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The first nationwide survey of MD-PhDs in the social sciences and humanities: training patterns and career choices

机译：首次全国性的社会科学和人文科学博士学位博士调查：培训模式和职业选择

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Background While several articles on MD-PhD trainees in the basic sciences have been published in the past several years, very little research exists on physician-investigators in the social sciences and humanities. However, the numbers of MD-PhDs training in these fields and the number of programs offering training in these fields are increasing, particularly within the US. In addition, accountability for the public funding for MD-PhD programs requires knowledge about this growing population of trainees and their career trajectories. The aim of this paper is to describe the first cohorts of MD-PhDs in the social sciences and humanities, to characterize their training and career paths, and to better understand their experiences of training and subsequent research and practice. Methods This paper utilizes a multi-pronged recruitment method and novel survey instrument to examine an understudied population of MD-PhD trainees in the social sciences and humanities, many of whom completed both degrees without formal programmatic support. The survey instrument was designed to collect demographic, training and career trajectory data, as well as experiences of and perspectives on training and career. It describes their routes to professional development, characterizes obstacles to and predictors of success, and explores career trends. Results The average length of time to complete both degrees was 9 years. The vast majority (90%) completed a clinical residency, almost all (98%) were engaged in research, the vast majority (88%) were employed in academic institutions, and several others (9%) held leadership positions in national and international health organizations. Very few (4%) went into private practice. The survey responses supply recommendations for supporting current trainees as well as areas for future research. Conclusions In general, MD-PhDs in the social sciences and humanities have careers that fit the goals of agencies providing public funding for training physician-investigators: they are involved in mutually-informative medical research, clinical practice, and teaching – working to improve our responses to the social, cultural, and political determinants of health and health care. These findings provide strong evidence for continued and improved funding and programmatic support for MD-PhD trainees in the social sciences and humanities.
机译：背景信息尽管过去几年发表了几篇有关MD-PhD基础科学学员的文章，但关于社会科学和人文学科的医师研究者的研究很少。但是，在这些领域中进行MD-PhD培训的人数以及在这些领域中提供培训的计划的数量正在增加，特别是在美国境内。此外，要对MD-PhD计划的公共资金进行问责，就需要了解不断增加的受训人员及其职业发展轨迹。本文的目的是描述社会科学和人文科学领域的首批医学博士，以表征其培训和职业道路，并更好地了解他们的培训以及随后的研究和实践经验。方法：本文采用多管齐下的招募方法和新颖的调查工具，对社会科学和人文科学领域的医学博士研究生进行了研究不足的研究，其中许多人在没有正式计划支持的情况下完成了两个学位的学习。该调查工具旨在收集人口统计，培训和职业轨迹数据，以及培训和职业的经验和观点。它描述了他们的职业发展之路，描绘了成功的障碍和预测因素，并探讨了职业趋势。结果完成两个学位的平均时间为9年。绝大多数（90％）完成临床居住，几乎所有（98％）从事研究，绝大多数（88％）受聘于学术机构，其他几名（9％）担任国家和国际领导职务卫生组织。很少有（4％）进入私人诊所。调查答复提供了一些建议，以支持当前的受训人员以及未来的研究领域。结论总的来说，社会科学和人文科学领域的医学博士的职业生涯很适合为培训医师-研究人员提供公共资金的机构的目标：他们参与相互信息化的医学研究，临床实践和教学，致力于改善我们的研究水平。对健康和保健的社会，文化和政治决定因素的回应。这些发现提供了有力的证据，可以为社会科学和人文科学领域的MD-PhD学员提供持续和改进的资金和计划支持。

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