Clark J M, Hanel D P
University of Washington, School of Medicine, Seattle 98195-3565, USA.
J Orthop Res. 2001 Jul;19(4):505-10. doi: 10.1016/S0736-0266(00)00051-6.
Little is known about the distribution of research-trained physicians across the various specialties. To document the extent to which MD-PhD programs are a source of research-trained faculty for orthopaedic departments, this study examined the specialty choices of graduates of the Medical Scientist Training Program (MSTP) from 1964 to 1994. The MSTP, a combined MD-PhD program supported by the National Institute of General Medical Sciences, (NIGMS), produces roughly 25% of all MD-PhDs in the US.
Copies of the appendices from training grant applications containing information on MSTP graduates were obtained from the NIGMS. Also, a questionnaire was mailed to 116 university-affiliated orthopaedic surgery departments asking how many faculty were MD's, PhDs or MD-PhDs.
Records were obtained for all MST programs. Information on postdoctoral training and/or a current position was reported for 1615 graduates who earned both MD and PhD. Of these graduates, 277 chose non-clinical paths. The other 1338 entered a residency or internship. Of these, 593 were still in residency training, 566 were academic faculty members and 130 were in private practice. In the records, 12 (0.9%) were listed as orthopaedic surgical residents (6) or faculty (6). At this time, all 12 have completed training, and 11 are in academic practice. Eighty-three departments replied to the questionnaire. In that sample of 1761 faculty positions, 1478 were MDs, 217 were PhDs and 36 (2.0%) were MD-PhDs.
Despite robust support of MD-PhD programs, the number of dual degree recipients on orthopaedic faculties is small when compared to the relative size of the specialty. Other sources of research-trained staff should perhaps be developed.
对于接受过研究培训的医生在各个专业中的分布情况，我们知之甚少。为了记录医学博士 - 哲学博士（MD - PhD）项目作为骨科部门研究培训师资来源的程度，本研究调查了1964年至1994年医学科学家培训项目（MSTP）毕业生的专业选择。MSTP是由美国国立综合医学科学研究所（NIGMS）支持的联合MD - PhD项目，在美国所有MD - PhD中约占25%。
从NIGMS获取了包含MSTP毕业生信息的培训资助申请附录副本。此外，还向116个大学附属骨科手术科室邮寄了一份问卷，询问有多少教员是医学博士、哲学博士或医学博士 - 哲学博士。
获取了所有MST项目的记录。报告了1615名同时获得医学博士和哲学博士学位毕业生的博士后培训和/或当前职位信息。在这些毕业生中，277人选择了非临床路径。其他1338人进入了住院医师培训或实习。其中，593人仍在住院医师培训中，566人是学术教员，130人从事私人执业。在记录中，有12人（0.9%）被列为骨科手术住院医师（6人）或教员（6人）。此时，所有12人都已完成培训，11人从事学术工作。83个科室回复了问卷。在1761个教员职位的样本中，1478人是医学博士，217人是哲学博士，36人（2.0%）是医学博士 - 哲学博士。
尽管MD - PhD项目得到了大力支持，但与该专业的相对规模相比，骨科教员中双学位获得者的数量较少。或许应该开发其他研究培训人员的来源。
