Combined Psychiatry Residency and PhD Training at Mount Sinai

描述(由申请人提供)：2008年国家心理健康咨询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，这是因为通过研究生和医学教育、住院医生和研究员资格磨练的临床和研究视角的融合。此外，医学/博士研究人员可能受过翻译研究职业的良好培训。”(P10)神经科学和遗传学领域在知识库、研究策略和研究技术方面已经发展得如此深入，以至于博士培训(或同等培训)可能是有效的翻译研究和获得研究资金的必要条件。不幸的是，精神病学家MD/PHD研究人员的数量很少。多年来，NIH和NIMH大力支持医学科学家培训计划和个别医学博士/博士学生。然而，在那些接受医学/博士培训的人中，只有5%-6%的人选择了精神病学培训，而且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，已建立的MD/PHD联合培训方法效率低下，因为紧锣密鼓的研究和博士学位完成之后是多年的临床培训。因此，与研究长期分离，导致研究技能下降，与知识基础相距较远，需要在实习后进行再培训。这导致很少有年轻的研究人员申请R01奖。我们需要培养翻译研究人员的新模式，我们提出了一个创造性和创新性的计划，以培养训练有素的MD/PHD精神病学家-研究人员。我们的目标是为那些在医学院毕业后准备好同时致力于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。该计划将把他们的临床培训与他们的博士培训结合起来，将他们的Ph研究与住院医师后的研究结合起来。西奈山学院卓越的临床和研究培训，再加上出色的经济奖励，使得优秀的申请者很有可能被该项目所吸引。

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.