PROMOTING RESEARCH CAREERS AMONG UNDERREPRESENTED MINORITY PHYSICIANS

促进代表性不足的少数族裔医生的研究事业

基本信息

批准号：
7513225
负责人：
DONNA B JEFFE
金额：
$ 26.6万
依托单位：
WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-08-01 至 2011-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7513225
关键词：
Accounting Achievement Address Alaskan Native American American Asians Association of American Medical Colleges Award Biomedical Research Biometry Board Certification California Clinical Clinical Clerkship Clinical Research Cohort Studies Data Data Analyses Data Sources Disease regression Doctor of Philosophy Education Educational Curriculum Educational process of instructing Endowment Enrollment Epidemiology Ethnic group Factor Analysis Faculty Financial Support Foundations Funding Future Goals Graduate Education Health Occupations Health Professional Healthcare Hispanics Individual Institution Interdisciplinary Study Intervention Knowledge Lead Link Literature Longitudinal Studies Measures Medical Medical Education Medical Licensure Medical Students Medicine Mentors Minority Modeling Numbers Outcome Pacific Island Americans Participant Perception Physicians Population Principal Investigator Questionnaires Rate Records Research Research Personnel Scholarship Schools Science Scientist Societies Source Specialty Boards Standards of Weights and Measures Students Time Training Training Programs Underrepresented Minority United States United States National Institutes of Health Urination base career college comparison group design experience graduate medical education health disparity interest intervention program medical schools medical specialties novel practical application preference programs psychosocial racial and ethnic racial/ethnic difference response role model satisfaction success teacher therapy design undergraduate medical education

项目摘要

DESCRIPTION (provided by applicant): Most U.S. allopathic medical graduates pursue careers in full-time clinical practice; but, in a study of the Association of American Medical Colleges' (AAMC) national 1997-2004 Graduation Questionnaire (GQ), we found that 29% of U.S. allopathic medical graduates planned to pursue careers involving basic or clinical research and teaching. Of the graduates planning careers involving research, 99.7% intended to enter academic medicine. Research and teaching activities define the academic-medicine physician. Although physicians account for only a portion of all scientists involved in biomedical research in the U.S., roughly half of all National Institutes of Health (NIH) research award dollars to medical schools go to physician principal investigators. Physicians from certain minority racial/ethnic groups (i.e., Black, Native American/Alaskan, and Hispanic) are disproportionately underrepresented among academic-medicine faculty compared to their representation in the U.S. population and the U.S. allopathic medical-student population. Increasing and sustaining the diversity of academic-medicine physician faculty are crucial not only for the sake of adequate and equitable representation of underrepresented minorities (URM) as teachers, mentors and role models for future physician researchers, but also for meeting the healthcare needs of an increasingly demographically diverse American society. To develop strategies to increase the diversity of academic-medicine physician researchers, it is imperative first to identify those factors associated with pursuing academic-medicine careers that can be targeted for intervention. Since the vast majority of physicians who conduct research do so in academic institutions, our final outcome of interest will be entering an academic-medicine career. We propose a retrospective cohort study, using existing longitudinal data that was collected from or about medical students from the time of medical-school matriculation, through graduation, graduate medical education, state medical licensure, specialty-board certification achievement and ultimately entering (or not entering) an academic- medicine career. Importantly, we will be able to analyze individualized records linked across several data sources from the AAMC and the American Medical Association (AMA), including the AAMC 1993-2000 Matriculating Student Questionnaire (MSQ) and GQ, which boast >80% response rates for the years of study, to identify factors associated with extent of planned career involvement in research and pursuit of an academic-medicine career. We will use multivariable regression models to identify factors associated with planning and ultimately engaging in an academic-medicine career. The proposed study will make a substantial contribution to the literature about factors associated with the advancement of URM students interested in research along the medical-education continuum from matriculation to their ultimate entry into an academic- medicine career. Our results can inform the design of interventions to increase demographic diversity among academic-medicine physician researchers, which hopefully can lead to reducing health disparities in the U.S.

描述（由申请人提供）：大多数美国同种疗法医学毕业生在全日制临床实践中从事职业；但是，在一项研究美国医学院协会（AAMC）1997 - 2004年毕业问卷（GQ）的研究中，我们发现29％的美国同种疗法医学毕业生计划从事涉及基础或临床研究和教学的职业。在计划涉及研究职业的毕业生中，有99.7％的人打算进入学术医学。研究和教学活动定义了学术医师。尽管医师仅占美国生物医学研究的所有科学家的一部分，但医学院的所有国家卫生研究院（NIH）研究奖励的大约一半是向医师首席研究人员致敬的。与他们在美国人口和美国同种疗法的医学研究员中相比，来自某些少数种族/族裔（即黑人，黑人，美国原住民/阿拉斯加和西班牙裔）的医生在学术医学院中的人数不足。增加和维持学术中医生教师的多样性不仅是为了充分和公平代表人数不足的少数民族（URM）作为未来医师研究人员的教师，导师和榜样，而且还可以满足日益多样化的人性化的美国社会的医疗保健需求。为了制定提高学术医师研究人员多样性的策略，首先必须首先确定与从事可以针对干预的学术医学事业相关的因素。由于进行研究的绝大多数医师在学术机构中都这样做，因此我们感兴趣的最终结果将进入学术医学生涯。我们提出了一项回顾性队列研究，使用从医学院入学开始，通过毕业，研究生医学教育，州医学许可，专业板认证的成就以及最终进入（或不进入）学术医学职业的现有纵向数据。重要的是，我们将能够分析来自AAMC和美国医学协会（AMA）的多个数据源相关的个性记录，包括AAMC 1993-2000入学的学生问卷（MSQ）和GQ，该调查表（MSQ）和GQ（吹嘘研究年度与计划中的职业涉及学术领域的研究和从事学术范围的职业范围相关的年龄段的回应率> 80％的回应率。我们将使用多变量回归模型来识别与计划相关的因素，并最终从事学术中的职业。拟议的研究将为文献做出重大贡献，内容涉及与对医学教育连续性研究的URM学生进步有关的因素，从入学到最终进入学术生涯。我们的结果可以为设计干预措施的设计提供信息，以增加学术中医师研究人员的人口多样性，这有望导致美国的健康差异降低。