician Researcher. American Journal of Occupational Therapy. 2019 Aug 1; 73 (4_Supplement_1): 7311505072p1-.
[13] Beamish N. [Internet]. Canada: Physiospot – Physiotherapy and Physical Therapy in the Spotlight; 2018 [June 10, 2020]. Available from: https://www.physiospot.com/physiopedia/clinician-scientist-spotlight-a-qa-with-dr-jenna-smith-turchyn/
[14] Aljadi SH, Alrowayeh HN, Alotaibi NM, Taaqi MM, Alquraini H, Alshatti TA. Research amongst physical therapists in the state of Kuwait: participation, perception, attitude, and barriers. Medical Principles and Practice. 2013; 22 (6): 561-6.
[15] Bernhardt J, Shyn-Li LT. More options and better job security required in career paths of physiotherapist researchers: an observational study. Australian Journal of Physiotherapy. 2008 Jan 1; 54 (2): 135-40.
[16] Atkinson JC. Ethical issues as an occupational therapist and epidemiological researcher. British Journal of Occupational Therapy. 2005 May; 68 (5): 235-7.
[17] Cusick A. The experience of clinician-researchers in occupational therapy. American Journal of Occupational Therapy. 2001 Jan 1; 55 (1): 9-18.
[18] Cusick A. Practitioner-researchers in occupational therapy. Australian Occupational Therapy Journal. 2000 Mar; 47 (1): 11-27.
[19] Colborn AP. Combining practice and research. American Journal of Occupational Therapy. 1993 Aug 1; 47 (8): 693-703.
[20] Hunter JE. Research and occupational therapy. Canadian Journal of Occupational Therapy. 1976 Sep; 43 (3): 121-5.
[21] Bookey-Bassett S, Bianchi A, Richards J, Kelly H. Overcoming Challenges to Support Clinician-Scientist Roles in Canadian Academic Health Sciences Centres. Healthcare quarterly (Toronto, Ont.). 2019 Apr 1; 22 (1): 60-6.
[22] Smith S, Gullick J, Ballard J, Perry L. Clinician researcher career pathway for registered nurses and midwives: A proposal. International journal of nursing practice. 2018 Jun; 24 (3): e12640.
[23] Fry M, Dombkins A. Interventions to support and develop clinician-researcher leadership in one health district. International journal of health care quality assurance. 2017 Aug 14.
[24] Green TL, Tranmer J. Barriers and supports for development of a clinician scientist role in cerebrovascular nursing: A position paper. Nurs Leadersh. 2007; 20 (2): 69-79.
[25] Fitzgerald M, Milberger P, Tomlinson PS, Peden-Mcalpine C, Meiers SJ, Sherman S. Clinical nurse specialist participation on a collaborative research project: barriers and benefits. Clinical Nurse Specialist. 2003 Jan 1; 17 (1): 44-9.
[26] Monzer N, Herzog W, Löwe B, Zipfel S, Henningsen P, Rose M, Lehmann M. Reviving the Clinician Scientist: A Best Practice Model. Psychotherapy and psychosomatics. 2019 Apr 1; 88 (2): 114-6.
[27] Weggemans MM, Friesen F, Kluijtmans M, Prakken B, Ten Cate O, Woods NN, Rosenblum ND. Critical Gaps in Understanding the Clinician–Scientist Workforce: Results of an International Expert Meeting. Academic Medicine. 2019 Oct 1; 94 (10): 1448-54.
[28] Kluijtmans M, De Haan E, Akkerman S, Van Tartwijk J. Professional identity in clinician-scientists: brokers between care and science. Medical education. 2017 Jun; 51 (6): 645-55.
[29] Hay-Smith EJ, Brown M, Anderson L, Treharne GJ. Once a clinician, always a clinician: a systematic review to develop a typology of clinician-researcher dual-role experiences in health research with patient-participants. BMC medical research methodology. 2016 Dec; 16 (1): 1-7.
[30] Sakushima K, Mishina H, Fukuhara S, Sada K, Koizumi J, Sugioka T, Kobayashi N, Nishimura M, Mori J, Makino H, Feldman MD. Mentoring the next generation of physician-scientists in Japan: a cross-sectional survey of mentees in six academics medical centers. BMC medical education. 2015 Dec; 15 (1): 1-7.
