Robert Larner College of Medicine, University of Vermont, Burlington, VT, USA.
University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
Acad Psychiatry. 2022 Feb;46(1):40-44. doi: 10.1007/s40596-020-01210-3. Epub 2020 Feb 25.
Since 2002, the Klingenstein Third Generation Foundation (KTGF) has supported a network of medical student mentorship programs (MSMPs) across the USA with the explicit aim of enhancing interest in, and eventual recruitment into the field of child and adolescent psychiatry (CAP). The authors conducted a multisite, retrospective cohort analysis to examine the impact of the program on career selection, as reflected by graduation match rates into psychiatry or pediatrics.
The authors collected graduating match information (2008-2019) from fourteen participating medical schools (Exposed) and thirteen non-participating schools (Control). Control schools were selected based on region, comparable student body and faculty size, national standing, and rank in NIH funding. Match rates into psychiatry and pediatrics were compared between Exposed and Control groups.
Exposed schools had significantly higher match rates into psychiatry as compared to unexposed schools (6.1% and 4.8%, respectively; OR [95%CI] = 1.29 [1.18, 1.40]; X = 32.036, p < 0.001). In contrast, during the same time period, exposed schools had significantly lower match rates into pediatrics than unexposed ones (11.6 and 10.5%, respectively; OR [95%CI] = 0.89 (0.83, 0.95); X = 12.127, p < 0.001). These findings persisted even after adjustment for secular trends in match rates.
Seventeen years after its inception, the KTGF medical student mentorship program network has had a positive impact on match rates into general psychiatry. Future studies will address whether these results translate to trainees' eventual selection of careers in CAP.
自 2002 年以来,克林根斯坦第三代基金会(KTGF)一直支持美国各地的医学生指导计划(MSMP)网络,其明确目的是提高对儿童和青少年精神病学(CAP)领域的兴趣,并最终招募该领域的人才。作者进行了一项多站点、回顾性队列分析,以检查该计划对职业选择的影响,具体反映为精神病学或儿科学毕业匹配率。
作者从 14 所参与的医学院(暴露组)和 13 所非参与的医学院(对照组)收集了毕业匹配信息(2008-2019 年)。对照组学校是根据地理位置、学生群体和教师规模、全国排名以及 NIH 资助排名选择的。比较暴露组和对照组的精神病学和儿科学匹配率。
暴露组进入精神病学的匹配率明显高于未暴露组(分别为 6.1%和 4.8%;OR[95%CI] = 1.29[1.18, 1.40];X = 32.036,p < 0.001)。相比之下,在同一时期,暴露组进入儿科学的匹配率明显低于未暴露组(分别为 11.6%和 10.5%;OR[95%CI] = 0.89(0.83,0.95);X = 12.127,p < 0.001)。即使在校正匹配率的季节性趋势后,这些发现仍然存在。
在成立 17 年后,KTGF 医学生指导计划网络对一般精神病学的匹配率产生了积极影响。未来的研究将探讨这些结果是否转化为学员最终选择 CAP 职业。