Physician-scientists have been recognized as an important piece for the advancement of medicine by being translators of medical research.¹ Despite this recognized role, physician-scientists in the United States have decreased from 5% of all physician workforce in 1987 to 1.5% in 2014.²

Why, in spite of their relevance, have physician-scientists become a rara avis in medical research? It is a complex matter, and I don’t expect to provide a universal answer in this short column. However, I hope to raise awareness of this subject from a trainee’s perspective by scrutinizing the hurdles that I (and some of my young colleagues) have to surpass during graduate medical education to become a physician-scientist in cardiovascular research.

I have decided to dissect the obstacles in the graduate medical education system, which in my experience, dampen the recruitment (and success) of young physician-scientists into trainee-related, program/institutional support and funding.

a. Debt and salary: During informal discussions with my classmates, debt and salary has a great weight on their decision to not pursue further training. According to the Association of American Medical Colleges, 2015’s graduates from medical school had a mean debt of …

医师医师被认为是医学研究的译者，被认为是促进医学发展的重要组成部分。¹尽管发挥了这一公认的作用，但美国的医师科学家人数已从1987年的5％下降到2014年的1.5％^。2

尽管有其相关性，为什么医师科学家却成为医学研究界的佼佼者？这是一个复杂的问题，我不希望在此简短的专栏中提供一个普遍的答案。但是，我希望通过仔细研究我（和我的一些年轻同事）在研究生医学教育期间成为心血管研究的医师科学家所必须克服的障碍，从受训者的角度提高对这一主题的认识。

我已决定剖析研究生医学教育系统中的障碍，以我的经验，这些障碍会阻碍年轻医师科学家在受训者相关，计划/机构支持和资金方面的招聘（和成功）。

一个。债务和薪金：在与我的同学进行非正式讨论时，债务和薪金对他们决定不接受进一步培训非常重要。根据美国医学院协会的说法，2015年医学院毕业生的平均债务为…