Andriole Dorothy A, Jeffe Donna B
Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA;
Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Med Educ Online. 2016 May 13;21:30941. doi: 10.3402/meo.v21.30941. eCollection 2016.
The authors sought to identify variables associated with MD-PhD program graduates' academic medicine careers.
We analyzed data for a national cohort of MD-PhD program graduates from 2000 to 2005, using multivariable logistic regression to identify independent predictors of full-time academic medicine faculty appointment through 2013.
Of 1,860 MD-PhD program graduates in 2000-2005, we included 1,846 (99.2%) who had completed residency training before 2014. Of these 1,846 graduates, 968 (52.4%) held full-time faculty appointments. Graduates who attended schools with Medical Scientist Training Program (MSTP) funding (vs. no MSTP funding; adjusted odds ratio [aOR], 1.41; 95% confidence interval [CI], 1.14-1.74) and participated in ≥1 year of research during residency (vs. no documented research year; aOR, 1.85; 95% CI, 1.50-2.28) were more likely to have held full-time faculty appointments. Asian/Pacific Islander (aOR, 0.74; 95% CI, 0.60-0.93) and under-represented minority (URM; aOR, 0.68; 95% CI, 0.48-0.98) graduates (each vs. white graduates), graduates who reported total debt of ≥$100,000 (vs. no debt) at graduation (aOR, 0.58; 95% CI, 0.39-0.88), and graduates in surgical practice (aOR, 0.64; 95% CI, 0.48-0.84) and other practice (aOR, 0.66, 95% CI, 0.54-0.81) specialties (each vs. 'medicine, pediatrics, pathology, or neurology') were less likely to have held full-time faculty appointments. Gender was not independently associated with likelihood of full-time faculty appointment.
Over half of all MD-PhD program graduates in our study had full-time faculty appointments. Our findings regarding variables independently associated with full-time faculty appointments can inform the design of strategies to promote academic medicine career choice among MD-PhD program graduates. Further research is warranted to identify other factors amenable to intervention, in addition to those included in our study, which will foster the further development of a diverse academic medicine physician-scientist workforce nationally.
作者试图确定与医学博士-哲学博士（MD-PhD）项目毕业生学术医学职业相关的变量。
我们分析了2000年至2005年全国MD-PhD项目毕业生队列的数据，使用多变量逻辑回归来确定截至2013年全职学术医学教职任命的独立预测因素。
在2000 - 2005年的1860名MD-PhD项目毕业生中，我们纳入了1846名（99.2%）在2014年前完成住院医师培训的毕业生。在这1846名毕业生中，968名（52.4%）担任全职教职。就读于有医学科学家培训项目（MSTP）资助学校的毕业生（与无MSTP资助相比；调整后的优势比[aOR]，1.41；95%置信区间[CI]，1.14 - 1.74）以及在住院医师培训期间参与≥1年研究的毕业生（与无记录的研究年份相比；aOR，1.85；95% CI，1.50 - 2.28）更有可能担任全职教职。亚裔/太平洋岛民毕业生（aOR，0.74；95% CI，0.60 - 0.93）和代表性不足的少数族裔（URM；aOR，0.68；95% CI，0.48 - 0.98）毕业生（与白人毕业生相比）、毕业时报告总债务≥10万美元的毕业生（与无债务相比；aOR，0.58；95% CI，0.39 - 0.88）以及从事外科实践（aOR，0.64；95% CI，0.48 - 0.84）和其他实践（aOR，0.66，95% CI，0.54 - 0.81）专业的毕业生（与“医学、儿科学、病理学或神经学”相比）担任全职教职的可能性较小。性别与全职教职任命的可能性无独立关联。
我们研究中超过一半的MD-PhD项目毕业生担任全职教职。我们关于与全职教职任命独立相关变量的研究结果可为促进MD-PhD项目毕业生学术医学职业选择的策略设计提供参考。除了我们研究中包含的因素外，还需要进一步研究以确定其他适合干预的因素，这将促进全国多样化的学术医学医师-科学家队伍的进一步发展。
