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Santen RJ, Joham A, Fishbein L, Vella KR, Ebeling PR, Gibson-Helm M, Teede H. Career Advancement: Meeting the Challenges Confronting the Next Generation of Endocrinologists and Endocrine Researchers. J Clin Endocrinol Metab 2016; 101:4512-4520. [PMID: 27691051 DOI: 10.1210/jc.2016-3016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
CONTEXT Challenges and opportunities face the next generation (Next-Gen) of endocrine researchers and clinicians, the lifeblood of the field of endocrinology for the future. A symposium jointly sponsored by The Endocrine Society and the Endocrine Society of Australia was convened to discuss approaches to addressing the present and future Next-Gen needs. EVIDENCE ACQUISITION Data collection by literature review, assessment of previously completed questionnaires, commissioning of a new questionnaire, and summarization of symposium discussions were studied. EVIDENCE SYNTHESIS Next-Gen endocrine researchers face diminishing grant funding in inflation-adjusted terms. The average age of individuals being awarded their first independent investigator funding has increased to age 45 years. For clinicians, a workforce gap exists between endocrinologists needed and those currently trained. Clinicians in practice are increasingly becoming employees of integrated hospital systems, resulting in greater time spent on nonclinical issues. Workforce data and published reviews identify challenges specifically related to early career women in endocrinology. Strategies to Address Issues: Recommendations encompassed the areas of grant support for research, mentoring, education, templates for career development, specific programs for Next-Gen members by senior colleagues as outlined in the text, networking, team science, and life/work integration. Endocrine societies focusing on Next-Gen members provide a powerful mechanism to support these critical areas. CONCLUSIONS A concerted effort to empower, train, and support the next generation of clinical endocrinologists and endocrine researchers is necessary to ensure the viability and vibrancy of our discipline and to optimize our contributions to improving health outcomes. Collaborative engagement of endocrine societies globally will be necessary to support our next generation moving forward.
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Affiliation(s)
- Richard J Santen
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
| | - Anju Joham
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
| | - Lauren Fishbein
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
| | - Kristen R Vella
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
| | - Peter R Ebeling
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
| | - Melanie Gibson-Helm
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
| | - Helena Teede
- Division of Endocrinology and Metabolism (R.J.S.), University of Virginia Health Sciences System, Charlottesville, Virginia 22908; Monash Centre for Health Research and Implementation (A.J., M.G.-H., H.T.), School of Public Health and Preventive Medicine, and Department of Medicine (P.R.E.), School of Clinical Sciences, Monash University, Clayton, Victoria 3168, Australia; Department of Medicine (L.F.), Divisions of Endocrinology, Metabolism, and Diabetes and Bioinformatics and Personalized Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045; Department of Medicine (K.R.V.), Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
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Shinozawa T, Yoshikawa HY, Takebe T. Reverse engineering liver buds through self-driven condensation and organization towards medical application. Dev Biol 2016; 420:221-229. [PMID: 27364470 DOI: 10.1016/j.ydbio.2016.06.036] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2016] [Revised: 05/24/2016] [Accepted: 06/25/2016] [Indexed: 12/15/2022]
Abstract
The self-organizing tissue-based approach coupled with induced pluripotent stem (iPS) cell technology is evolving as a promising field for designing organoids in culture and is expected to achieve valuable practical outcomes in regenerative medicine and drug development. Organoids show properties of functional organs and represent an alternative to cell models in conventional two-dimensional differentiation platforms; moreover, organoids can be used to investigate mechanisms of development and disease, drug discovery and toxicity assessment. Towards a more complex and advanced organoid model, it is essential to incorporate multiple cell lineages including developing vessels. Using a self-condensation method, we recently demonstrated self-organizing "organ buds" of diverse systems together with human mesenchymal and endothelial progenitors, proposing a new reverse engineering method to generate a more complex organoid structure. In this section, we review characters of organ bud technology based on two important principles: self-condensation and self-organization focusing on liver bud as an example, and discuss their practicality in regenerative medicine and potential as research tools for developmental biology and drug discovery.
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Affiliation(s)
- Tadahiro Shinozawa
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA
| | - Hiroshi Y Yoshikawa
- Department of Chemistry, Saitama University, Shimo-okubo 255, Sakura-ku, Saitama 338-8570, Japan.
| | - Takanori Takebe
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA; Department of Regenerative Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan; PRESTO, Japan Science and Technology Agency, 4-1-8 Honcho, Kawaguchi, Saitama 332-0012, Japan.
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