In American medicine, research is the price of admission but rarely a viable career. Trainees are told it's essential for competitive medical school and residency positions. As faculty, they confront scarce protected time, billing-driven productivity metrics, low grant-funding rates, long funding cycles, and salary-cap gaps their institutions are asked to absorb, just as family and financial obligations grow. Pragmatic clinical research is poorly supported, especially outside well-resourced centers. The incentives favor delivering costly care over improving it.

Finally Managed to gather a fantastic bunch of KOLs from India 🇮🇳 Bangladesh Sri Lanka and Nepal. Discussed the nuances of PCa Mx. Plenty of friendly banter and leg pulling. Official APCCC South Asia. Paper with similarities yet differences from @APCCC_Lugano coming soon.