Honer William G, Linseman Mary Ann
Centre for Complex Disorders, University of British Columbia, Vancouver, BC.
J Psychiatry Neurosci. 2004 Jan;29(1):49-56.
The objective of the study was to determine whether physician-scientists in psychiatry in Canada are in decline, as was reported for medicine overall during the 1990s in the United States.
Federal databases were searched to study grant applications in the area of mental health submitted by physician-scientists compared with PhD-scientists for the period 1985-2001. A survey of Canadian Residency Training Program Directors was carried out for the graduating class of 2000.
The Canadian publicly funded university system.
Applicants to the Medical Research Council of Canada and its successor, the Canadian Institutes of Health Research, for operating grant support and Residency Training Program Directors.
None.
Comparison over time between MD and PhD applicants regarding the number of grant applications submitted, the proportion of applications funded and the number of new applications submitted, with separation of applications submitted to a predominantly "biomedical" peer review committee and to a predominantly "clinical research" peer review committee. The survey obtained information about a number of variables related to research training.
The situation for physician-scientists in psychiatry in Canada appeared remarkably similar to general findings in US studies. Relative to PhD applicants, fewer grant proposals were being made by physicians (paired t16 = 7.08, p < 0.001) and, in consequence, fewer proposals were funded. The proportion of proposals funded was similar for MD and PhD applicants (paired t16 = 0.27, p = 0.79). Grant applications made to the predominantly biomedical committee were more likely to be funded than applications to the committee with an orientation toward clinical research (paired t7 = 5.53, p < 0.001). Applications by PhD-scientists to the biomedical committee showed the largest increase over time and were the most successful. From the survey of graduating classes, close to one-third of residents had authored or co-authored a publication during residency. Only 7% were proceeding to research fellowship training. The remuneration available for fellowship training was about one-third of what graduating classmates could expect to earn in the first year of practice.
Quantitative data indicate that physician-scientists in psychiatry in Canada are experiencing the same pressures and challenges as physician-scientists in the United States. A plan of action tailored to the needs of the psychiatric community in Canada needs to be developed.
本研究的目的是确定加拿大精神病学领域的医生 - 科学家数量是否在减少，就像20世纪90年代美国医学整体情况那样。
检索联邦数据库，研究1985 - 2001年期间医生 - 科学家与博士科学家提交的心理健康领域的资助申请。对2000年毕业班的加拿大住院医师培训项目主任进行了一项调查。
加拿大公共资助的大学系统。
向加拿大医学研究理事会及其继任者加拿大卫生研究院申请运营资助的申请人以及住院医师培训项目主任。
无。
比较医学博士（MD）和博士申请人随时间推移提交的资助申请数量、获得资助的申请比例以及新提交的申请数量，区分提交给主要是“生物医学”同行评审委员会和主要是“临床研究”同行评审委员会的申请。该调查获取了与研究培训相关的一些变量的信息。
加拿大精神病学领域医生 - 科学家的情况与美国研究的总体结果非常相似。相对于博士申请人，医生提交的资助提案较少（配对t16 = 7.08，p < 0.001），因此获得资助的提案也较少。医学博士和博士申请人获得资助的提案比例相似（配对t16 = 0.27，p = 0.79）。向主要是生物医学的委员会提交的资助申请比向侧重于临床研究的委员会提交的申请更有可能获得资助（配对t7 = 5.53，p < 0.001）。博士科学家向生物医学委员会提交的申请随时间增长幅度最大且最成功。从对毕业班的调查来看，近三分之一的住院医师在住院期间撰写或共同撰写过一篇论文。只有7%的人继续进行研究奖学金培训。奖学金培训的薪酬约为毕业同学预计在实习第一年收入的三分之一。
定量数据表明，加拿大精神病学领域的医生 - 科学家正面临与美国医生 - 科学家相同的压力和挑战。需要制定一项针对加拿大精神病学界需求的行动计划。
