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Protecting an endangered species: training physicians to conduct clinical research.
Acad Med. 2009 Apr; 84(4):439-45.AM

Abstract

PURPOSE

The Program in Clinical Effectiveness (PCE) at Harvard School of Public Health is a postgraduate program emphasizing clinical research. The authors sought to evaluate the research careers of physician graduates and to determine correlates of National Institutes of Health (NIH) grant funding.

METHOD

In 2006, all 1,489 graduates from 1986-2005 were sent a 48-item survey that collected information on demographics, program experience, chosen career path, grant awards, and research pursued postprogram. Reported NIH grants were verified on the NIH Computer Retrieval of Information on Scientific Projects Web site. Cox proportional hazard regression was used to determine participant and program features associated with NIH grant funding.

RESULTS

Overall, 994 of the 1,365 located graduates (73%) responded to the survey. Graduates pursued research in the following areas: 437 respondents (44%) pursued clinical trials, 537 (54%) pursued epidemiology, and 408 (41%) pursued health services research. A total of 156 respondents (24%) were principal investigators on an NIH grant. Correlates of receiving NIH grant funding included age less than 40 years at time of program enrollment (hazard ratio [HR] 1.87, CI 1.03, 3.41), generalist status (HR 1.57, CI 1.14, 2.16), and publishing research begun as course projects (HR 1.65, CI 1.19, 2.31). Gender, academic status at enrollment, ethnicity, tuition sponsorship, and earning an advanced degree were not associated with receipt of NIH grant funding.

CONCLUSIONS

Physicians who enrolled in the PCE at an early age and generalist physicians were particularly successful in establishing careers as clinician-investigators. Programs such as the PCE can help to sustain the workforce of physician-investigators.

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Authors+Show Affiliations

Goldhamer ME
Massachusetts General Hospital, Bulfinch Medical Group, Boston, MA 02114, USA. mgoldhamer@partners.org
Cohen AP
No affiliation info available
Bates DW
No affiliation info available
Cook EF
No affiliation info available
Davis RB
No affiliation info available
Singer DE
No affiliation info available
Simon SR
No affiliation info available

MeSH

AdultAge FactorsAgedBiomedical ResearchClinical Trials as TopicEducation, Medical, GraduateEpidemiologyFemaleFinancing, GovernmentHealth Services ResearchHumansLeadershipMaleMentorsMiddle AgedMultivariate AnalysisNational Institutes of Health (U.S.)Physicians, FamilyProgram EvaluationPublishingResearch Support as TopicSurveys and QuestionnairesUnited States

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

19318774

Citation

Goldhamer, Mary Ellen J., et al. "Protecting an Endangered Species: Training Physicians to Conduct Clinical Research." Academic Medicine : Journal of the Association of American Medical Colleges, vol. 84, no. 4, 2009, pp. 439-45.
Goldhamer ME, Cohen AP, Bates DW, et al. Protecting an endangered species: training physicians to conduct clinical research. Acad Med. 2009;84(4):439-45.
Goldhamer, M. E., Cohen, A. P., Bates, D. W., Cook, E. F., Davis, R. B., Singer, D. E., & Simon, S. R. (2009). Protecting an endangered species: training physicians to conduct clinical research. Academic Medicine : Journal of the Association of American Medical Colleges, 84(4), 439-45. https://doi.org/10.1097/ACM.0b013e31819a7cb1
Goldhamer ME, et al. Protecting an Endangered Species: Training Physicians to Conduct Clinical Research. Acad Med. 2009;84(4):439-45. PubMed PMID: 19318774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Protecting an endangered species: training physicians to conduct clinical research. AU - Goldhamer,Mary Ellen J, AU - Cohen,Amy P, AU - Bates,David W, AU - Cook,E Francis, AU - Davis,Roger B, AU - Singer,Daniel E, AU - Simon,Steven R, PY - 2009/3/26/entrez PY - 2009/3/26/pubmed PY - 2009/4/25/medline SP - 439 EP - 45 JF - Academic medicine : journal of the Association of American Medical Colleges JO - Acad Med VL - 84 IS - 4 N2 - PURPOSE: The Program in Clinical Effectiveness (PCE) at Harvard School of Public Health is a postgraduate program emphasizing clinical research. The authors sought to evaluate the research careers of physician graduates and to determine correlates of National Institutes of Health (NIH) grant funding. METHOD: In 2006, all 1,489 graduates from 1986-2005 were sent a 48-item survey that collected information on demographics, program experience, chosen career path, grant awards, and research pursued postprogram. Reported NIH grants were verified on the NIH Computer Retrieval of Information on Scientific Projects Web site. Cox proportional hazard regression was used to determine participant and program features associated with NIH grant funding. RESULTS: Overall, 994 of the 1,365 located graduates (73%) responded to the survey. Graduates pursued research in the following areas: 437 respondents (44%) pursued clinical trials, 537 (54%) pursued epidemiology, and 408 (41%) pursued health services research. A total of 156 respondents (24%) were principal investigators on an NIH grant. Correlates of receiving NIH grant funding included age less than 40 years at time of program enrollment (hazard ratio [HR] 1.87, CI 1.03, 3.41), generalist status (HR 1.57, CI 1.14, 2.16), and publishing research begun as course projects (HR 1.65, CI 1.19, 2.31). Gender, academic status at enrollment, ethnicity, tuition sponsorship, and earning an advanced degree were not associated with receipt of NIH grant funding. CONCLUSIONS: Physicians who enrolled in the PCE at an early age and generalist physicians were particularly successful in establishing careers as clinician-investigators. Programs such as the PCE can help to sustain the workforce of physician-investigators. SN - 1938-808X UR - https://www.unboundmedicine.com/medline/citation/19318774/Protecting_an_endangered_species:_training_physicians_to_conduct_clinical_research_ L2 - https://doi.org/10.1097/ACM.0b013e31819a7cb1 DB - PRIME DP - Unbound Medicine ER -