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November 24, 1999

The Crisis in Clinical Research

Author Affiliations

Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

JAMA. 1999;282(20):1913-1916. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-20-jbk1124

To the Editor: The dilemmas concerning MD-driven "clinical research" highlighted by the NIH Director's Panel on Clinical Research1 and by Dr Schechter2 and Dr Shine3 are critically important for academic medicine. The expressed views are highly appropriate, given the tremendous challenges facing physicians in academics. However, a critical point appears to have been largely overlooked. The reader is left with the impression that all physician-based (whether MD or MD/PhD) research is the same. This clearly is not the case and leads to confusion about the kinds of research physicians are performing, as well as the kinds of research that are in jeopardy.