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：
7893854
负责人：
DONNA B JEFFE
金额：
$ 15.05万
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 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7893854
关键词：
Accounting Achievement Address Alaskan Native American American American Medical Association Asians Association of American Medical Colleges Award Biomedical Research Biometry Board Certification California Clinical Clerkship Clinical Research Cohort Studies Data Data Analyses Data Sources Doctor of Philosophy Education Educational Curriculum Educational process of instructing Endowment Enrollment Epidemiology Ethnic group Factor Analysis Faculty Financial Support Foundations Funding Future Goals Health Occupations 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 Outcome Pacific Island Americans Participant Perception Physicians Population Principal Investigator Questionnaires Records Research Research Personnel Scholarship Schools Science Scientist Societies Source Specialty Boards Students Time Training Training Programs Underrepresented Minority United States United States National Institutes of Health base career clinical practice college comparison group design experience graduate medical education graduate student health disparity interest intervention program medical schools medical specialties meetings 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）：大多数美国对抗疗法医学毕业生从事全职临床实践；但是，在美国医学院协会 (AAMC) 1997-2004 年全国毕业问卷 (GQ) 的一项研究中，我们发现 29% 的美国对抗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。在规划从事研究职业的毕业生中，99.7%的人打算进入学术医学领域。研究和教学活动定义了学术医学医师。尽管在美国参与生物医学研究的所有科学家中，医生只占一部分，但美国国立卫生研究院 (NIH) 向医学院提供的所有研究经费中，大约一半都流向了医生首席研究员。与在美国人口和美国对抗疗法医学生群体中的代表性相比，来自某些少数种族/族裔群体（即黑人、美洲原住民/阿拉斯加人和西班牙裔）的医生在学术医学教师中的代表性过低。增加和维持学术医学医师队伍的多样性至关重要，不仅对于代表性不足的少数群体（URM）作为未来医师研究人员的教师、导师和榜样的充分和公平代表性而言，而且对于满足医疗保健需求也至关重要。美国社会人口结构日益多元化。为了制定增加学术医学医师研究人员多样性的策略，必须首先确定那些与追求学术医学职业相关的因素，这些因素可以作为干预的目标。由于绝大多数进行研究的医生都是在学术机构中进行研究，因此我们最终感兴趣的结果将是进入学术医学职业。我们建议进行一项回顾性队列研究，使用现有的纵向数据，这些数据是从医学院入学时收集的或关于医学生的数据，一直到毕业、研究生医学教育、国家医疗执照、专业委员会认证成绩以及最终进入（或未进入）进入）学术医学职业。重要的是，我们将能够分析来自 AAMC 和美国医学会 (AMA) 的多个数据源的个性化记录，包括 AAMC 1993-2000 年入学学生问卷 (MSQ) 和 GQ，这些数据的回复率超过 80%研究年限，以确定与计划职业参与研究和追求学术医学职业的程度相关的因素。我们将使用多变量回归模型来确定与规划并最终从事学术医学职业相关的因素。拟议的研究将对关于与 URM 学生从入学到最终进入学术医学职业的医学教育连续体研究感兴趣的进步相关因素的文献做出重大贡献。我们的结果可以为干预措施的设计提供信息，以增加学术医学医师研究人员的人口多样性，这有望减少美国的健康差距。