A nationwide assessment of perceptions of research-intense academic careers among predoctoral MD and MD-PhD trainees.

Autor:	Kwan JM; Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, USA.; American Physician Scientists Association (APSA), Westford, MA, USA., Toubat O; American Physician Scientists Association (APSA), Westford, MA, USA.; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA., Harrison AM; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.; American Physician Scientists Association (APSA), Westford, MA, USA., Riddle M; Department of Psychiatry, University of Washington, Seattle, WA, USA., Wu B; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA., Kim H; Center for Clinical and Translational Science, University of Illinois at Chicago, Chicago, IL, USA., Basta DW; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA., Adami AJ; American Physician Scientists Association (APSA), Westford, MA, USA.; Department of Psychiatry, University of Washington, Seattle, WA, USA., Daye D; American Physician Scientists Association (APSA), Westford, MA, USA.; Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational science [J Clin Transl Sci] 2020 Mar 04; Vol. 4 (4), pp. 307-316. Date of Electronic Publication: 2020 Mar 04.
DOI:	10.1017/cts.2020.18
Abstrakt:	Introduction: While previous studies have described career outcomes of physician-scientist trainees after graduation, trainee perceptions of research-intensive career pathways remain unclear. This study sought to identify the perceived interests, factors, and challenges associated with academic and research careers among predoctoral MD trainees, MD trainees with research-intense (>50%) career intentions (MD-RI), and MD-PhD trainees. Methods: A 70-question survey was administered to 16,418 trainees at 32 academic medical centers from September 2012 to December 2014. MD vs. MD-RI (>50% research intentions) vs. MD-PhD trainee responses were compared by chi-square tests. Multivariate logistic regression analyses were performed to identify variables associated with academic and research career intentions. Results: There were 4433 respondents (27% response rate), including 2625 MD (64%), 653 MD-RI (15%), and 856 MD-PhD (21%) trainees. MD-PhDs were most interested in pursuing academia (85.8%), followed by MD-RIs (57.3%) and MDs (31.2%). Translational research was the primary career intention for MD-PhD trainees (42.9%). Clinical duties were the primary career intention for MD-RIs (51.9%) and MDs (84.2%). While 39.8% of MD-PhD respondents identified opportunities for research as the most important career selection factor, only 12.9% of MD-RI and 0.5% of MD respondents shared this perspective. Interest in basic research, translational research, clinical research, education, and the ability to identify a mentor were each independently associated with academic career intentions by multivariate regression. Conclusions: Predoctoral MD, MD-RI, and MD-PhD trainees are unique cohorts with different perceptions and interests toward academic and research careers. Understanding these differences may help to guide efforts to mentor the next generation of physician-scientists. Competing Interests: The authors have no conflicts of interest to declare. (© The Association for Clinical and Translational Science 2020.)
Databáze:	MEDLINE
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