Distribution and retention trends of physician-scientists in Japan: a longitudinal study

Ishikawa, Masatoshi

doi:10.1186/s12909-019-1840-3

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…Physicians with MD-PhD degrees are referred as physician-scientists (PSs) and their numbers are dwindling. [1][2][3]6,7] Dr. Schwartz described PSs as "not only drawn to medicine and the clinical challenges of our patients," but also "drawn to the opportunities that our patients' medical problems bring to science." [3] With the decrease in retention and recruitment of PSs in Japan, the attendant causes are gleaned in Dr. Ishikawa's recommendations: "include increasing the knowledge of medical students and younger physicians on the role of PSs and the benefits of a career as a PSs, providing specific career paths for PSs, securing specific positions for PSs, and increasing the compensation for PSs."…”

Section: Physician As a Researchermentioning

confidence: 99%

“…[3] With the decrease in retention and recruitment of PSs in Japan, the attendant causes are gleaned in Dr. Ishikawa's recommendations: "include increasing the knowledge of medical students and younger physicians on the role of PSs and the benefits of a career as a PSs, providing specific career paths for PSs, securing specific positions for PSs, and increasing the compensation for PSs." [7] According to one study, some indicators of successful PSs include: "have advanced biomedical research through contributions that form the basis for future scientific breakthroughs; have made major contributions toward mentoring the next generation of (physician)-scientists; have engaged in translational research, which may have contributed directly to diagnostic or therapeutic advances; have a national reputation, as evidenced by their publications, invitations to speak at national and international meetings..." [8] To be able to participate in valuable research, it is not necessary to have MD-PhD degrees. The physician-clinician can become a researcher with proper training in the conduct of the scientific study.…”

Section: Physician As a Researchermentioning

confidence: 99%

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Viewpoint: Physician as a Clinician, Researcher, and Academician

Cody¹,

Rosales²

2021

JMUST

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The daily work life of physicians who function as clinicians, researchers, and academicians is focused on improving public health and patient outcomes in three usually compartmentalized settings: clinics, classrooms, and centers for research. In these settings, physicians are addressing patients’ medical concerns based on evidence, and at the same time, considering if new information could lead to research and discovery for better patient outcomes. The physician then proceeds to mentor, teach, and train medical students in quality evidence-based clinical practice and the conduct of scientific research. The importance of operationally blending these three disciplines with research as a common thread is not only a big challenge for these physicians but also an opportunity to innovate for better public health.

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Section: Physician As a Researchermentioning

confidence: 99%

Section: Physician As a Researchermentioning

confidence: 99%

Viewpoint: Physician as a Clinician, Researcher, and Academician

Cody¹,

Rosales²

2021

JMUST

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“…For medical students, deciding on a residency specialty that will guide careers and impact personal lives is a complicated and multifactorial process, made even more difficult by the complex and stressful nature of attempting to switch residency specialties post hoc [ 1 ]. These decisions have broad implications regarding healthcare and biomedical research across the globe, namely an imbalance between physician supply and demand in primary care [ 2 – 4 ], surgery [ 5 – 7 ], research [ 8 – 10 ], and clinical subspecialties [ 11 – 13 ], a disparity that dates back over a century and will continue to worsen for the foreseeable future [ 14 – 16 ]. These disparities can have a significant impact on healthcare outcomes.…”

Section: Introductionmentioning

confidence: 99%

Medical student residency preferences and motivational factors: a longitudinal, single-institution perspective

