Dr. Jeffe is research professor of medicine, Washington University School of Medicine, and director, Health Behavior, Communication, and Outreach Core, Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, Missouri. Dr. Andriole is assistant dean for medical education and associate professor of surgery, Washington University School of Medicine, St. Louis, Missouri. Dr. Wathington is assistant professor, Curry School of Education, University of Virginia, Charlottesville, Virginia. Dr. Tai is associate professor, Curry School of Education, University of Virginia, Charlottesville, Virginia.
Acad Med. 2014 Jan;89(1):84-93. doi: 10.1097/ACM.0000000000000071.
To describe educational outcomes for a national cohort of students who enrolled in MD-PhD programs at medical school matriculation (MD-PhD matriculants).
The authors used multivariate logistic regression to identify factors independently associated with overall MD-PhD program attrition (MD-only graduation or medical school withdrawal/dismissal) compared with MD-PhD program graduation among the 1995-2000 national cohort of MD-PhD matriculants at medical schools with and without Medical Scientist Training Program (MSTP) support.
Of 2,582 MD-PhD matriculants, 1,885 (73.0%) were MD-PhD graduates, 597 (23.1%) were MD-only graduates, and 100 (3.9%) withdrew/were dismissed from medical school by July 2011. MD-PhD matriculants at non-MSTP-funded schools (adjusted odds ratio [AOR], 1.96; 95% confidence interval [CI], 1.60-2.41) and who had lower Medical College Admission Test scores (< 31 versus ≥ 36: AOR, 1.60; 95% CI, 1.20-2.14; 31-33 versus ≥ 36: AOR, 1.31; 95% CI, 1.01-1.70) were more likely to leave the MD-PhD program; matriculants who reported greater planned career involvement in research (AOR, 0.65; 95% CI, 0.51-0.84) and matriculated more recently (AOR, 0.90; 95% CI, 0.85-0.96) were less likely to leave the MD-PhD program. Gender, race/ethnicity, and premedical debt were not independently associated with overall MD-PhD program attrition.
Most MD-PhD matriculants completed the MD-PhD program; most of those who left were MD-only graduates. Findings regarding variables associated with attrition can inform efforts to recruit and support students through successful completion of MD-PhD program requirements.
描述在医学院入学时（MD-PhD 入学）入读 MD-PhD 项目的全国学生群体的教育成果。
作者使用多变量逻辑回归来确定与 MD-PhD 项目总体淘汰率（仅 MD 毕业或医学院退学/开除）相关的因素，这些因素与具有和不具有医学科学家培训计划（MSTP）支持的医学院的 1995-2000 年全国 MD-PhD 入学学生群体中的 MD-PhD 项目毕业率进行了比较。
在 2582 名 MD-PhD 入学学生中，1885 名（73.0%）为 MD-PhD 毕业生，597 名（23.1%）为仅 MD 毕业生，100 名（3.9%）于 2011 年 7 月前从医学院退学/被开除。非 MSTP 资助学校的 MD-PhD 入学学生（调整后的优势比 [AOR]，1.96；95%置信区间 [CI]，1.60-2.41）和 MCAT 分数较低的学生（<31 与≥36：AOR，1.60；95%CI，1.20-2.14；31-33 与≥36：AOR，1.31；95%CI，1.01-1.70）更有可能退出 MD-PhD 项目；报告计划从事更多研究职业的入学学生（AOR，0.65；95%CI，0.51-0.84）和最近入学的学生（AOR，0.90；95%CI，0.85-0.96）更不容易退出 MD-PhD 项目。性别、种族/族裔和预医学债务与 MD-PhD 项目总体淘汰率无关。
大多数 MD-PhD 入学学生完成了 MD-PhD 项目；大多数退出的学生都是仅 MD 毕业生。关于与淘汰率相关的变量的发现，可以为通过成功完成 MD-PhD 项目要求来招募和支持学生提供信息。
