Wilkerson L, Abelmann W H
Harvard Medical School, Boston, MA 02115.
Acad Med. 1993 Mar;68(3):214-8. doi: 10.1097/00001888-199303000-00014.
The Harvard-MIT Program in Health Sciences and Technology (HST) is a flexible, preclinical curriculum, taught by members of the faculties of both Harvard University and the Massachusetts Institute of Technology, that stresses a rigorous, scientific, quantitative approach, small classes (usually fewer than 50 students), and student-faculty interaction. The program is aimed at students with strong backgrounds in quantitative and biological sciences who are interested in careers as physician-scientists.
The first 234 students of the program, who graduated between 1975 and 1985, were asked to participate in a 1990 follow-up study by completing a four-page questionnaire and submitting curricula vitae and lists of publications, if available. Data were analyzed quantitatively and qualitatively.
Of the 234 graduates, 211 (90%) responded. Sixty-three (30%) had received both MD and PhD degrees. The graduates were twice as likely to describe their primary professional roles as academic than as clinical practice; 94 held full-time faculty positions at 50 medical schools. The 154 (73%) in research spent an average of 51% of their time on this activity. According to the 179 graduates (85%) who stated that they would choose HST again, the most frequently mentioned reasons were the quantitative approach that emphasized integration of basic science and clinical practice (49%) and the small class size (37%).
The HST MD curriculum, with its emphasis on basic science and research experience, has been successful in preparing carefully selected students for careers as physician-scientists, without necessarily requiring the completion of a PhD degree.
哈佛 - 麻省理工健康科学与技术项目（HST）是一门灵活的临床前课程，由哈佛大学和麻省理工学院的教员授课，强调严谨、科学、定量的方法，小班教学（通常少于50名学生）以及师生互动。该项目面向在定量和生物科学方面有扎实背景且有志于成为医学科学家的学生。
该项目1975年至1985年间毕业的首批234名学生被邀请参与1990年的随访研究，需填写一份四页的问卷，并提交简历和出版物清单（如有）。对数据进行了定量和定性分析。
234名毕业生中，211名（90%）做出了回应。63名（30%）获得了医学博士和哲学博士学位。毕业生将其主要职业角色描述为学术方面的可能性是临床实践方面的两倍；94人在50所医学院担任全职教员职位。从事研究工作的154人（73%）平均将51%的时间用于此项活动。在179名（85%）表示会再次选择HST的毕业生中，最常提到的原因是强调基础科学与临床实践相结合的定量方法（49%）和小班规模（37%）。
HST医学博士课程强调基础科学和研究经验，成功地为精心挑选的学生从事医学科学家职业做好了准备，不一定需要获得博士学位。
