# What it takes to become a physician scientist in a low- and middle-income country

## TL;DR

The paper discusses the challenges of becoming a physician-scientist in low- and middle-income countries and suggests reforms to support this dual career path.

## Contribution

The paper highlights the unique barriers faced by physician-scientists in LMICs and advocates for systemic reforms in medical education and policy.

## Key findings

- Physician-scientists in LMICs face lengthy training and systemic barriers favoring eminence-based over evidence-based medicine.
- Gender disparities and lack of supportive policies further hinder the development of physician-scientists, especially women.
- Reforms in education and policy could enhance the role of physician-scientists in global health and innovation.

## Abstract

Physician-scientists, who have dual medical and advanced research training, are a scarce and valuable asset. They bridge clinical practice and research, address critical medical challenges with a scientific perspective, and drive innovation by translating discoveries into patient care. Physicians with research expertise are particularly adept at critically evaluating scientific literature to improve their practice and ensure that they provide up-to-date, individualised, and evidence-based care to their patients. However, the path to becoming a physician-scientist in Low- and Middle-Income Countries (LMICs) is fraught with challenges. In this article, we explore the difficulties faced by physician-scientists in LMICs, including lengthy and arduous training, systems that favour eminence-based over evidence-based medicine, and financial disincentives for pursuing a dual career in medicine and research. The article also highlights the significant underrepresentation of women in medical and scientific fields, compounded by gender-specific challenges such as balancing motherhood with career demands, gender pay gaps, and the lack of supportive and affirmative policies. We advocate for reforms in medical education to create a more supportive environment for aspiring physician-scientists. Addressing these issues can help LMICs enhance the contribution of physician-scientists to global health and scientific advancement.