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美国的医学博士-公共卫生硕士双学位学生:推动医疗队伍向人口健康迈进。

Dual MD-MPH Degree Students in the United States: Moving the Medical Workforce Toward Population Health.

机构信息

12223 Keck School of Medicine, Department of Family Medicine, University of Southern California, Los Angeles, CA, USA.

398152 Association of Schools and Programs of Public Health, Washington, DC, USA.

出版信息

Public Health Rep. 2021 Sep-Oct;136(5):640-647. doi: 10.1177/0033354920978422. Epub 2021 Feb 9.

Abstract

OBJECTIVE

A growing need exists to train physicians in population health to meet the increasing need and demand for physicians with leadership, health data management/metrics, and epidemiology skills to better serve the health of the community. This study examines current trends in students pursuing a dual doctor of medicine (MD)-master of public health (MPH) degree (MD-MPH) in the United States.

METHODS

We conducted an extensive literature review of existing MD-MPH databases to determine characteristics (eg, sex, race/ethnicity, MPH area of study) of this student cohort in 2019. We examined a trend in the MD community to pursue an MPH career, adding additional public health and health care policy training to the MD workforce. We conducted targeted telephone interviews with 20 admissions personnel and faculty at schools offering MD-MPH degrees in the United States with the highest number of matriculants and graduates. Interviews focused on curricula trends in medical schools that offer an MD-MPH degree.

RESULTS

No literature describes the US MD-MPH cohort, and available MD-MPH databases are limited and incomplete. We found a 434% increase in the number of students pursuing an MD-MPH degree from 2010 to 2018. The rate of growth was greater than the increase in either the number of medical students (16%) or the number of MPH students (65%) alone. Moreover, MD-MPH students as a percentage of total MPH students more than tripled, from 1.1% in 2010 to 3.6% in 2018.

CONCLUSIONS

As more MD students pursue public health training, the impact of an MPH degree on medical school curricula, MD-MPH graduates, and MD-MPH career pursuits should be studied using accurate and comprehensive databases.

摘要

目的

培养医生从事人群健康工作的需求日益增长,需要越来越多具备领导力、卫生数据管理/指标和流行病学技能的医生,以更好地为社区健康服务。本研究考察了美国目前攻读医学博士-公共卫生硕士(MD-MPH)双学位的学生的趋势。

方法

我们对现有的 MD-MPH 数据库进行了广泛的文献回顾,以确定 2019 年该学生群体的特征(例如,性别、种族/族裔、MPH 学习领域)。我们考察了 MD 群体从事 MPH 职业的趋势,为 MD 劳动力增加了更多的公共卫生和医疗保健政策培训。我们对美国拥有最多入学人数和毕业生的提供 MD-MPH 学位的学校的 20 名招生人员和教师进行了针对性的电话访谈。访谈重点是提供 MD-MPH 学位的医学院校的课程趋势。

结果

没有文献描述美国的 MD-MPH 群体,而且现有的 MD-MPH 数据库有限且不完整。我们发现,2010 年至 2018 年,攻读 MD-MPH 学位的学生人数增加了 434%。增长率大于医学专业学生(16%)或公共卫生专业学生(65%)的单独增长率。此外,MD-MPH 学生在总公共卫生专业学生中的比例增加了两倍多,从 2010 年的 1.1%增加到 2018 年的 3.6%。

结论

随着越来越多的 MD 学生接受公共卫生培训,应该使用准确和全面的数据库来研究 MPH 学位对医学课程、MD-MPH 毕业生和 MD-MPH 职业追求的影响。

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本文引用的文献

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Exploring the context: contemporary medical education.探索背景:当代医学教育
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Medical schools in the United States, 2010-2011.美国2010 - 2011年的医学院校。
JAMA. 2011 Sep 7;306(9):1007-14. doi: 10.1001/jama.2011.1220.

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