The national MD-PhD program outcomes study: Relationships between medical specialty, training duration, research effort, and career paths
The national MD-PhD program outcomes study: Relationships between medical specialty, training duration, research effort, and career paths
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DOI：
10.1172/jci.insight.133009
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发表时间：
2019-10-03
期刊：
影响因子：
8
通讯作者：
Akabas, Myles H.
中科院分区：
文献类型：
--
作者：
Brass, Lawrence F.;Akabas, Myles H.
MD-PhD课程是在20世纪50年代建立的，作为培养医学科学家的新课程。从那时起，项目的数量大幅增加;然而，对美国医生科学家劳动力健康的担忧也在增加。迄今为止，评估MD-PhD项目是否履行其使命的最大尝试是国家MD-PhD项目成果研究，该研究于2018年作为美国医学院协会报告发布。这项研究收集了50多年来80个MD-PhD项目的10，591名毕业生的信息，并得出结论，大多数毕业生都遵循了与他们的培训相一致的职业生涯。在这里，我们提供了额外的分析，利用64.1%的校友（75.9%的校友提供了有效的电子邮件地址）提供的调查数据，加上计划提供的当前工作场所数据，调查无应答者检查医疗专业选择，培训时间，研究工作和成功获得研究资金之间的关系。研究结果表明，住院医生的选择会影响医生-科学家职业道路的关键方面，包括毕业生在哪里工作，他们需要多长时间才能获得学术界的独立任命，以及他们用于研究的专业时间。进入MD-PhD课程的学生平均年龄比课程最初建立时要大，并且需要更长的时间才能毕业并完成研究生培训。虽然我们发现，投入研究的专业努力和获得研究资金的可能性之间存在正相关关系。我们发现几乎没有证据表明训练时间的增加会增加后续的研究工作。这些数据应该为任何考虑这一职业道路的人提供指导，并为那些培训和雇用下一代医学科学家的人提供见解。
MD-PhD programs were established in the 1950s as a new curriculum for training physician-scientists. Since then, the number of programs has grown considerably; however, concerns about the health of the US physician-scientist workforce have grown, as well. The largest attempt to date to assess whether MD-PhD programs are fulfilling their mission was the national MD-PhD program outcomes study, which was released as an American Association of Medical Colleges report in 2018. That study gathered information on 10,591 graduates of 80 MD-PhD programs over 50 years and concluded that most graduates have followed careers consistent with their training. Here, we provide additional analysis, drawing on survey data provided by 64.1% of alumni (75.9% of alumni with valid email addresses), plus program-supplied current workplace data for survey nonresponders to examine the relationships between medical specialty choices, training duration, research effort, and success in obtaining research funding. The results show that residency choices affect critical aspects of the physician-scientist career path, including where graduates work, how long it takes them to obtain an independent appointment in academia, and the amount of their professional time that is devoted to research. Entrants into MD-PhD programs are older, on average, now than when the programs were first established and are taking longer to graduate and complete postgraduate training. Although we found a positive relationship between professional effort devoted to research and the likelihood of having research funding. we found little evidence that the increase in training duration produces an increase in subsequent research effort. These data should provide both guidance for anyone considering this career path and insights for those who train and hire the next generation of physician-scientists.