One of the goals of APSA (American Physician Scientists Association) has always been to be a support and networking system for physician-scientist trainees, so as to minimize unnecessary leakage from the pipeline. After all, much in the way of resources is often invested in each and every physician-scientist trainee.
However, a recent point being made by experts in the literature is that there are too many graduate students being trained, and that there is inadequate research funding to support everyone. Inevitably, not all physician-scientist trainees will end up pursuing careers in academia or even as physician-scientists, nor should they be pushed to be, as experts have previously pointed out in this discussion.
Where along the pathway are trainees most likely to decide that a career as a physician-scientist is no longer for them, and should we even be trying to prevent this leakage from the training pipeline?