Bridging the Divide: Student Grand Rounds at the Interface of Basic Science and Clinical Medicine.
Bridging the Divide: Student Grand Rounds at the Interface of Basic Science and Clinical Medicine.
复制标题
DOI：
10.1097/acm.0000000000003116
复制
发表时间：
2020-04
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
随着生物医学研究和临床医学变得越来越复杂，医生科学家和临床导向的生物医学研究人员在弥合学科之间的差距方面发挥着重要作用。缺乏满足学生在基础科学和临床医学的交界处准备职业的独特需求的教育方案可能会导致受训人员流失。MD-PhD/LHB Grand Rounds于2008年推出，作为哈佛医学院的哈佛/麻省理工学院MD-PhD项目（HMS MD-PhD项目），哈佛的Leder人类生物学和转化医学（LHB）项目以及Brigham and Women's Hospital（BWH）内科的学员驱动的合作努力。该计划每年约4次会议中的每一次都以晚餐开始，然后是由BWH MD-PhD居民领导的临床病例介绍，与硕士临床医生教师讨论，然后是LHB博士生或MD-PhD学生关于与临床病例相关的基础科学主题的研究报告，以及社交时间。在2017年7月对参与学生和居民的调查中，受访者对该计划非常满意。平均满意度评分为4.3（SD 0.5）为12 MD-PhD学生，4.2（SD 0.7）为31 LHB学生，4.4（SD 0.9）为5个居民的5点量表（5 =非常满意）。自由文本的回应表明，MD-PhD学生重视与常驻演讲人和教师讨论者积极参与的机会。LHB的学生赞赏在临床介绍中没有医学术语。居民报告的参与原因包括享受教学和与学生互动。哈佛MD-PhD/LHB大回合可以作为在其他机构开发类似项目的模板。需要进行研究，以确定这种大轮计划是否可以帮助修复未来的医生科学家和临床导向的生物医学研究人员的培训泄漏管道。
As biomedical research and clinical medicine become increasingly complex, physician-scientists and clinically oriented biomedical researchers play important roles in bridging the gap between disciplines. A lack of educational programming that addresses the unique needs of students preparing for careers at the interface of basic science and clinical medicine may contribute to trainee attrition. The MD-PhD/LHB Grand Rounds was introduced in 2008 as a trainee-driven collaborative effort of the Harvard/Massachusetts Institute of Technology MD-PhD program at Harvard Medical School (HMS MD-PhD program), Harvard’s Leder Human Biology and Translational Medicine (LHB) program, and the Brigham and Women’s Hospital (BWH) Internal Medicine Department. Each of the program’s approximately 4 sessions per year begins with dinner, followed by a clinical case presentation led by a BWH MD-PhD resident with a master clinician faculty discussant, then a research presentation by an LHB PhD student or a MD-PhD student on a basic science topic related to the clinical case, and time for socialization. In a July 2017 survey of participating students and residents, respondents reported being highly satisfied with the program. Mean satisfaction ratings were 4.3 (SD 0.5) for 12 MD-PhD students, 4.2 (SD 0.7) for 31 LHB students, and 4.4 (SD 0.9) for 5 residents on a 5-point scale (5 = very satisfied). Free-text responses suggested MD-PhD students valued opportunities for active engagement with the resident presenter and faculty discussant. LHB students appreciated the absence of medical jargon in the clinical presentations. Residents’ reported reasons for participating included enjoyment of teaching and interaction with students. The Harvard MD-PhD/LHB Grand Rounds can serve as a template for developing similar programs at other institutions. Research is needed to determine whether such grand rounds programs can help fix the leaky pipeline in the training of future physician-scientists and clinically oriented biomedical researchers.