Combined Psychiatry Residency and PhD Training at Mount Sinai

描述（由申请人提供）：2008年国家咨询心理健康委员会研究培训工作组报告指出：“人们普遍认为，医学博士/博士研究人员为他们的研究项目带来了独特的视角，因为他们通过研究生和医学教育、住院医师和奖学金培养了临床和研究视角的融合。此外，医学博士或博士研究人员可能受过良好的转化研究职业培训。”神经科学和遗传学领域在知识基础、研究策略和研究技术方面已经发展得如此之深，以至于博士培训（或同等学历）对于有效的转化研究和获得研究经费可能是必要的。不幸的是，精神病医学博士/博士研究人员的数量很少。美国国立卫生研究院和NIMH大力支持医学科学家培训计划和个人医学博士/博士生，并且已经这样做了很多年。然而，在那些接受医学博士课程培训的人中，只有5 -6%的人选择了精神病学培训，并不是所有的人在完成住院医生培训后都选择了研究职业。此外，现有的MD/PhD联合培养方法效率低下，在密集的研究和博士学位完成之后是多年的临床训练。因此，长期与研究分离，导致研究技能下降，远离知识库，并且需要在住院后进行再培训。这导致很少有年轻的研究者申请R01奖。培养转化研究人员的新模式是必要的，我们提出了一个创造性和创新的计划，以培养训练有素的医学博士/博士精神病学研究人员。其目标是为那些在医学院毕业后准备从事精神病学和研究的人提供一个培训机会，同时提高他们的临床和研究能力。该项目将把他们的临床培训与博士培训结合起来，把他们的博士研究与住院后研究结合起来。西奈山卓越的临床和研究培训，加上优秀的经济激励，使优秀的申请人很可能被吸引到这个项目。

DESCRIPTION (provided by applicant): The 2008 National Advisory Mental Health Council Workgroup on Research Training Report stated "It is widely believed that MD/PhD investigators bring a unique perspective to their research programs because of the blend of clinical and research perspectives honed through graduate and medical education, residency and fellowship. In addition, MD/PhD investigators may be well-trained for translational research careers." (p10) The fields of neuroscience and genetics have developed such depth in t erms of knowledge base, research strategies and research techniques that PhD training (or its equivalent) may be a necessity for effective translational research and obtaining research funding. Unfortunately, the number of psychiatrist MD/PhD researchers is small. The NIH and NIMH substantially support Medical Scientist Training Programs and individual MD/PhD students, and have done so over many years. However, of those who train in MD/PhD programs only 5 -6% choose psychiatry training, and not all of those choose research careers after completing residency. In addition, the established method of combined MD/PhD training is inefficient, in that the period of intense research and PhD completion is followed by many years of clinical training. Thus there is a long separation from research, leading to a decline in research skills, distance from the knowledge base, and a need to retrain after residency. This results in few young investigators applying for R01 Awards. New models for training translational researchers are needed, and we propose a creative and innovative program for the production of superbly trained MD/PhD psychiatrist -researchers. The goal is to offer those individuals who, at the end of medical school, are ready to commit both to psychiatry and research, a training opportunity that will simultaneously promote both their clinical and research abilities. The program will integrate their clinical training with their PhD training, and their Ph research with post-residency research. The excellence of both clinical and research training at Mount Sinai, in addition to excellent financial incentives, make it very likely that excellent applicants will be attracted to the program.