Holmes Seth M, Karlin Jennifer, Stonington Scott D, Gottheil Diane L
Public Health and Medical Anthropology, University of California Berkeley, 50 University Hall, MC 7360, Berkeley, CA, 94720, USA.
Anthropology, History and Social Medicine, School of Medicine, University of California San Francisco, 50 University Hall, MC 7360, Berkeley, CA, 94720, USA.
BMC Med Educ. 2017 Mar 21;17(1):60. doi: 10.1186/s12909-017-0896-1.
While several articles on MD-PhD trainees in the basic sciences have been published in the past several years, very little research exists on physician-investigators in the social sciences and humanities. However, the numbers of MD-PhDs training in these fields and the number of programs offering training in these fields are increasing, particularly within the US. In addition, accountability for the public funding for MD-PhD programs requires knowledge about this growing population of trainees and their career trajectories. The aim of this paper is to describe the first cohorts of MD-PhDs in the social sciences and humanities, to characterize their training and career paths, and to better understand their experiences of training and subsequent research and practice.
This paper utilizes a multi-pronged recruitment method and novel survey instrument to examine an understudied population of MD-PhD trainees in the social sciences and humanities, many of whom completed both degrees without formal programmatic support. The survey instrument was designed to collect demographic, training and career trajectory data, as well as experiences of and perspectives on training and career. It describes their routes to professional development, characterizes obstacles to and predictors of success, and explores career trends.
The average length of time to complete both degrees was 9 years. The vast majority (90%) completed a clinical residency, almost all (98%) were engaged in research, the vast majority (88%) were employed in academic institutions, and several others (9%) held leadership positions in national and international health organizations. Very few (4%) went into private practice. The survey responses supply recommendations for supporting current trainees as well as areas for future research.
In general, MD-PhDs in the social sciences and humanities have careers that fit the goals of agencies providing public funding for training physician-investigators: they are involved in mutually-informative medical research, clinical practice, and teaching - working to improve our responses to the social, cultural, and political determinants of health and health care. These findings provide strong evidence for continued and improved funding and programmatic support for MD-PhD trainees in the social sciences and humanities.
尽管在过去几年里已经发表了几篇关于基础科学领域医学博士-哲学博士学员的文章，但关于社会科学和人文科学领域的医师-研究人员的研究却非常少。然而，在这些领域接受培训的医学博士-哲学博士学员数量以及提供这些领域培训的项目数量都在增加，尤其是在美国。此外，对医学博士-哲学博士项目公共资金的问责要求了解这一不断增长的学员群体及其职业轨迹。本文的目的是描述社会科学和人文科学领域的首批医学博士-哲学博士学员群体，刻画他们的培训和职业道路，并更好地理解他们的培训经历以及随后的研究和实践情况。
本文采用多管齐下的招募方法和新颖的调查工具，以研究社会科学和人文科学领域中一个研究较少的医学博士-哲学博士学员群体，其中许多人在没有正式项目支持的情况下完成了两个学位。该调查工具旨在收集人口统计学、培训和职业轨迹数据，以及培训和职业方面的经历与观点。它描述了他们的职业发展途径，刻画了成功的障碍和预测因素，并探索了职业趋势。
完成两个学位的平均时间为9年。绝大多数（90%）完成了临床住院医师培训，几乎所有人（98%）都从事研究工作，绝大多数（88%）受雇于学术机构，还有一些人（9%）在国家和国际卫生组织担任领导职务。很少有人（4%）从事私人执业。调查回复为支持当前学员以及未来研究领域提供了建议。
总体而言，社会科学和人文科学领域的医学博士-哲学博士所从事的职业符合为培训医师-研究人员提供公共资金的机构的目标：他们参与相互提供信息的医学研究、临床实践和教学工作，致力于改善我们对健康和医疗保健的社会、文化及政治决定因素的应对。这些发现为持续并改善对社会科学和人文科学领域医学博士-哲学博士学员的资金和项目支持提供了有力证据。