2022

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Background A high proportion of medical school graduates pursue specialties different from those declared at matriculation. While these choices influence the career paths, satisfaction, and potential regret students will experience, they also impact the supply and demand ratio of the shorthanded physician workforce across many specialties. In this study, we investigate how the choice of medical specialty and the factors motivating those choices change between the beginning and end of medical school training. Methods A questionnaire was administered annually from 2017 to 2020 to a cohort of medical students at the University of Connecticut to determine longitudinal preferences regarding residency choice, motivational factors influencing residency choice, future career path, and demographic information. Results The questionnaire respondent totals were as follows: n = 76 (Year 1), n = 54 (Year 2), n = 31 (Year 3), and n = 65 (Year 4). Amongst newly matriculated students, 25.0% were interested in primary care, which increased ~ 1.4-fold to 35.4% in the final year of medical school. In contrast, 38.2% of matriculated students expressed interest in surgical specialties, which decreased ~ 2.5-fold to 15.4% in the final year. Specialty choices in the final year that exhibited the largest absolute change from matriculation were orthopedic surgery (− 9.9%), family medicine (+ 8.1%), radiology (+ 7.9%), general surgery (− 7.2%), and anesthesiology (+ 6.2%). Newly matriculated students interested in primary care demonstrated no differences in their ranking of motivational factors compared to students interested in surgery, but many of these factors significantly deviated between the two career paths in the final year. Specifically, students interested in surgical specialties were more motivated by the rewards of salary and prestige compared to primary care students, who more highly ranked match confidence and family/location factors. Conclusions We identified how residency choices change from the beginning to the end of medical school, how certain motivational factors change with time, how these results diverge between primary care and surgery specialty choice, and propose a new theory based on risk-reward balance regarding residency choice. Our study promotes awareness of student preferences and may help guide school curricula in developing more student-tailored training approaches. This could foster positive long-term changes regarding career satisfaction and the physician workforce.

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“…For medical students, deciding on a residency specialty that will guide careers and impact personal lives is a complicated and multifactorial process, made even more difficult by the complex and stressful nature of attempting to switch residency specialties post hoc (1). These decisions have broad implications regarding healthcare and biomedical research across the globe, namely an imbalance between physician supply and demand in primary care (2)(3)(4), surgery (5)(6)(7), research (8)(9)(10), and clinical subspecialties (11)(12)(13), a disparity that dates back over a century and will continue to worsen for the foreseeable future (14)(15)(16). These disparities can have a significant impact on healthcare outcomes.…”

Section: Introductionmentioning

confidence: 99%

Medical student residency preferences and motivational factors: a longitudinal, single-institution perspective

Ladha

Pettinato

Perrin

2022

Preprint

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Background: A high proportion of medical school graduates pursue specialties different from those declared at matriculation. While these choices influence the career paths, satisfaction, and potential regret students will experience, they also impact the supply and demand ratio of the shorthanded physician workforce across many specialties. In this study, we investigate how the choice of medical specialty and the factors motivating those choices change between the beginning and end of medical school training. Methods: A questionnaire was administered annually from 2017 to 2020 to a cohort of medical students at the University of Connecticut to determine longitudinal preferences regarding residency choice, motivational factors influencing residency choice, future career path, and demographic information. Results: The questionnaire respondent totals were as follows: n=76 (Year 1), n=54 (Year 2), n=31 (Year 3), and n=65 (Year 4). Amongst newly matriculated students, 25.0% were interested in primary care, which increased ~1.4-fold to 35.4% in the final year of medical school. In contrast, 38.2% of matriculated students expressed interest in surgical specialties, which decreased ~2.5-fold to 15.4% in the final year. Specialty choices in the final year that exhibited the largest absolute change from matriculation were orthopedic surgery (-9.9%), family medicine (+8.1%), radiology (+7.9%), general surgery (-7.2%), and anesthesiology (+6.2%). Newly matriculated students interested in primary care demonstrated no differences in their ranking of motivational factors compared to students interested in surgery, but many of these factors significantly deviated between the two career paths in the final year. Specifically, students interested in surgical specialties were more motivated by the rewards of salary and prestige compared to primary care students, who more highly ranked match confidence and family/location factors. Conclusions: We identified how residency choices change from the beginning to the end of medical school, how certain motivational factors change with time, how these results diverge between primary care and surgery specialty choice, and propose a new theory based on risk-reward balance regarding residency choice. Our study promotes awareness of student preferences and may help guide school curricula in developing more student-tailored training approaches. This could foster positive long-term changes regarding career satisfaction and the physician workforce.

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Distribution and retention trends of physician-scientists in Japan: a longitudinal study

Cited by 5 publications

References 18 publications

Viewpoint: Physician as a Clinician, Researcher, and Academician

Viewpoint: Physician as a Clinician, Researcher, and Academician

Medical student residency preferences and motivational factors: a longitudinal, single-institution perspective

Medical student residency preferences and motivational factors: a longitudinal, single-institution perspective

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