Ballios Brian G, Rosenblum Norman D
Clin Invest Med. 2014 Oct 4;37(5):E268-83. doi: 10.25011/cim.v37i5.22008.
A number of indicators suggest that the physician scientist career track is threatened. As such, it is an opportune time to evaluate current training models. Perspectives on physician scientist education and career path were surveyed in trainees at the University of Toronto, home to Canada's longest standing physician scientist training programs.
Trainees from the Clinician Investigator Program (CIP) and MD/PhD Program at the University of Toronto were surveyed. Liekert-style closed-ended questions were used to assess future career goals, present and future perspectives and concerns about and beliefs on training. Demographic information was collected regarding year of study, graduate degree program and focus of clinical and health research. Statistical analysis included non-parametric tests for sub-group comparisons.
Both groups of trainees were motivated to pursue a career as a physician scientist. While confident in their decision to begin and complete physician scientist training, they expressed concerns about the level of integration between clinical and research training in the current programs. They also expressed concerns about career outlook, including the ability to find stable and sustainable careers in academic medicine. Trainees highlighted a number of factors, including career mentorship, as essential for career success.
These findings indicate that while trainees at different stages consistently express career motivation, they identified concerns that are program- and training stage-specific. These concerns mirror those highlighted in the medical education literature regarding threats to the physician scientist career path. Understanding these different and changing perspectives and exploring those differences could form an important basis for trainee program improvements both nationally and internationally.
多项指标表明医师科学家职业发展道路受到威胁。因此，现在是评估当前培训模式的恰当时机。在加拿大多伦多大学（该校拥有加拿大历史最悠久的医师科学家培训项目）的学员中，对医师科学家教育和职业道路的观点进行了调查。
对多伦多大学临床研究人员项目（CIP）和医学博士/哲学博士项目的学员进行了调查。采用利克特式封闭式问题来评估未来职业目标、对培训的当前和未来观点、关注事项以及信念。收集了有关学习年份、研究生学位项目以及临床和健康研究重点的人口统计学信息。统计分析包括用于亚组比较的非参数检验。
两组学员都有动力追求医师科学家的职业。虽然他们对开始并完成医师科学家培训的决定充满信心，但他们对当前项目中临床与研究培训的整合程度表示担忧。他们还对职业前景表示担忧，包括在学术医学领域找到稳定且可持续职业的能力。学员们强调了许多因素，包括职业指导，认为这对职业成功至关重要。
这些发现表明，虽然处于不同阶段的学员始终表达出职业动力，但他们确定了与项目和培训阶段相关的担忧。这些担忧反映了医学教育文献中关于医师科学家职业道路所面临威胁的突出问题。了解这些不同且不断变化的观点并探索这些差异，可为国内外学员项目的改进奠定重要基础。
