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Comparing MD-PhD trainee experiences by disciplinary background.

Cambray Smith1,2, Evans K Lodge2,3,4, C Ray Cheever2,5

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Summary
This summary is machine-generated.

MD-PhD programs increasingly include trainees in humanities, social sciences, and public health (SSHPH). This study found SSHPH trainees reported lower belonging and more challenges than biomedical peers, necessitating targeted support.

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Area of Science:

  • Medical Education
  • Social Sciences in Medicine
  • Public Health Training

Background:

  • MD-PhD programs are expanding to include doctoral studies in humanities, social sciences, and public health (SSHPH).
  • Understanding the unique experiences of these trainees is crucial for program development and support.

Purpose of the Study:

  • To characterize the experiences of MD-PhD trainees in SSHPH disciplines.
  • To compare SSHPH trainee experiences with those in traditional biomedical fields.
  • To identify challenges, barriers, and areas for improvement in MD-PhD programs.

Main Methods:

  • A nationwide survey was administered to U.S. MD-PhD programs accepting SSHPH trainees from March-July 2023.
  • Quantitative data analyzed using Fisher's exact tests, Student's t-tests, and Wilcoxon rank sum tests.
  • Qualitative comments analyzed using a hybrid deductive-inductive approach.

Main Results:

  • 111 (47.4%) of 234 surveyed trainees were in SSHPH disciplines.
  • SSHPH trainees reported decreased belonging, difficulty finding role models, and increased work requirements compared to biomedical peers.
  • Similarities were noted across groups, but consistent differences emerged for SSHPH trainees.

Conclusions:

  • MD-PhD programs should address the unique needs of SSHPH trainees.
  • Recommendations include integrating SSHPH scholars into program activities and ensuring funding parity.
  • Further research is needed to refine support for diverse MD-PhD trainees.