Predictors of academic career progression among early career physician-scientists via an intensive research training program abroad: a case study

BMC Medical Education

Research

Shuang Liao¹  Christopher Lavender¹  Xinxi Zhou¹  Huiwen Zhai² 

[1] Department of Scientific Research and Education, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, No. 651 Dongfeng East Road, Guangzhou, 510060, Guangdong, People’s Republic of China;Department of Scientific Research and Education, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, No. 651 Dongfeng East Road, Guangzhou, 510060, Guangdong, People’s Republic of China;School of Sociology and Anthropology, Sun Yat-Sen University, Guangzhou, 510275, Guangdong, People’s Republic of China;

关键词: Physician-scientist;    Academic career;    Residency research training;    Social Cognitive Career Theory;    Self-efficacy;   

DOI  :  10.1186/s12909-023-04069-8

 received in 2022-09-13, accepted in 2023-01-31,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDespite extensive efforts to revitalize the physician-scientist pipeline, attrition has been observed along the physician-scientist developmental pathway. Research exposure during clinical training is considered an important factor favoring the decision to pursue an academic career pathway.MethodsThe authors sought to identify factors associated with academic career progression among junior physician-scientists following the completion of an intensive research training program, using the framework of the Social Cognitive Career Theory (SCCT), to benefit the design of efforts to revitalize the physician-scientist career pipeline. We conducted a retrospective study of 108 physicians who completed a long-term research training program abroad during residency, or within a few years post-residency completion, between 2010 and 2017. With potential predictors of academic career progression prioritized by SCCT, multivariable logistic regression was used to identify predictors of sustained research involvement, high productivity and high research competency after training, respectively. The SCCT was used to illuminate our findings.ResultsCo-publications with training supervisors abroad and medical oncology/pediatric oncology as a clinical specialty were positively associated with sustained research involvement and high productivity. Joining the training program after the age of 36 was negatively associated with high research competency. All of the predictors shared a common feature of high correlation with both self-efficacy and environmental elements, the reciprocal interactions of which may affect the career progression of physician-scientists.ConclusionsInsights gained through this analysis provide policy recommendations for the designing of efforts to revitalize the physician-scientist career pipeline. Priorities should be given to institutional oversight to ensure strengthened self-efficacy at the beginning of one’s academic career, by providing long-term research training opportunities to young residents and promoting co-publications with their training supervisors during the training. In order to avoid the negative impact to self-efficacy caused by patient-related burnout or academic isolation, academic medical centers should take measures to guarantee protected research time, and to develop a positive culture encouraging mentoring relationships between junior and experienced physician-scientists in medical departments.

【 授权许可】

CC BY   
© The Author(s) 2023