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Related Experiment Videos

Research training in six selected internal medicine fellowship programs.

M E Whitcomb1, D L Walter

  • 1Division of Medical Education, Association of American Medical Colleges, 2450 N Street NW, Washington, DC 20037, USA.

Annals of Internal Medicine
|November 21, 2000
PubMed
Summary

Few internal medicine subspecialty programs offer adequate research training. Most programs do not provide sufficient research time or opportunities for advanced degrees, hindering the American Board of Internal Medicine (ABIM) research pathway.

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Area of Science:

  • Medical Education
  • Internal Medicine Research Training

Background:

  • The American Board of Internal Medicine (ABIM) introduced a research pathway in 1997 to enhance research training for internists and subspecialists.
  • This initiative aimed to foster a new generation of physician-scientists.

Purpose of the Study:

  • To assess the current state of research training within six internal medicine subspecialties.
  • To evaluate the availability of formal coursework and degree opportunities for trainees.
  • To determine the proportion of programs willing to accept fellows pursuing the ABIM Research Pathway.

Main Methods:

  • Utilized data from the National Study of Graduate Education in Internal Medicine (1996-1997 and 1997-1998).
  • Surveyed directors of Accreditation Council for Graduate Medical Education-accredited internal medicine subspecialty programs.

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  • Collected information on research time allocation and advanced degree program availability.

    • Main Results:

    • Fellows in infectious disease, nephrology, endocrinology, and rheumatology dedicated 40-50% of their final training year to research, compared to 25-30% for gastroenterology and cardiology.
    • Academic medical center hospitals were more likely than major teaching hospitals to accept ABIM Research Pathway fellows (28% vs. 8%) and offer advanced degrees (60% vs. 14%).

    Conclusions:

    • A significant gap exists between the requirements for adequate research training and the current offerings in most internal medicine subspecialty programs.
    • The findings suggest that many programs are not optimally structured to support the ABIM Research Pathway or foster robust physician-scientist development.