加拿大医学博士/哲学博士项目毕业生的特征与成果：一项横断面调查。
Characteristics and outcomes of Canadian MD/PhD program graduates: a cross-sectional survey.
作者信息
Skinnider Michael A, Squair Jordan W, Twa David D W, Ji Jennifer X, Kuzyk Alexandra, Wang Xin, Steadman Patrick E, Zaslavsky Kirill, Dey Ayan K, Eisenberg Mark J, Gagné Ève-Reine, HayGlass Kent T, Lewis James F, Margetts Peter J, Underhill D Alan, Rosenblum Norman D, Raymond Lynn A
机构信息
Affiliations: Faculty of Medicine (Skinnider, Squair, Twa, Ji, Raymond), University of British Columbia, Vancouver, BC; Clinician-Investigator Training Association of Canada(Kuzyk, Wang, Steadman, Zaslavsky, Dey); Faculty of Health Sciences (Kuzyk, HayGlass), University of Manitoba, Winnipeg, Man.; Faculty of Medicine (Wang, Steadman, Zaslavsky, Dey, Rosenblum), University of Toronto, Toronto, Ont.; Faculty of Medicine (Eisenberg), McGill University, Montréal, Que.; Faculty of Medicine (Gagné), Université de Sherbrooke, Sherbrooke, Que.; Faculty of Medicine (Lewis), Western University, London, Ont.; Faculty of Medicine (Margetts), McMaster University, Hamilton, Ont.; Faculty of Medicine (Underhill), University of Alberta, Edmonton, Alta.; Canadian Society for Clinical Investigation (Underhill), Ottawa, Ont.
出版信息
CMAJ Open. 2017 Apr 25;5(2):E308-E314. doi: 10.9778/cmajo.20160152.
BACKGROUND
Combined MD/PhD programs provide a structured path for physician-scientist training, but assessment of their success within Canada is limited by a lack of quantitative data. We collected outcomes data for graduates of Canadian MD/PhD programs.
METHODS
We developed and implemented a Web-based survey consisting of 41 questions designed to collect outcomes data for Canadian MD/PhD program alumni from 8 Canadian universities who had graduated before September 2015. Respondents were categorized into 2 groups according to whether they had or had not completed all training.
RESULTS
Of the 186 eligible alumni of MD/PhD programs, 139 (74.7%) completed the survey. A total of 136/138 respondents (98.6%) had completed or were currently completing residency training, and 66/80 (82%) had completed at least 1 postgraduate fellowship. Most (58 [83%]) of the 70 respondents who had completed all training were appointed as faculty at academic institutions, and 37 (53%) had been principal investigators on at least 1 recent funded project. Among the 58 respondents appointed at academic institutions, 44/57 (77%) dedicated at least 20% of their time to research, and 25/57 (44%) dedicated at least 50% to research. During their combined degree, 102/136 respondents (75.0%) published 3 or more first-author papers, and 133/136 (97.8%) matched with their first choice of specialty. The median length of physician-scientist training was 13.5 years. Most respondents graduated with debt despite having been supported by Canadian Institutes of Health Research MD/PhD studentships.
INTERPRETATION
Most Canadian MD/PhD program alumni pursued careers consistent with their physician-scientist training, which indicates that these programs are meeting their primary objective. Nevertheless, our findings highlight that a minority of these positions are research intensive; this finding warrants further study. Our data provide a baseline for future monitoring of the output of Canadian MD/PhD programs.
背景
医学博士/哲学博士联合培养项目为培养医师科学家提供了一条结构化途径，但由于缺乏定量数据，对其在加拿大的成功评估受到限制。我们收集了加拿大医学博士/哲学博士联合培养项目毕业生的成果数据。
方法
我们开发并实施了一项基于网络的调查，包含41个问题，旨在收集来自8所加拿大大学、2015年9月之前毕业的加拿大医学博士/哲学博士联合培养项目校友的成果数据。根据受访者是否完成所有培训，将其分为两组。
结果
在186名符合条件的医学博士/哲学博士联合培养项目校友中，139人（74.7%）完成了调查。共有136/138名受访者（98.6%）完成或正在完成住院医师培训，66/80人（82%）完成了至少一项研究生奖学金项目。在完成所有培训的70名受访者中，大多数（58人[83%]）被学术机构聘为教员，37人（53%）在至少一项近期获得资助的项目中担任首席研究员。在被学术机构聘用的58名受访者中，44/57人（77%）将至少20%的时间用于研究，25/57人（44%）将至少50%的时间用于研究。在攻读联合学位期间，102/136名受访者（75.0%）发表了3篇或更多第一作者论文，133/136人（97.8%）与他们首选的专业相匹配。医师科学家培训的中位时长为13.5年。尽管获得了加拿大卫生研究院医学博士/哲学博士奖学金的支持，但大多数受访者毕业时仍背负债务。
解读
大多数加拿大医学博士/哲学博士联合培养项目校友所追求的职业与他们的医师科学家培训相符，这表明这些项目正在实现其主要目标。然而，我们的研究结果突出表明，这些职位中少数是研究密集型的；这一发现值得进一步研究。我们的数据为未来监测加拿大医学博士/哲学博士联合培养项目的产出提供了一个基线。
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