Incubating the research independence of a medical scientist training program graduate: a case study

Physician-scientists play a critical role in discovering new biological knowledge and translating findings into medical practices that can improve clinical outcomes. Collectively, the National Institutes of Health (NIH) and its affiliated Medical Scientist Training Programs (MSTPs) invest upwards of...

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Published inAcademic medicine Vol. 90; no. 2; p. 176
Main Authors Dzirasa, Kafui, Krishnan, Ranga R, Williams, R Sanders
Format Journal Article
LanguageEnglish
Published United States 01.02.2015
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Abstract Physician-scientists play a critical role in discovering new biological knowledge and translating findings into medical practices that can improve clinical outcomes. Collectively, the National Institutes of Health (NIH) and its affiliated Medical Scientist Training Programs (MSTPs) invest upwards of $500,000 to fully train each of the 900+ MD/PhD students enrolled in these programs. Nevertheless, graduates face the challenges of navigating fragmented intervals of clinical training and research engagement, reinitiating research upon completing their residencies, managing financial pressures, and competing for funding following what is typically four or more years of research inactivity. Together, these barriers contribute to the high attrition rate of MSTP graduates from research careers. The authors designed and implemented (2009-2014), for a single trainee, an alternative postgraduate training model characterized by early research engagement, strategic mentoring, unyoked clinical and research milestones, and dedicated financial support. The pilot training experiment was so successful that the trainee secured an NIH project grant and completed his transition to research independence 3.5 years after starting the experimental training schedule-nearly 9 years earlier (based on age) than is typical for MD/PhDs transitioning from mentored to independent research. This success has demonstrated that unyoking research engagement from conventional calendar-based clinical training milestones is a feasible, effective means of incubating research independence in MSTP graduates. The authors encourage the design and application of similar unconventional approaches that interweave residency training with ongoing research activity for appropriate candidates, especially in subspecialties with increased MSTP graduate enrollment.
AbstractList Physician-scientists play a critical role in discovering new biological knowledge and translating findings into medical practices that can improve clinical outcomes. Collectively, the National Institutes of Health (NIH) and its affiliated Medical Scientist Training Programs (MSTPs) invest upwards of $500,000 to fully train each of the 900+ MD/PhD students enrolled in these programs. Nevertheless, graduates face the challenges of navigating fragmented intervals of clinical training and research engagement, reinitiating research upon completing their residencies, managing financial pressures, and competing for funding following what is typically four or more years of research inactivity. Together, these barriers contribute to the high attrition rate of MSTP graduates from research careers. The authors designed and implemented (2009-2014), for a single trainee, an alternative postgraduate training model characterized by early research engagement, strategic mentoring, unyoked clinical and research milestones, and dedicated financial support. The pilot training experiment was so successful that the trainee secured an NIH project grant and completed his transition to research independence 3.5 years after starting the experimental training schedule-nearly 9 years earlier (based on age) than is typical for MD/PhDs transitioning from mentored to independent research. This success has demonstrated that unyoking research engagement from conventional calendar-based clinical training milestones is a feasible, effective means of incubating research independence in MSTP graduates. The authors encourage the design and application of similar unconventional approaches that interweave residency training with ongoing research activity for appropriate candidates, especially in subspecialties with increased MSTP graduate enrollment.
Author Krishnan, Ranga R
Williams, R Sanders
Dzirasa, Kafui
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  organization: Dr. Dzirasa is assistant professor and house staff officer, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina. Dr. Krishnan is professor, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, and dean, Duke-NUS (National University of Singapore) Graduate Medical School, Singapore. Dr. Williams is president, Gladstone Institutes, San Francisco, California
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References 20186033 - Acad Med. 2010 Apr;85(4):692-701
9185499 - J Clin Invest. 1997 Jun 15;99(12):2803-12
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Snippet Physician-scientists play a critical role in discovering new biological knowledge and translating findings into medical practices that can improve clinical...
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StartPage 176
SubjectTerms Biomedical Research - education
Biomedical Research - organization & administration
Education, Medical, Graduate - organization & administration
Feasibility Studies
Humans
Mentors
National Institutes of Health (U.S.)
Professional Autonomy
Psychiatry - education
Training Support - organization & administration
United States
Title Incubating the research independence of a medical scientist training program graduate: a case study
URI https://www.ncbi.nlm.nih.gov/pubmed/25406610
Volume 90
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