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Exploring intentions of physician-scientist trainees: factors influencing MD and MD/PhD interest in research careers

机译：探索医师-科学家受训者的意图：影响医学博士和医学博士/博士对研究职业的兴趣的因素

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Prior studies have described the career paths of physician-scientist candidates after graduation, but the factors that influence career choices at the candidate stage remain unclear. Additionally, previous work has focused on MD/PhDs, despite many physician-scientists being MDs. This study sought to identify career sector intentions, important factors in career selection, and experienced and predicted obstacles to career success that influence the career choices of MD candidates, MD candidates with research-intense career intentions (MD-RI), and MD/PhD candidates. A 70-question survey was administered to students at 5 academic medical centers with Medical Scientist Training Programs (MSTPs) and Clinical and Translational Science Awards (CTSA) from the NIH. Data were analyzed using bivariate or multivariate analyses. More MD/PhD and MD-RI candidates anticipated or had experienced obstacles related to balancing academic and family responsibilities and to balancing clinical, research, and education responsibilities, whereas more MD candidates indicated experienced and predicted obstacles related to loan repayment. MD/PhD candidates expressed higher interest in basic and translational research compared to MD-RI candidates, who indicated more interest in clinical research. Overall, MD-RI candidates displayed a profile distinct from both MD/PhD and MD candidates. MD/PhD and MD-RI candidates experience obstacles that influence their intentions to pursue academic medical careers from the earliest training stage, obstacles which differ from those of their MD peers. The differences between the aspirations of and challenges facing MD, MD-RI and MD/PhD candidates present opportunities for training programs to target curricula and support services to ensure the career development of successful physician-scientists.
机译：先前的研究描述了毕业后医师科学家候选人的职业道路，但是在候选人阶段影响职业选择的因素仍然不清楚。此外，尽管有许多医师科学家是医学博士，但先前的工作仍集中在医学博士/博士学位上。这项研究试图确定职业领域的意图，职业选择的重要因素以及职业成功的经验障碍和预测障碍，这些障碍会影响MD候选人，具有研究强烈职业意图的MD候选人（MD-RI）和MD / PhD的职业选择考生。我们向5个学术医学中心的学生进行了70个问题的调查，并获得了美国国立卫生研究院的医学科学家培训计划（MSTP）和临床与转化科学奖（CTSA）。使用双变量或多变量分析来分析数据。更多的医学博士/博士和医学博士-RI候选人预计或经历过与平衡学术和家庭责任以及平衡临床，研究和教育责任相关的障碍，而更多的医学博士候选人则表示与贷款还款有关的经验和预测障碍。与MD-RI候选人相比，MD / PhD候选人对基础研究和转化研究表现出更高的兴趣，后者对临床研究表现出更多的兴趣。总体而言，MD-RI候选人显示出与MD / PhD和MD候选人均不同的个人资料。 MD / PhD和MD-RI候选人遇到的障碍会影响他们从最早的培训阶段就从事学术医学事业的意图，这些障碍与MD同行的障碍不同。 MD，MD-RI和MD / PhD候选人的志向与挑战之间的差异为目标课程和支持服务的培训计划提供了机会，以确保成功的医师科学家的职业发展。

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