Science as a Way of Life: Perplexities of a Physician-Scientist

An introduction to the special issues on juvenile psychopathy and some reflections on the current debate

“…In a broader context, important strides have been made in the treatment and management of the behavior of individuals with borderline personality disorders (Linehan, 1993), a group of individuals previously thought of as virtually impossible to treat. More important, diseases such as schizophrenia were considered untreatable 40 years ago (Bloom, 2003), yet vast strides have been made because of advances in treatment in the control of symptoms and in enabling individuals with schizophrenia to adopt recovery as a legitimate treatment goal. This is not to suggest that the development of management and treatment strategies for psychopathic individuals will be an easy task.…”

Launching a New Fellowship for Medical Students: The First Years of the Doris Duke Clinical Research Fellowship Program

“…1 The translation of these discoveries requires a robust clinical research enterprise that includes adequate numbers of trained, committed personnel; an appropriate infrastructure, including shared databases and systems to protect human subjects; and collaborative networks that effectively bridge the interests of the public and private sectors. 2 Each of these areas requires attention and action.…”

The Academic Department of Surgery

“…Replacing the basic research of the physiciansscientists of the past, we can look to "use-inspired engineering" or "Jeffersonian Science," as for example the type of investigation that led to endovascular aortic repair. 15 They will devote their clinical hours to a specialized practice, and will have a fixed salary plan pegged to surveys such as those published by the Association of American Medical Colleges. Clinical faculty, on the other hand, would not be subjected to unreasonable taxation and would have no cap on professional fee revenue, although their productivity-based incomes would be at risk and they would be responsible for practice costs.…”