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The Clinician Educator*
Michael A. Simon, MD1
1 Department of Surgery, Division of Orthopaedics, University of Chicago, 5841 South Maryland Avenue, MC 3079, Chicago, IL 60637.
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The author did not receive grants or outside funding in support of his research or preparation of this manuscript. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.
Acceptance Address for the 2005 AOA-Smith & Nephew Endoscopy Distinguished Clinician Educator Award. Read at the Annual Meeting of the American Orthopaedic Association, Huntington Beach, California, June 24, 2005.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Sep 01;87(9):2131-2132. doi: 10.2106/JBJS.E.00423
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The mission of a traditional academic medical center with a medical school typically includes excellent patient care, education of future physicians, and the creation of new medical knowledge. In the last twenty-five years, as academic medical centers rapidly expanded their clinical services, they began to hire more full-time clinician educators to meet the demands for clinical services and the education of future physicians.When I started my medical career, traditional academic medical centers hired a small cadre of physicians who were full-time faculty, who saw patients for two half-days per week and/or operated one or two days a week, who supervised inpatient patient care, and who provided education of medical students and residents. As the competition for research funding intensified in the last few decades, many of these faculty members devoted even more time to research and restricted their already limited activities in clinical care and education. Academic physicians engaged in the traditional triad have rapidly disappeared, especially in tenure tracks. In academic medicine, the research portion still predominates in the reward and promotion systems of traditional academic medical centers. The emphasis on research as the basis for the promotion of clinician scientists and tenured faculty has left the clinical care and education to clinician educators. Most clinician educators, especially surgeons, spend 85% to 90% of their time caring for patients and teaching residents and medical students. Clinician educators, while excelling at teaching and clinical care, now have little time to conduct any type of research.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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