研究培训和职业发展资金不足：对家庭医学研究的影响。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Family Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-15 DOI:10.22454/FamMed.2024.453278

Mechelle Sanders, Kevin Fiscella

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引用次数: 0

摘要

背景和目标：美国国立卫生研究院及相关的研究培训（RT）和研究职业发展（RCD）联邦奖励旨在为申请者从事研究工作做好准备。我们比较了麻醉学、皮肤病学、急诊医学、家庭医学、内科学、神经病学、妇产科学、病理学、儿科学和精神病学的研究培训和研究职业发展的资助率：我们使用美国医学院协会的数据估算了 2001 年至 2010 年不同专业的住院实习毕业生人数。对于分子，我们使用了 2011 年至 2020 年各专业获得联邦政府资助的公开数据。我们还研究了RCD经费与总体研究经费之间的相关性：在 10 个专科中，全科医学的每位毕业住院医师获得 RT（0.01%）和 RCD（0.77%）奖励的比例最低，低于其他 9 个专科的平均值/中值，分别为 2.15%/1.19% 和 9.83%/8.74%。我们发现，RCD获奖率与每名在职医生获得的平均联邦资助之间存在很强的相关性，且具有统计学意义（ρ=0.77，P=.0098）：结论：RT 和 RCD 在全科医学中的获奖率相对较低，这可能是导致全科医学研究的联邦经费不足的原因之一，突出表明有必要加强全科医学的研究职业途径。

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Underfunding for Research Training and Career Development: The Impact on Family Medicine Research.

Background and objectives: The National Institutes of Health and related federal awards for research training (RT) and research career development (RCD) are designed to prepare applicants for research careers. We compared funding rates for RT and RCD for anesthesiology, dermatology, emergency medicine, family medicine, internal medicine, neurology, obstetrics-gynecology, pathology, pediatrics, and psychiatry.

Methods: We estimated the denominator using the number of residency graduates from different specialties from 2001 to 2010 from the Association of American Medical Colleges data. For the numerator, we used published data on federally funded awards by specialty from 2011 to 2020. We also examined the correlation between RCD funding and overall research funding.

Results: Family medicine had the lowest rate per graduating resident for RT (0.01%) and RCD (0.77%) awards among 10 specialties and was lower than the mean/median for the other nine specialties, ranging from 2.15%/1.19% and 9.83%/8.74%. We found a strong correlation between rates of RCD awards and mean federal funding per active physician, which was statistically significant (ρ=0.77, P=.0098).

Conclusions: Comparatively low rates for family medicine awards for RT and RCD plausibly contribute to poor federal funding for family medicine research, underscoring the need to bolster the research career pathway in family medicine.

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来源期刊

Family Medicine 医学-医学：内科

CiteScore

2.40

自引率

21.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Family Medicine, the official journal of the Society of Teachers of Family Medicine, publishes original research, systematic reviews, narrative essays, and policy analyses relevant to the discipline of family medicine, particularly focusing on primary care medical education, health workforce policy, and health services research. Journal content is not limited to educational research from family medicine educators; and we welcome innovative, high-quality contributions from authors in a variety of specialties and academic fields.