title: Paediatric physician-researchers: coping with tensions in dual accountability.
abstract: Potential conflicts between the roles of physicians and researchers have been described at the theoretical level in the bioethics literature (Czoli, et al., 2011). Physicians and researchers are generally in mutually distinct roles, responsible for patients and participants respectively. With increasing emphasis on integration of research into clinical settings, however, the role divide is sometimes unclear. Consequently, physician-researchers must consider and negotiate salient ethical differences between clinical- and research-based obligations (Miller et al, 1998). This paper explores the subjective experiences and perspectives of 30 physician-researchers working in three Canadian paediatric settings. Drawing on qualitative interviews, it identifies ethical challenges and strategies used by physician-researchers in managing dual roles. It considers whether competing obligations could have both positive and adverse consequences for both physician-researchers and patients. Finally, we discuss how empirical work, which explores the perspectives of those engaged in research and clinical practice, can lead the way to understanding and promoting best practice.
authors.forename: Katherine
authors.initials: K
authors.lastname: Boydell
authors.forename: Randi Zlotnik
authors.initials: RZ
authors.lastname: Shaul
authors.forename: Lori
authors.initials: L
authors.lastname: D'Agincourt-Canning
authors.forename: Michael
authors.initials: M
authors.lastname: Da Silva
authors.forename: Christy
authors.initials: C
authors.lastname: Simpson
authors.forename: Christine D
authors.initials: CD
authors.lastname: Czoli
authors.forename: Natalie
authors.initials: N
authors.lastname: Rashkovan
authors.forename: Celine C
authors.initials: CC
authors.lastname: Kim
authors.forename: Alex V
authors.initials: AV
authors.lastname: Levin
authors.forename: Rayfel
authors.initials: R
authors.lastname: Schneider
mesh_terms: D000223:Adaptation, Psychological; D002170:Canada; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007407:Interviews as Topic; D008297:Male; D010372:Pediatrics / Q000458:organization & administration*; D010819:Physician's Role; D036301:Qualitative Research; D012108:Research Personnel / Q000458:organization & administration*; D013315:Stress, Psychological