MD/PhDの新人スタッフの特徴とキャリアの意図
Dorothy A Andriole1, Alison J Whelan, Donna B Jeffe
1Department of Surgery, Washington University School of Medicine, 660 S Euclid Ave, St Louis, MO 63110, USA. andrioled@wustl.edu
JAMA
|September 11, 2008
まとめ
MD/PhDの卒業生は多様性が少ないが,他のMDの卒業生よりも負債が低く,研究に集中している. これらの医師・科学者の研修生は,しばしば皮膚科や神経科のような専門分野に従事する.
科学分野:
- 医療教育 医療教育について
- 医師・科学者の労働力開発
背景:
- MD/PhDプログラムの参加者は,将来の医師・科学者の労働力にとって,小さくても重要なグループです.
- MD/PhDの卒業生の特徴とキャリアの意図は,他のMDの卒業生と比較して十分に文書化されていません.
研究 の 目的:
- 最近の医学の卒業生の中でMD/PhDプログラムの卒業に関連する要因を特定します.
- MD/PhDの卒業生と他のMDの卒業生のキャリアの意図と特徴を比較する.
主な方法:
- AAMC卒業アンケートから88,575人の米国医学卒業生 (2000年-2006年) の非特定データを利用した.
- 卒業生の特徴/計画とMD/PhDの卒業との関連性を分析するために,多変数ロジスティック回帰を用いた.
- 重要な要因に対する報告された調整されたオッズ比率 (ORs).
主要な成果:
- MD/PhDの卒業は,計画された実質的な研究参加 (OR, 10.30) と教育負債の減少と強く関連していました.
- 奨学金/助成金を受ける卒業生は,MD/PhDプログラムを修了する可能性が高い (OR, 3.22).
- MD/PhDの卒業生は,皮膚科,神経科,眼科,病理科,小児科,放射線科などの専門分野を専攻する可能性が高く,緊急医療や外科に入院する可能性は低かった.
結論:
- MD/PhDの卒業生は,他のMDの卒業生と比較して,より低い人口多様性を表しています.
- 低い学費負債と研究への強い傾向が,MD/PhDの卒業生を特徴づける.
- MD/PhDの卒業生は,特定の医学専門分野を好む傾向があり,MDのみの同級生とは異なる.
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