Cross-sectional-derived determinants of satisfaction with physician-scientist training among Canadian MD/PhD graduates

PLoS One. 2017 Sep 28;12(9):e0185218. doi: 10.1371/journal.pone.0185218. eCollection 2017.

Abstract

Although MD/PhD programs require considerable commitment on behalf of students and learning institutions, they serve as an integral means of training future physician-scientists; individuals who engage in translational medicine. As attrition from these programs has longstanding effects on the community of translational medicine and comes at substantial cost to MD/PhD programs, we aimed to identify determinants that were associated with satisfaction among MD/PhD graduates, a feature that might inform on limiting program attrition. Anonymized data from a national survey of 139 Canadian MD/PhD alumni was analyzed. Factor analysis was conducted to evaluate the reliability of three questions that measured satisfaction and logistic regression was used to assess the association of outcomes with 17 independent determinants. Eighty-one percent of graduates were satisfied with MD/PhD training. Factor analysis confirmed the reliability of the questions measuring satisfaction. Determinants of self-reported satisfaction with physician-scientist training included co-authorship of more than six manuscripts during MD/PhD training. Additionally, protected research time at the place of current appointment was strongly associated with agreement that MD/PhD training had helped career progression. Demographic variables were not associated with any satisfaction indicator. Taken together, the majority of Canadian MD/PhD graduates are satisfied with their physician-scientist training. Project collaboration leading to co-authorships and protected research time were strongly associated with training satisfaction among graduates. If the value of collaboration can be realized among current and future physician-scientist trainees who are dissatisfied with their training, this might ultimately reduce program attrition.

MeSH terms

  • Adult
  • Canada
  • Cross-Sectional Studies
  • Education, Medical, Graduate*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Logistic Models
  • Male
  • Outcome Assessment, Health Care
  • Personal Satisfaction*
  • Physicians*
  • Research Personnel*

Grants and funding

D.D.W.T., J.W.S., and M.A.S. are supported by Vancouver Coastal Health-CIHR-UBC MD/PhD Studentship Awards. D.D.W.T. is supported by a CIHR Vanier Scholarship, a Killam Scholarship, a UBC Four Year Fellowship, and an Elizabeth C Watters Fellowship. J.W.S. is supported by a CIHR Frederick Banting and Charles Best Canada Graduate Scholarship, a Killam Doctoral Scholarship, and a UBC Four Year Fellowship. M.A.S. is supported by a CIHR Frederick Banting and Charles Best Canada Graduate Scholarship and UBC Four Year Fellowship. This work is collectively supported by the UBC Innovation fund – 2016.