MD-PhD Program Graduates' Engagement in Research: Results of a National Study
MD-PhD Program Graduates' Engagement in Research: Results of a National Study
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DOI：
10.1097/acm.0000000000003516
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发表时间：
2021-04-01
影响因子：
7.4
通讯作者：
McKinney, Ross
中科院分区：
文献类型：
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作者：
Andriole, Dorothy A.;Grbic, Douglas;McKinney, Ross
目的确定在其他职业发展和人口统计学变量中，专业是否可以预测医学博士项目毕业生的研究活动。方法作者将2015年美国医学会(AAMC)全国医学博士项目结果调查数据库与AAMC学生记录系统、毕业调查问卷和研究生医学教育(GME)跟踪居民调查的选定数据合并在一起。在人的层面，他们使用卡方、皮尔逊相关性、方差检验以及逻辑和线性回归分析来检验感兴趣的变量与医学博士毕业生的研究投入之间的独立关联。结果在1991-2010年间不再参加GME培训的3,297名医学博士毕业生中，78.0%(2,572/3,297)报告了研究投入。在控制了几个变量的模型中，神经科(对内科；调整后的优势比[AOR]：2.48；95%可信区间[CI]：1.60-3.86)或病理学(对内科；AOR：1.89；95%CI：1.33-2.68)专业、全职教职/研究科学家毕业时的职业意向(与所有其他职业意向相比；AOR：3.04；95%CI：2.16-4.28)，以及>；=1年的GME研究(对非GME研究年[S]；AOR：2.45；95%CI：1.96-3.06)预测参与研究的可能性更大。在从事研究的毕业生中，平均研究时间百分比为49.9%(标准差为30.1%)。参与GME研究一年(Beta[beta]系数：7.99，P<；.001)预测的研究时间百分比较高，而放射肿瘤学(Beta：-28.70)、诊断放射学(Beta：-32.92)或外科(Beta：-29.61)等专业预测的研究时间百分比较低(每个P<；.001vs内科)。结论：大多数医学博士毕业生从事研究，但他们参与的程度在不同专业之间存在很大差异。在各个专业中，在GME期间参与研究可能是维持MD-PhD毕业生随后在职业生涯早期到中期从事研究的一个因素。
PurposeTo determine if specialty, among other professional development and demographic variables, predicted MD-PhD program graduates' research engagement.MethodThe authors merged the 2015 Association of American Medical Colleges (AAMC) National MD-PhD Program Outcomes Survey database with selected data from the AAMC Student Records System, Graduation Questionnaire, and Graduate Medical Education (GME) Track Resident Survey. At the person level, they tested variables of interest for independent associations with MD-PhD graduates' research engagement using chi-square, Pearson correlations, and analysis of variance tests and logistic and linear regressions.ResultsOf 3,297 MD-PhD graduates from 1991-2010 who were no longer in GME training in 2015, 78.0% (2,572/3,297) reported research engagement. In models controlling for several variables, a neurology (vs internal medicine; adjusted odds ratio [AOR]: 2.48; 95% confidence interval [CI]: 1.60-3.86) or pathology (vs internal medicine; AOR: 1.89; 95% CI: 1.33-2.68) specialty, full-time faculty/research scientist career intention at graduation (vs all other career intentions; AOR: 3.04; 95% CI: 2.16-4.28), and >= 1 year of GME research (vs no GME research year[s]; AOR: 2.45; 95% CI: 1.96-3.06) predicted a greater likelihood of research engagement. Among graduates engaged in research, the mean percentage of research time was 49.9% (standard deviation 30.1%). Participation in >= 1 year of GME research (beta [beta] coefficient: 7.99, P < .001) predicted a higher percentage of research time, whereas a radiation oncology (beta: -28.70), diagnostic radiology (beta: -32.92), or surgery (beta: -29.61) specialty, among others, predicted a lower percentage of research time (each P < .001 vs internal medicine).ConclusionsMost MD-PhD graduates were engaged in research, but the extent of their engagement varied substantially among specialties. Across specialties, participation in research during GME may be one factor that sustains MD-PhD graduates' subsequent early- to midcareer research engagement.