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首页> 外文期刊>JAMA: the Journal of the American Medical Association >Characteristics and career intentions of the emerging MD/PhD workforce.
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Characteristics and career intentions of the emerging MD/PhD workforce.

机译：新兴的MD / PhD劳动力的特征和职业意向。

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CONTEXT: MD/PhD program participants represent only a small proportion of all US medical students, yet they are expected to play a major role in the future physician-scientist workforce. The characteristics and career intentions of recent MD/PhD program and other MD program graduates have not been compared. OBJECTIVE: To identify factors associated with MD/PhD program graduation among recent medical graduates. DESIGN, SETTING, AND PARTICIPANTS: Deidentified data were obtained from a nationally representative sample of 88,575 US medical graduates who completed the national Association of American Medical Colleges Graduation Questionnaire from 2000-2006. Multivariate logistic regression was used to test responses to items regarding graduates' characteristics and career plans in association with program graduation, reporting adjusted odds ratios (ORs). MAIN OUTCOME MEASURE: MD/PhD program graduation. RESULTS: Of the 79,104 respondents with complete data (71.7% of all 2000-2006 graduates), 1833 (2.3%) wereMD/PhD program graduates. Variables associated with greater likelihood of MD/PhD program graduation included planned substantial career involvement in research (OR, 10.30; 95% confidence interval [CI], 8.89-11.93); lower educational debt (compared with > or = Dollars 150,000: Dollars 100,000-Dollars 149,999, OR, 1.85; 95% CI, 1.35-2.52; Dollars 50,000-Dollars 99,999, OR, 5.50; 95% CI, 4.14-7.29; Dollars 1-Dollars 49,999, OR, 17.50; 95% CI, 13.30-23.03; no debt, OR, 17.41; 95% CI, 13.22-22.92); and receipt of medical school scholarships or grants (OR, 3.22; 95% CI, 2.82-3.69). Compared with planned training in internal medicine, MD/PhD graduation was positively associated with planned training in dermatology, neurology, ophthalmology, pathology, pediatrics, or radiology. Variables associated with lower likelihood of MD/PhD graduation included female sex (OR, 0.68; 95% CI, 0.60-0.77); race/ethnicity underrepresented in medicine (OR, 0.64; 95% CI, 0.52-0.80); and, compared with internal medicine, planned training in emergency medicine (OR, 0.58; 95% CI, 0.40-0.84) or surgery (OR, 0.70; 95% CI, 0.57-0.85). CONCLUSION: Compared with graduates of other MD degree programs, MD/PhD graduates tend to be less demographically diverse, have a lower debt burden, favor different medical specialties, and have greater planned career involvement in research.
机译：背景：医学博士/博士学位课程的参与者仅占美国所有医学学生的一小部分，但预计他们将在未来的医师科学家队伍中发挥重要作用。尚未比较最近的医学博士/博士学位课程和其他医学博士课程毕业生的特征和职业意向。目的：在最近的医学毕业生中确定与医学博士/博士学位课程毕业相关的因素。设计，地点和参与者：不确定的数据来自于88,575名美国医学毕业生的全国代表性样本，这些样本在2000-2006年间完成了美国医学院校协会的全国问卷调查。多元逻辑回归用于检验与计划毕业相关的关于毕业生特征和职业计划的项目响应，报告调整后的优势比（OR）。主要观察指标：MD / PhD程序毕业。结果：在79,104名具有完整数据的应答者中（占2000-2006年所有毕业生的71.7％），有1833名（2.3％）是医学博士/博士学位课程的毕业生。与MD / PhD计划毕业可能性更大相关的变量包括计划中的大量职业参与研究（OR为10.30; 95％置信区间[CI]为8.89-11.93）;较低的教育债务（与>或= 150,000美元相比：100,000美元-149,999美元，或1.85; 95％CI，1.35-2.52; 50,000美元-99,999美元，OR，5.50; 95％CI，4.14-7.29美元; 1美元-美元49,999，或OR，17.50; 95％CI，13.30-23.03;无债务，OR，17.41; 95％CI，13.22-22.92）;并获得医学院的奖学金或助学金（OR，3.22; 95％CI，2.82-3.69）。与计划的内部医学培训相比，医学博士/博士学位的毕业与计划的皮肤科，神经病学，眼科，病理学，儿科或放射学培训正相关。与MD / PhD毕业可能性较低相关的变量包括女性（OR为0.68; 95％CI为0.60-0.77）;种族/民族在医学中的代表性不足（OR为0.64; 95％CI为0.52-0.80）;与内科医学相比，计划中的急诊医学培训（OR，0.58; 95％CI，0.40-0.84）或手术（OR，0.70; 95％CI，0.57-0.85）。结论：与其他医学博士学位课程的毕业生相比，医学博士/博士学位的毕业生在人口统计学上具有较少的多样性，债务负担更低，倾向于不同的医学专业，并且计划中的职业生涯更多地参与研究。

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