Reinforcing our pipeline: trainee-driven approaches to improving physician-scientist training

Fox, Brandon; Adami, Alexander; Hull, Travis D.

doi:10.1172/jci122100

Cited by 11 publications

(10 citation statements)

References 4 publications

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“…Such personal connections can have a strong impact on a mentee's career trajectory. Formal mentorship programs like the American Physician Scientists Association (APSA) Undergraduate Mentorship Program that pairs undergraduates with current medical students based on demographic, academic, geographic, and other characteristics can facilitate the formation of such mentor-mentee relationships [19].…”

Section: Recommendationsmentioning

confidence: 99%

Diversity and the next-generation physician-scientist

Behera

Tan

Erickson

2019

J. Clin. Trans. Sci.

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Section: Recommendationsmentioning

confidence: 99%

Diversity and the next-generation physician-scientist

Behera

Tan

Erickson

2019

J. Clin. Trans. Sci.

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“…1,6 Leading research organizations have responded to these trends with calls to intensify recruitment, mentorship, and financial support for physicianscientist trainees and faculty. 2,[10][11][12][13] Of these efforts, MD-PhD programs and similar programs for residents and clinical fellows have been the most widely adopted, because they offer opportunities to integrate clinical and research training. 11,[14][15][16] The nature of this integration, however, is frequently superficial and limited to curricular structure.…”

Section: Introductionmentioning

confidence: 99%

The Molecular Medicine Investigation Unit: Linking Patient Care and Scientific Inquiry in Physician-Scientist Training

Berger

Matloubian

Shah

et al. 2020

Journal of Graduate Medical Education

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Background Medical innovation depends on translation, the process of applying clinical insights to solve biological problems, and vice versa, yet existing training programs provide few opportunities for physician-scientists to integrate their clinical and research training. Objective We developed and determined the feasibility and acceptability of a rotation on the Molecular Medicine Investigation Unit (MMIU), a novel program that engages trainees in the deliberate linkage of patient care and scientific inquiry to cultivate their interest and skills in translation. Methods Between July 2017 and January 2019, fourth-year medical students and internal medicine residents were offered a 4-week elective rotation on the MMIU. Supervised by 2 part-time faculty, trainees evaluated patients with unusual and perplexing presentations with the goal of generating hypotheses and a research plan to elucidate the underlying mechanisms of disease. We tracked the development of research hypotheses and resulting projects and surveyed participants about their satisfaction with the program. Results Over 18 months, 21 trainees (11 medical students and 10 residents) participated in the program and evaluated a total of 70 patients. Trainees generated a mechanistic hypothesis in 45 (64%) cases, and this resulted in a patient-centered research project in 38 (54%) cases. Trainees unanimously agreed that the program gave them an opportunity to integrate their clinical and research training, and many expressed that it reinforced their interests in translational research. Conclusions With modest funding support, it was feasible to deliver authentic experiences of translational inquiry for medical students and internal medical residents, and these experiences were valued by trainees.

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“…[6][7][8][9][10] Potential solutions to these and other barriers and challenges to physician participation in research have been proposed. [11][12][13][14][15] Residency training is a critical step in a physician's career development, but many residency programs are not structured to support physician-investigator development and residency training requirements generally do not allow for sufficient protected research time to allow the development of scientific interests and research skills. Providing enhanced research opportunities to physicians during their residency training could provide them with valuable experiences and an early "on-ramp" to a research career as a physician-investigator.…”

mentioning

confidence: 99%

Early Outcomes of a New NIH Program to Support Research in Residency

Rapoza

McElvaine²,

Conroy³

et al. 2022

Academic Medicine

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The work of physician–investigators has historically led to key discoveries and developments in modern medicine, but recent decades have seen significant declines in the number of U.S. physician–investigators. One of the barriers to physicians participating in research is the lack of mentored research opportunities during clinical training, especially during residency training. In response to this identified barrier and to expand the physician–investigator workforce, the National Institutes of Health initiated the R38 program, known as Stimulating Access to Research in Residency, to support mentored research opportunities for residents. This article reports on the early outcomes of the recipients of the initial round of R38 awards, granted in 2018. Early positive outcomes include increases in the reported likelihood of resident–investigators pursuing physician–investigator careers, greater reported clarity in resident–investigators’ research directions, the commitment of additional institutional resources to support the R38-awarded programs, and the approval of resident–investigators as having met training requirements for certification by multiple medical boards.

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Reinforcing our pipeline: trainee-driven approaches to improving physician-scientist training

Cited by 11 publications

References 4 publications

Diversity and the next-generation physician-scientist

Diversity and the next-generation physician-scientist

The Molecular Medicine Investigation Unit: Linking Patient Care and Scientific Inquiry in Physician-Scientist Training

Early Outcomes of a New NIH Program to Support Research in Residency

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