[31] Hiscock H, Ledgerwood K, Danchin M, Ekinci E, Johnson E, Wilson A. Clinical research potential in V ictorian hospitals: the V ictorian clinician researcher needs analysis survey. Internal medicine journal. 2014 May; 44 (5): 477-82.
[32] MacDonald SE, Sharpe HM, Shikako-Thomas K, Larsen B, MacKay L. Perspective: Entering uncharted waters: Navigating the transition from trainee to career for the nonphysician clinician–scientist. Academic Medicine. 2013 Jan 1; 88 (1): 61-6.
[33] Stevens B, Burrows G, Keatings M, Atkinson S, Riahi S, Mabbott D, Gordon K. Health Clinician-Scientist in Academic Health Centres: Protecting an Endangered Species: A National Symposium; Toronto, Ontario. 2010.
[34] Mackay M. Why nursing has not embraced the clinician–scientist role. Nursing Philosophy. 2009 Oct; 10 (4): 287-96.
[35] Yanos PT, Ziedonis DM. The patient-oriented clinician-researcher: advantages and challenges of being a double agent. Psychiatric services. 2006 Feb; 57 (2): 249-53.
[36] Armstrong PW, Ezekowitz C, Michelakis E, Anderson T, Archer S, Ghali W, Hayward R, Jensen L, Lopaschuk G, Sheldon R. Innovative strategic canadian research training from tomorrOw's Research Cardiovascular Health Care Professionals (TORCH). Clinical and investigative medicine. 2004 Feb 1; 27 (1): 33-41.
[37] Steinman RA, Proulx CN, Levine AS. The highly structured Physician Scientist Training Program (PSTP) for medical students at the University of Pittsburgh. Academic Medicine. 2020 Sep; 95 (9): 1373.
[38] Bartelink ML, Baggen Y, Stevens DE, Smalbrugge M, Scherpbier N, Damoiseaux RA, de Groot E. Facilitators and barriers to brokering between research and care by senior clinical scientists in general practice and elderly care medicine. Education for Primary Care. 2019 Mar 4; 30 (2): 80-7.
[39] Bensken WP, Nath A, Heiss JD, Khan OI. Future Directions of Training Physician–Scientists: Reimagining and Remeasuring the Workforce. Academic medicine: journal of the Association of American Medical Colleges. 2019 May; 94 (5): 659.
[40] Ng E, Jones AA, Sivapragasam M, Nath S, Mak LE, Rosenblum ND. The Integration of Clinical and Research Training: How and Why MD–PhD Programs Work. Academic Medicine. 2019 May 1; 94 (5): 664-70.
[41] Sarma GP, Levey A, Faundez V. Re-examining physician-scientist training through the prism of the discovery-invention cycle. F1000Research. 2019; 8.
[42] Adefuye AO, Adeola HA, Bezuidenhout J. The physician-scientists: rare species in Africa. The Pan African Medical Journal. 2018; 29.
[43] Alves C. Research methodology: how to maximize your research potential. EFORT open reviews. 2018 May; 3 (5): 184-91.
[44] Anderson EM, Johnston K, Gunnarsson R, Larkins S. Perceptions of a research honours programme embedded in a Bachelor of Medicine, Bachelor of Surgery degree: " The worst and best years of my life". Focus on Health Professional Education: A Multi-disciplinary Journal. 2018 Jan; 19 (1): 1-1.
[45] Barton KI, Capozzi LC, Aker G, Yipp BG, Hollenberg MD, Rabi DM, Beck PL. The need for an executive leadership curriculum in scientist-clinician training programs. Clinical and Investigative Medicine. 2018 Sep 30; 41 (3): E144-7.
[46] Blish CA. Maintaining a robust pipeline of future physician-scientists. The Journal of infectious diseases. 2018 Aug 14; 218 (suppl_1): S40-3.
[47] Basgoz N. Supporting the Physician-Scientist in Clinical Practice in Infectious Diseases. The Journal of infectious diseases. 2018 Aug 14; 218 (suppl_1): S28-31.
[48] Burns AM, Thammasitboon S, Turner TL, Ward MA, Orange JS. Implementation of a Novel Curriculum and Conceptual Framework for Pediatrician-Scientist Development. Academic Pediatrics. 2018 Jul 1; 18 (5): e27-8.
[49] Cox AL. Balancing research, teaching, clinical care, and family: can physician-scientists have it all? The Journal of infectious diseases. 2018 Aug 14; 218 (suppl_1): S32-5.
