Wolfson Rachel K, Alberson Kurt, McGinty Michael, Schwanz Korry, Dickins Kirsten, Arora Vineet M
R.K. Wolfson is assistant professor, Department of Pediatrics, and codirector, Scholarship & Discovery, University of Chicago Pritzker School of Medicine, Chicago, Illinois.K. Alberson is a third-year medical student, University of Chicago Pritzker School of Medicine, Chicago, Illinois.M. McGinty is curriculum management specialist, University of Chicago Pritzker School of Medicine, Chicago, Illinois.K. Schwanz is director, Medical School Education, University of Chicago Pritzker School of Medicine, Chicago, Illinois.K. Dickins is former manager, Scholarship & Discovery, University of Chicago Pritzker School of Medicine, Chicago, Illinois.V.M. Arora is associate professor, Department of Medicine, assistant dean, Scholarship & Discovery, and director, GME Clinical Learning Environment Innovation, University of Chicago Pritzker School of Medicine, Chicago, Illinois.
Acad Med. 2017 Aug;92(8):1196-1203. doi: 10.1097/ACM.0000000000001486.
Concerns remain regarding the future of the physician-scientist workforce. One goal of scholarly concentration (SC) programs is to give students skills and motivation to pursue research careers. The authors describe SC and student variables that affect students' career plans.
Medical students graduating from the University of Chicago SC program in 2014 and 2015 were studied. The authors measured change in interest in career-long research from matriculation to graduation, and used ordinal logistic regression to determine whether program satisfaction, dissemination of scholarship, publication, and gender were associated with increased interest in a research career.
Among students with low baseline interest in career-long research, a one-point-higher program satisfaction was associated with 2.49 (95% CI 1.36-4.57, P = .003) odds of a one-point-increased interest in a research career from matriculation to graduation. Among students with high baseline interest in career-long research, both publication (OR 5.46, 95% CI 1.40-21.32, P = .02) and female gender (OR 4.83, 95% CI 1.11-21.04, P = .04) were associated with increased odds of a one-point-increased interest in career-long research.
The impact of an SC program on change in career plans during medical school was analyzed. Program satisfaction, publication, and female gender were associated with increased intent to participate in career-long research depending on baseline interest in career-long research. Two ways to bolster the physician-scientist workforce are to improve satisfaction with existing SC programs and to formally support student publication. Future work to track outcomes of SC program graduates is warranted.
医师 - 科学家人才队伍的未来仍令人担忧。学术集中(SC)项目的一个目标是培养学生从事研究职业的技能和动力。作者描述了影响学生职业规划的SC及学生变量。
对2014年和2015年从芝加哥大学SC项目毕业的医学生进行研究。作者测量了从入学到毕业期间对长期研究职业兴趣的变化,并使用有序逻辑回归来确定项目满意度、学术成果传播、发表情况和性别是否与对研究职业的兴趣增加相关。
在对长期研究职业基线兴趣较低的学生中,项目满意度每提高一分,从入学到毕业对研究职业的兴趣提高一分的几率为2.49(95%CI 1.36 - 4.57,P = 0.003)。在对长期研究职业基线兴趣较高的学生中,发表情况(OR 5.46,95%CI 1.40 - 21.32,P = 0.02)和女性性别(OR 4.83,95%CI 1.11 - 21.04,P = 0.04)都与对长期研究职业的兴趣提高一分的几率增加相关。
分析了SC项目对医学院期间职业规划变化的影响。根据对长期研究职业的基线兴趣,项目满意度、发表情况和女性性别与参与长期研究职业的意愿增加相关。加强医师 - 科学家人才队伍的两种方法是提高对现有SC项目的满意度和正式支持学生发表。有必要开展未来工作来跟踪SC项目毕业生的成果。