School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA.
Epidemiology and Biostatistics, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA.
J Investig Med. 2019 Aug;67(6):1018-1023. doi: 10.1136/jim-2018-000943. Epub 2019 Feb 4.
To examine how to increase research career outcomes among medical graduates, we analyzed the impact of the Research Scholarly Concentration at The George Washington University School of Medicine and Health Sciences. Residency placement, subsequent scholarship, and career outcomes were compared among 670 graduates who participated in the elective Clinical and Translational Research Scholarly Concentration or no Concentration between 2009 and 2018. We conducted a retrospective study of residency match (highly selective vs less selective), job type (academic vs non-academic), and postmedical school publications (any vs none). We compared the outcomes between Research Scholarly Concentration graduates and those with no Concentration, matched by graduation year (n=335). For Research Scholarly Concentration graduates, we examined the association between research outcomes and duration of research experience before medical school (n=232). Research Scholarly Concentration graduates were more likely to place in a highly selective residency (40.2% vs 21.6%, p<0.0001), 68% more likely to publish after medical school (OR=1.68, 95% CI 1.10 to 2.58), and almost four times as likely to have taken an academic health center job (OR=3.82, 95% CI 1.72 to 8.46) than graduates with no Concentration. Surprisingly, the length of research experience before medical school was not associated with these outcomes among Research Scholarly Concentration graduates. This suggests that a medical school Research Scholarly Concentration is effective in training physician researchers and should be available to both novices and research-experienced matriculants. These data suggest how other medical schools might plan Scholarly Concentration programs to improve research outcomes among medical graduates.
为了研究如何提高医学专业毕业生的研究职业成果，我们分析了乔治华盛顿大学医学院和健康科学学院的研究学术集中的影响。在 2009 年至 2018 年间，我们比较了 670 名选修临床和转化研究学术集中或无集中的毕业生的住院医师安置、随后的奖学金和职业成果。我们对住院医师匹配（高度选择性与非选择性）、工作类型（学术与非学术）和医后出版物（有或无）进行了回顾性研究。我们将研究学术集中的毕业生与无集中的毕业生进行了比较，这些毕业生按毕业年份（n=335）进行了匹配。对于研究学术集中的毕业生，我们研究了研究成果与医学院前研究经验持续时间之间的关系（n=232）。研究学术集中的毕业生更有可能进入高度选择性的住院医师实习期（40.2%比 21.6%，p<0.0001），毕业后发表论文的可能性增加 68%（OR=1.68，95%置信区间 1.10 至 2.58），并且几乎四倍可能在学术医疗中心工作（OR=3.82，95%置信区间 1.72 至 8.46），比无集中的毕业生更有可能在学术医疗中心工作。令人惊讶的是，医学院前研究经验的长度与研究学术集中的毕业生的这些结果无关。这表明医学院的研究学术集中在培训医师研究人员方面是有效的，应该为新手和有研究经验的新生提供。这些数据表明其他医学院如何计划学术集中计划，以提高医学毕业生的研究成果。
