Mark A L, Kelch R P
University of Iowa College of Medicine, Iowa City 52242-1101, USA.
J Investig Med. 2001 Nov;49(6):486-90. doi: 10.2310/6650.2001.33624.
There is national alarm about a decline in the number of clinician scientists. Most of the proposed solutions have focused on housestaff and junior faculty. We propose a new national program for training medical students in clinical research. This program, coined "Clinician Scientist Training Program" (CSTP), would consist of a combined degree program in medicine (MD) and clinical research (eg, masters in translational research or masters in clinical epidemiology). Students could enroll in the program at any stage during medical school. After 3 years of medical school, students would spend at least 2 years in a combined didactic and mentored clinical research training program and then complete medical school. Students could elect to pursue more prolonged clinical research training toward a combined PhD and MD. The CSTP is designed to meet six critical challenges: 1) engage students early in clinical research training; 2) provide a didactic clinical research curriculum; 3) expose students to several years of mentored clinical research training; 4) promote debt prevention by providing tuition payments during medical education and a stipend during clinical research training; 5) facilitate prolonged exposure to a community of peers and mentors in a program with national and institutional identity and respect; and 6) permit enrollment in the program as students enter medical school or at any stage during medical school. If the success of the Medical Scientist Training Program in training medical students in basic research is a guide, the CSTP could become a linchpin for training future generations of clinician scientists.
临床医生科学家的数量在下降，这引起了全国的警觉。大多数提议的解决方案都集中在住院医生和初级教员身上。我们提议实施一项针对医学生进行临床研究培训的新的全国性计划。该计划被称为“临床医生科学家培训计划”（CSTP），将包括医学博士（MD）和临床研究（例如转化研究硕士或临床流行病学硕士）的联合学位项目。医学生在医学院学习的任何阶段都可以报名参加该计划。医学院学习3年后，学生将在一个结合了理论教学和导师指导的临床研究培训项目中至少学习2年，然后完成医学院学业。学生可以选择追求更长时间的临床研究培训，以获得博士和医学博士的联合学位。CSTP旨在应对六个关键挑战：1）让学生尽早参与临床研究培训；2）提供理论性的临床研究课程；3）让学生接受数年的导师指导的临床研究培训；4）通过在医学教育期间提供学费支付以及在临床研究培训期间提供津贴来促进债务预防；5）在一个具有全国和机构身份及声誉的项目中，促进学生与同龄人及导师群体的长期接触；6）允许学生在进入医学院时或医学院学习的任何阶段报名参加该计划。如果医学科学家培训计划在培训医学生进行基础研究方面的成功是一个指引，那么CSTP可能成为培养下一代临床医生科学家的关键。