[50] Eley DS. The clinician-scientist track: an approach addressing Australia’s need for a pathway to train its future clinical academic workforce. BMC medical education. 2018 Dec; 18 (1): 1-9.
[51] Hunt PW. The Clinical-Translational Physician-Scientist: Translating Bedside to Bench. The Journal of infectious diseases. 2018 Aug 14; 218 (suppl_1): S12-5.
[52] Marbach JA, Almufleh A, Froeschl M, Hibbert B. The next generation of physician-scientists: adapting to academic cardiology in the 21st century. Canadian Journal of Cardiology. 2018 Sep 1; 34 (9): 1225-8.
[53] Ommering BW, van Blankenstein FM, Waaijer CJ, Dekker FW. Future physician-scientists: could we catch them young? Factors influencing intrinsic and extrinsic motivation for research among first-year medical students. Perspectives on medical education. 2018 Aug; 7 (4): 248-55.
[54] Skinnider MA, Twa DD, Squair JW, Rosenblum ND, Lukac CD, Canadian MD/PhD Program Investigation Group. Predictors of sustained research involvement among MD/PhD programme graduates. Medical education. 2018 May; 52 (5): 536-45.
[55] Strong MJ, Busing N, Goosney DL, Harris KA, Horsley T, Kuzyk A, Lingard L, Norman WV, Rosenblum ND, Saryeddine T, Wang X. The rising challenge of training physician–scientists: recommendations from a Canadian national consensus conference. Academic Medicine. 2018 Feb 1; 93 (2): 172-8.
[56] Yoon S, Koh WP, Ong ME, Thumboo J. Factors influencing career progress for early-stage clinician-scientists in emerging Asian academic medical centres: a qualitative study in Singapore. BMJ Open. 2018; 8 (3).
[57] Eley DS, Jensen C, Thomas R, Benham H. What will it take? Pathways, time, and funding: Australian medical students’ perspective on clinician-scientist training. BMC medical education. 2017 Dec; 17 (1): 1-9.
[58] Harding CV, Akabas MH, Andersen OS. History and outcomes of fifty years of physician-scientist training in medical scientist training programs. Academic medicine: journal of the Association of American Medical Colleges. 2017 Oct; 92 (10): 1390.
[59] Klimas J, McNeil R, Ahamad K, Mead A, Rieb L, Cullen W, Wood E, Small W. Two birds with one stone: experiences of combining clinical and research training in addiction medicine. BMC medical education. 2017 Dec; 17 (1): 1-8.
[60] Lingard L, Zhang P, Strong M, Steele M, Yoo J, Lewis J. Strategies for supporting physician–scientists in faculty roles: A narrative review with key informant consultations. Academic Medicine. 2017; 92 (10).
[61] McKinney Jr RE. The daunting career of the physician–investigator. Academic Medicine. 2017 Oct 1; 92 (10): 1368-70.
[62] Skinnider MA, Squair JW, Twa DD, Ji JX, Kuzyk A, Wang X, Steadman PE, Zaslavsky K, Dey AK, Eisenberg MJ, Gagné ÈR. Characteristics and outcomes of Canadian MD/PhD program graduates: a cross-sectional survey. CMAJ open. 2017 Apr; 5 (2): E308.
[63] Yin C, Steadman PE, Apramian T, Zhou TE, Ishaque A, Wang X, Kuzyk A, Warsi N. Training the next generation of Canadian Clinician-Scientists: charting a path to success. Clin Invest Med. 2017; 40 (2), 95-101.
[64] DeLuca GC, Ovseiko PV, Buchan AM. Personalized medical education: Reappraising clinician-scientist training. Science translational medicine. 2016 Jan 5; 8 (321).
[65] Kosik RO, Tran DT, Fan AP, Mandell GA, Tarng DC, Hsu HS, Chen YS, Su TP, Wang SJ, Chiu AW, Lee CH. Physician scientist training in the United States: a survey of the current literature. Evaluation & the health professions. 2016 Mar; 39 (1): 3-20.
[66] Rosenblum ND, Kluijtmans M, Ten Cate O. Professional identity formation and the clinician–scientist: A paradigm for a clinical career combining two distinct disciplines. Academic Medicine. 2016; 1 (12), 1612-1617.
[67] Smeesters PR. You’ll be a clinician-scientist, my son. 2015.
