Physician Scientist Training in the United States: A Survey of the Current Literature
Physician Scientist Training in the United States: A Survey of the Current Literature
复制标题
DOI：
10.1177/0163278714527290
复制
发表时间：
2016-03-01
影响因子：
2.9
通讯作者：
Chen, Q.
中科院分区：
文献类型：
--
作者：
Kosik, R. O.;Tran, D. T.;Chen, Q.
内科科学家数量的减少是一个令人担忧的问题。对文献中描述的所有现有计划进行了系统的审查，以突出哪些计划可以作为培养成功的内科科学家的最佳模式。检索了多个数据库，共检索到1294篇与内科科学家培训相关的文章。优先考虑将已确认的出版物和/或研究赠款的数量作为主要成果的研究。在9项研究中确定了13个项目。83%的医学科学家培训计划(MSTP)毕业生、77%的临床医生研究人员培训计划(CI)毕业生和只有16%的医学研究员计划毕业生进入了学术生涯。78%的MSTP毕业生成功地获得了国家卫生研究院(NIH)的资助，而只有15%的梅奥诊所国家研究服务奖-T32毕业生获得了NIH的资助。1990年毕业的MSTP内科科学家发表了13.5+/-12.5篇论文，1975年毕业的MSTP内科科学家发表了51.2+/-38.3篇论文。此外，梅奥诊所医学博士项目、CI项目和NSRA项目的毕业生分别发表了18.2+/-20.1、26.5+/-24.5和17.9+/-26.3篇论文。MSTP是美国内科科学家培训的成功模式，但研究生水平的培训也显示出有希望的结果。应考虑增加研究生一级可供培训的职位数量。
The declining number of physician scientists is an alarming issue. A systematic review of all existing programs described in the literature was performed, so as to highlight which programs may serve as the best models for the training of successful physician scientists. Multiple databases were searched, and 1,294 articles related to physician scientist training were identified. Preference was given to studies that looked at number of confirmed publications and/or research grants as primary outcomes. Thirteen programs were identified in nine studies. Eighty-three percent of Medical Scientist Training Program (MSTP) graduates, 77% of Clinician Investigator Training Program (CI) graduates, and only 16% of Medical Fellows Program graduates entered a career in academics. Seventy-eight percent of MSTP graduates succeeded in obtaining National Institute of Health (NIH) grants, while only 15% of Mayo Clinic National Research Service Award-T32 graduates obtained NIH grants. MSTP physician scientists who graduated in 1990 had 13.5 +/- 12.5 publications, while MSTP physician scientists who graduated in 1975 had 51.2 +/- 38.3 publications. Additionally, graduates from the Mayo Clinic's MD-PhD Program, the CI Program, and the NSRA Program had 18.2 +/- 20.1, 26.5 +/- 24.5, and 17.9 +/- 26.3 publications, respectively. MSTP is a successful model for the training of physician scientists in the United States, but training at the postgraduate level also shows promising outcomes. An increase in the number of positions available for training at the postgraduate level should be considered.