医学博士和工商管理硕士培训对医生职业发展的作用：沃顿医疗保健管理课程 30 年毕业生调查。

The role of MD and MBA training in the professional development of a physician: a survey of 30 years of graduates from the Wharton Health Care Management Program.

机构信息

Dr. Patel is Robert Wood Johnson Foundation Clinical Scholar, University of Pennsylvania, Philadelphia, Pennsylvania, and ambulatory fellow, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania. Mr. Arora is an undergraduate student, University of Pennsylvania, Philadelphia, Pennsylvania. Ms. Patel is a masters of business administration student, Health Care Management Program, Wharton School of the University of Pennsylvania, Philadelphia, Pennsylvania. Ms. Kinney is associate director, Health Care Management Program, Wharton School of the University of Pennsylvania, Philadelphia, Pennsylvania. Dr. Pauly is professor of health care management and business economics and public policy, Wharton School of the University of Pennsylvania, Philadelphia, Pennsylvania. Dr. Asch is a physician, Center for Health Equity Research and Promotion, Philadelphia VA Medical Center; professor of medicine, medical ethics and health policy, and anesthesiology and critical care medicine, Perelman School of Medicine, University of Pennsylvania; professor of health care management and operations and information management, Wharton School of the University of Pennsylvania; and executive director, Penn Medicine Center for Health Care Innovation, Philadelphia, Pennsylvania.

出版信息

Acad Med. 2014 Sep;89(9):1282-6. doi: 10.1097/ACM.0000000000000366.

DOI:10.1097/ACM.0000000000000366

PMID:24979286

Abstract

PURPOSE

The number of medical schools offering MD and MBA training has increased fivefold in the last two decades. The authors evaluated graduates' perceptions of the role of such training on their career and professional development.

METHOD

In 2011, the authors surveyed physician graduates from the Wharton School MBA Program in Heath Care Management at the University of Pennsylvania from 1981 to 2010. Survey responses were analyzed and evaluated using grounded theory.

RESULTS

Among 247 eligible graduates, 59.9% (148/247) completed the questionnaire and 89.9% (133/148) of them provided free-text responses. Approximately 85.1% (126/148) of respondents were male and 79.7% (118/148) entered residency training; however, both rates declined slightly over time. Among respondents within their first decade after graduation, 46.2% (24/52) reported clinical practice as their primary work sector compared with 39.5% (15/38) among respondents 11 to 20 years after graduation and 19.2% (5/26) of respondents 21 to 30 years after graduation. Overall, graduates reported mostly positive attitudes and often noted the benefits of career acceleration, professional flexibility, and credibility in multidisciplinary domains. The few negative remarks were focused on the opportunity cost of time and how peers in one discipline may negatively perceive the role of the other discipline's degree.

CONCLUSIONS

Graduates with an MD and MBA report mostly positive attitudes towards their training, and many are pursuing leadership and primarily nonclinical roles later in their careers. These findings reveal new insights for policies affecting physician workforce. Further study is necessary to evaluate whether similar trends exist more broadly.

摘要

目的

在过去的二十年中，提供医学博士和工商管理硕士（MBA）联合培训的医学院数量增加了五倍。作者评估了毕业生对这种培训对其职业和专业发展的作用的看法。

方法

2011 年，作者调查了宾夕法尼亚大学沃顿商学院医疗保健管理 MBA 项目的医生毕业生，调查对象为 1981 年至 2010 年的毕业生。使用扎根理论分析和评估调查结果。

结果

在 247 名符合条件的毕业生中，59.9%（148/247）完成了问卷，89.9%（133/148）的人提供了自由文本回复。大约 85.1%（126/148）的受访者为男性，79.7%（118/148）接受了住院医师培训；然而，这两个比例随着时间的推移略有下降。在毕业 10 年内的受访者中，46.2%（24/52）报告称临床实践是他们的主要工作领域，而毕业 11 至 20 年的受访者中有 39.5%（15/38），毕业 21 至 30 年的受访者中有 19.2%（5/26）。总体而言，毕业生报告的态度大多是积极的，经常提到职业加速、专业灵活性和在多学科领域的可信度方面的好处。少数负面评价集中在时间的机会成本上，以及一个学科的同龄人可能如何负面看待另一学科学位的作用。