[68] Abu-Zaid A, Altinawi B. Perceived barriers to physician–scientist careers among female undergraduate medical students at the College of Medicine–Alfaisal University: A Saudi Arabian perspective. Medical teacher. 2014 Apr 1; 36 (sup1): S3-7.
[69] Baumal R, Benbassat J, Van JA. Reflections on the current and future roles of clinician-scientists. The Israel Medical Association Journal: IMAJ. 2014 Aug 1; 16 (8): 475-8.
[70] Bhat V, Leong K, Lee J, Voineskos D, Daskalakis ZJ, Lam RW, Jollant F. track programs for residents in psychiatry: a review of literature and a report of 3 Canadian experiences. The Canadian Journal of Psychiatry. 2014 May; 59 (5): 268-75.
[71] Cornfield DN, Lane R, Rosenblum ND, Hostetter M, Jobe A, Albertine K, Aschner J, Abman SH. Patching the pipeline: creation and retention of the next generation of physician–scientists for child health research. The Journal of pediatrics. 2014 Nov 1; 165 (5): 882-4.
[72] Girgis F. Feasibility of a dual neurosurgeon-scientist career in Canada: a survey study. Canadian journal of neurological sciences. 2013 Jul; 40 (4): 504-11.
[73] Huang Z, Yong EL. Application of Science to Medicine—The Clinician-Scientist. 2013.
[74] Megyesi JF. A Role for the Surgeon-Scientist? What Does the “Evidence” tell Us? Can J Neurol Sci. 2013; 40, 450-452.
[75] Atesok KI, Hurwitz SR, Egol KA, Ahn J, Owens BD, Crosby LA, Pellegrini Jr VD. Perspective: integrating research into surgical residency education: lessons learned from orthopaedic surgery. Academic Medicine. 2012 May 1; 87 (5): 592-7.
[76] Olivier Desplantie MD. Perspectives on the Clinician-Scientist Pathway: A Survey of Cardiology Fellows. Canadian Journal of General Internal Medicine. 2012; 7 (4): 123.
[77] Roberts SF, Fischhoff MA, Sakowski SA, Feldman EL. Perspective: Transforming Science into Medicine How Clinician–Scientists Can Build Bridges Across Research's “Valley of Death”. Academic Medicine. 2012 Mar 1; 87 (3): 266-70.
[78] Yap KK. The clinician-scientist: Uniquely poised to integrate science and medicine. Aust Med Stud J. 2012; 3: 10-1.
[79] Huber-Lang M, Neugebauer E. The dual role of academic surgeons as clinicians and researchers-an attempt to square the circle? 2011; 1-3.
[80] Rosen MR. The Role of the Physician-Scientist in Our Evolving Society. Rambam Maimonides medical journal. 2011 Oct; 2 (4).
[81] Rubio DM, Primack BA, Switzer GE, Bryce CL, Seltzer DL, Kapoor WN. A comprehensive career-success model for physician-scientists. Academic medicine: journal of the Association of American Medical Colleges. 2011 Dec; 86 (12): 1571.
[82] Armstrong AY, DeCherney A, Leppert P, Rebar R, Maddox YT. Keeping clinicians in clinical research: the clinical research/reproductive scientist training program. Fertility and sterility. 2009 Mar 1; 91 (3): 664-6.
[83] Bakken S, Lantigua RA, Busacca LV, Bigger JT. Barriers, enablers, and incentives for research participation: a report from the Ambulatory Care Research Network (ACRN). The Journal of the American Board of Family Medicine. 2009 Jul 1; 22 (4): 436-45.
[84] Donath E, Filion KB, Eisenberg MJ. Improving the clinician-scientist pathway: a survey of clinician-scientists. Archives of internal medicine. 2009 Jul 13; 169 (13): 1241-7.
[85] Gorski D. The clinician-scientist: Wearing two hats. Sciencebasedmedicine.Org. [Internet] 2020 [cited 2020 June 10]. Available from: https://sciencebasedmedicine.org/the-clinician-scientist-wearing-two-hats/.
[86] Olumi AF, DeWolf WC. The hybrid of basic science and clinical training for the urologic oncologit: Necessity or waste? InUrologic Oncology: Seminars and Original Investigations 2009; 27 (2) 205-207.
[87] Andriole DA, Whelan AJ, Jeffe DB. Characteristics, and career intentions of the emerging MD/PhD workforce. Jama. 2008 Sep 10; 300 (10): 1165-73.
