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The Debt Repayment Paradox for VA Clinical Investigators
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To the Editor: In his Editorial about clinician-researchers, Dr Snyderman1 did not discuss educational loan debt, which may be a powerful disincentive to choosing a career in academic clinical investigation. Unlike comparable PhD graduates, many young physician-researchers accrue educational debt beyond 6 figures,2 and deferments and forbearances may cease within residency or fellowship training.
While we think that educational debt reduction programs supported and implemented by organizations such as the National Institutes of Health (NIH) and Department of Veterans Affairs (VA) are novel, meritorious, and broad-based compared with prior efforts, they are not accessible to many deserving clinical investigators. As academic physicians who contribute to patient care and clinical research programs within VA medical centers, we lie in a precarious position of being excluded from existing NIH Extramural Loan Repayment Programs. For those of us who have garnered VA Research Career Development Awards, we become ineligible for existing VA Education . . . [Full Text of this Article]
Bevanne Bean-Mayberry, MD, MHS
bevanne.bean-mayberry@med.va.gov
Adam J. Gordon, MD, MPH
VA Pittsburgh Healthcare System
University of Pittsburgh
Pittsburgh, Pa
Shawn L. Fultz, MD, MPH
VA Connecticut Healthcare System
Yale University
New Haven, Conn
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