From the Individual to the Ecosystem: An Institutional Framework for the Career Sustainability of Early-Career Health Professions Faculty

IF 1.7 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Clinical Teacher Pub Date : 2026-08-14 DOI:10.1111/tct.70496

Emerson Roberto dos Santos, Matheus Querino da Silva, João Daniel de Souza Menezes, William Donegá Martinez, Maysa Alahmar Bianchin, Júlio Cesar André

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Abstract

The career sustainability of early-career faculty in the health professions is often framed as a matter of individual resilience, a perspective that obscures institutional determinants of ill-being and attrition. We argue that retention and thriving depend on an institutional ecosystem that integrates structured mentoring, psychopedagogical support and formal recognition of faculty work. Drawing on recent evidence on burnout, resilience and career development in academic medicine, we propose the Health Professions Faculty Career Sustainability Institutional Ecosystem (EISCD-Health) and the Faculty Institutional Resilience Index (IRID-Health). We describe causal mechanisms for each axis, formulate testable predictions and outline a phased implementation agenda guided by gender and racial equity, offering clinical teachers and institutional leaders concrete levers and metrics to make early-career faculty careers more sustainable and just.

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从个体到生态系统：早期职业卫生专业教师职业可持续性的制度框架

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来源期刊

Clinical Teacher MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

2.90

自引率

5.60%

发文量

113

期刊介绍： The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.