Dr. Todd is chair, Department of Medicine, Baylor College of Medicine, Houston, Texas. Dr. Salata is executive vice chair and chief, Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio. Dr. Klotman is chair, Department of Medicine, Duke University School of Medicine, Durham, North Carolina. Dr. Weisfeldt is chair, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Dr. Katz is program director, Department of Internal Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts. Dr. Xian is data analyst and programmer, Cornell Survey Research Institute, Cornell University, Ithaca, New York. Mr. Hearn is operations manager, Cornell Survey Research Institute, Cornell University, Ithaca, New York. Dr. Lipner is senior vice president for evaluation, research and development, American Board of Internal Medicine, Philadelphia, Pennsylvania.
Acad Med. 2013 Nov;88(11):1747-53. doi: 10.1097/ACM.0b013e3182a7f627.
In 1995, the American Board of Internal Medicine (ABIM) formalized an integrated residency curriculum including both clinical and research training (the Research Pathway), designed to develop careers of physician-scientists. Individuals who completed Pathway training between 1995 and 2007 were surveyed to determine the extent to which graduates established research-oriented careers.
In 2012, the authors used a Web-based, 56-question, multiple-choice electronic survey of 813 participants in Research Pathway programs who completed their residency training between the years of 1995 and 2007. Survey questions addressed source and type of funding, research productivity, and job title/content. Descriptive and inferential analyses were performed.
Forty-seven percent of solicited Pathway graduates participated in the survey. Ninety-seven percent of the respondents completed Pathway training. Ninety-one percent reported some research effort, with a group average of 58.6% of total professional effort spent in research. Seventy-two percent currently hold positions in academic medicine; 8.6% in the biomedical industry; and 2.1% in government medical service. Over 85% reported extramural research funding, with 81.4% receiving research support from federal sources. Among the variables positively correlated with the highest level of research engagement were previous graduate-level research training, any first-author publications arising from the Pathway research experience, and the receipt of extramural career development funding supporting the Pathway research.
On the basis of a very high level of active research engagement reported by 385 ABIM Research Pathway graduates, this special research training track appears to be effectively meeting its goal of training biomedical scientists.
1995 年，美国内科医师学会（ABIM）正式制定了一项综合住院医师课程，包括临床和研究培训（研究途径），旨在培养医师科学家的职业发展。对 1995 年至 2007 年间完成途径培训的个人进行了调查，以确定毕业生建立以研究为导向的职业的程度。
2012 年，作者使用基于网络的、56 个问题、多项选择的电子调查，对 1995 年至 2007 年间完成住院医师培训的 813 名研究途径项目的参与者进行了调查。调查问题涉及资金来源和类型、研究成果以及工作职位/内容。进行了描述性和推断性分析。
在征求意见的研究途径毕业生中，有 47%的人参加了调查。97%的受访者完成了途径培训。91%的人报告有一定的研究工作，平均组内有 58.6%的专业工作投入研究。72%的人目前在学术医学领域任职；8.6%在生物医学行业；2.1%在政府医疗服务机构。超过 85%的人报告有外部研究资金，其中 81.4%的人从联邦来源获得研究支持。与最高水平的研究参与呈正相关的变量包括以前的研究生水平的研究培训、任何源自途径研究经验的第一作者出版物，以及获得支持途径研究的外部职业发展资金。
根据 385 名 ABIM 研究途径毕业生报告的非常高的积极研究参与水平，这一特殊的研究培训途径似乎有效地实现了培训生物医学科学家的目标。