[88] Brown AM, Morrow JD, Limbird LE, Byrne DW, Gabbe SG, Balser JR, Brown NJ. Centralized oversight of physician–scientist faculty development at Vanderbilt: Early outcomes. Academic medicine: journal of the Association of American Medical Colleges. 2008 Oct; 83 (10): 969.
[89] Howell E, Kravet S, Kisuule F, Wright SM. An innovative approach to supporting hospitalist physicians towards academic success. Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine. 2008 Jul; 3 (4): 314-8.
[90] Marks AR. Physician-scientist, heal thyself. The Journal of clinical investigation. 2007 Jan 2; 117 (1): 2-.
[91] Rosier RN. Institutional barriers to the orthopaedic clinician-scientist. Clinical Orthopaedics and Related Research®. 2006 Aug 1; 449: 159-64.
[92] Bakken LL. Who is physician–scientists’ role models? Gender makes a difference. Academic Medicine. 2005 May 1; 80 (5): 502-6.
[93] Ley TJ, Rosenberg LE. The physician-scientist career pipeline in 2005: build it, and they will come. Jama. 2005 Sep 21; 294 (11): 1343-51.
[94] Wang MF. Physician-scientists' learning in communities of practice. [dissertation]. Madison (WI): University of Wisconsin-Madison; 2002.
[95] Ahn J, Watt CD, Greeley SA, Bernstein J. MD-PhD students in a major training program show strong interest in becoming surgeon-scientists. Clin. Orthop. Relat. Res. 2004; 425, 258-263.
[96] Henke PK. Collaboration based on the clinical model can help grow the physician-scientist. The American journal of surgery. 2003 Jan 1; 185 (1): 42-4.
[97] Faxon DP. The chain of scientific discovery: the critical role of the physician-scientist. Circulation. 2002 Apr 16; 105 (15): 1857-60.
[98] Guelich JM, Singer BH, Castro MC, Rosenberg LE. A gender gap in the next generation of physician-scientists: medical student interest and participation in research. Journal of Investigative Medicine. 2002 Nov 1; 50 (6): 412-8.
[99] Moskowitz J, Thompson JN. Enhancing the clinical research pipeline: training approaches for a new century. Academic Medicine. 2001 Apr 1; 76 (4): 307-15.
[100] Garfinkel PE, Goldbloom DS, Kaplan AS, Kennedy SH. The clinician-investigator interface in psychiatry: I—values and problems. The Canadian Journal of Psychiatry. 1989 Jun; 34 (5): 361-3.
[101] Sackett DL, Rosenberg WM, Gray JM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. 1996; 71-72.
[102] Nasr A. From evidence-based medicine to evidence-based practice: Is there enough evidence? Middle East Fertility Society Journal. 2010 Oct 1; 15 (4): 294-5.
[103] Sur RL, Dahm P. History of evidence-based medicine. Indian journal of urology: IJU: journal of the Urological Society of India. 2011 Oct; 27 (4): 487.
[104] The University of British Columbia [Internet]. Faculty of Medicine Department of Physical Therapy. 2020; [2020, June 29]. Available from: https://physicaltherapy.med.ubc.ca/programs/mptphd-program-2/.
[105] McMaster University [Internet]. Hamilton: School of Rehabilitation Science. 2020 [2020, June 29]. Avaliable from: https://srs-mcmaster.ca/rehabilitation-science/otpt-rs-phd-program/.
[106] Queen’s University [Internet]. Faculty of Health Sciences, School of Rehabilitation Therapy; 2020 [2020, June 29]. Available from: https://www.rehab.queensu.ca/academic-programs/rhbs.
[107] University of Toronto. [Internet] Toronto: Physician Scientist Training Programs. 2020; [2020, June 29]. Available from: https://md.utoronto.ca/PSTP.
[108] Littlefield JW. The need to promote careers that combine research and clinical care. Journal of medical education. 1986 Oct 1; 61 (10): 785-9.
[109] Collins J. A Female's Profession: Gender Disparity in Occupational Therapy. 2019; 1.
[110] Sutherland G. The market profile of physiotherapists in Canada. In Ottawa: Conference Board of Canada 2017.
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  • APA Style

    Inderjit Kaur, Xiao Xi Elsa Pang, Mindy Liang, Chi Xuan Zhang, Ashley Turgeon, et al. (2021). The Clinician Scientist: How Rehabilitation Fares ―A Scoping Review. American Journal of Health Research, 9(6), 246-268. https://doi.org/10.11648/j.ajhr.20210906.15

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    ACS Style

    Inderjit Kaur; Xiao Xi Elsa Pang; Mindy Liang; Chi Xuan Zhang; Ashley Turgeon, et al. The Clinician Scientist: How Rehabilitation Fares ―A Scoping Review. Am. J. Health Res. 2021, 9(6), 246-268. doi: 10.11648/j.ajhr.20210906.15

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    AMA Style

    Inderjit Kaur, Xiao Xi Elsa Pang, Mindy Liang, Chi Xuan Zhang, Ashley Turgeon, et al. The Clinician Scientist: How Rehabilitation Fares ―A Scoping Review. Am J Health Res. 2021;9(6):246-268. doi: 10.11648/j.ajhr.20210906.15

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  • @article{10.11648/j.ajhr.20210906.15,
      author = {Inderjit Kaur and Xiao Xi Elsa Pang and Mindy Liang and Chi Xuan Zhang and Ashley Turgeon and Jessica Yeung and Dina Brooks and Julie Vaughan-Graham},
      title = {The Clinician Scientist: How Rehabilitation Fares ―A Scoping Review},
      journal = {American Journal of Health Research},
      volume = {9},
      number = {6},
      pages = {246-268},
      doi = {10.11648/j.ajhr.20210906.15},
      url = {https://doi.org/10.11648/j.ajhr.20210906.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20210906.15},
      abstract = {Background: Clinician scientists (CS) play a role in bridging the gap between research and practice. However, the role of a CS is less established for healthcare professionals in rehabilitation in comparison to medicine. Objective: The purpose of this scoping review was to explore different roles and models of a clinician scientist in rehabilitation and compare this to medicine and nursing. Methods: This review was structured according to the Arksey and O’Malley (2005) framework for scoping reviews. A literature search was conducted from the following databases: EMBASE, MEDLINE, AMED and Web of Science; a grey literature search was conducted from MacSphere, ProQuest, Duck DuckGo, and Google. Results: 95 articles met the inclusion criteria with 73 studies in medicine, including nursing, 10 articles from rehabilitation and 12 articles with mixed professions. The main barriers identified for rehabilitation involved time constraints and lack of funding for research, whereas primary facilitators included development of formalized training programs and presence of mentorship programs. Conclusion: The role of the clinician scientist is more established in medicine compared to rehabilitation. There is a need for an established career trajectory accompanied with training programs. Further studies are required to shape the role and development of secure funding models for CS positions.},
     year = {2021}
    }
    

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    T1  - The Clinician Scientist: How Rehabilitation Fares ―A Scoping Review
    AU  - Inderjit Kaur
    AU  - Xiao Xi Elsa Pang
    AU  - Mindy Liang
    AU  - Chi Xuan Zhang
    AU  - Ashley Turgeon
    AU  - Jessica Yeung
    AU  - Dina Brooks
    AU  - Julie Vaughan-Graham
    Y1  - 2021/12/24
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajhr.20210906.15
    DO  - 10.11648/j.ajhr.20210906.15
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
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    EP  - 268
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20210906.15
    AB  - Background: Clinician scientists (CS) play a role in bridging the gap between research and practice. However, the role of a CS is less established for healthcare professionals in rehabilitation in comparison to medicine. Objective: The purpose of this scoping review was to explore different roles and models of a clinician scientist in rehabilitation and compare this to medicine and nursing. Methods: This review was structured according to the Arksey and O’Malley (2005) framework for scoping reviews. A literature search was conducted from the following databases: EMBASE, MEDLINE, AMED and Web of Science; a grey literature search was conducted from MacSphere, ProQuest, Duck DuckGo, and Google. Results: 95 articles met the inclusion criteria with 73 studies in medicine, including nursing, 10 articles from rehabilitation and 12 articles with mixed professions. The main barriers identified for rehabilitation involved time constraints and lack of funding for research, whereas primary facilitators included development of formalized training programs and presence of mentorship programs. Conclusion: The role of the clinician scientist is more established in medicine compared to rehabilitation. There is a need for an established career trajectory accompanied with training programs. Further studies are required to shape the role and development of secure funding models for CS positions.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

  • School of Rehabilitation Science, McMaster University, Hamilton, Canada

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