The contribution of MD-PhD training to academic orthopaedic faculties

Little is known about the distribution of research-trained physicians acros s the various specialties. To document the extent to which MD-PhD programs are a source of research-trained faculty for orthopaedic departments, this study examined the specialty choices of graduates of the Medical Scientist Training Program (MSTP) from 1964 to 1994. The MSTP, a combined MD-PhD prog ram supported by the National Institute of General Medical Sciences, (NIGMS ), produces roughly 25% of all MD-PhDs in the us. Methods. Copies of the appendices from training grant applications containi ng information on MSTP graduates were obtained from the NIGMS. Also, a ques tionnaire was mailed to 116 university-affiliated orthopaedic surgery depar tments asking how many faculty were MD's, PhDs or MD-PhDs. Results. Records were obtained for all MST programs. Information on postdoc toral. training and/or a current position was reported for 1615 graduates w ho earned both MD and PhD. Of these graduates, 277 chose non-clinical paths . The other 1338 entered a residency or internship. Of these, 593 were stil l in residency training, 566 were academic faculty members and 130 were in private practice. In the records, 12 (0.9%) were listed as orthopaedic surg ical residents (6) or faculty (6). At this time, all 12 have completed trai ning, and I I are in academic practice. Eighty-three departments replied to the questionnaire. In that sample of 1761 faculty positions, 1478 were MDs , 217 were PhDs and 36 (2.0%) were MD-PhDs. Conclusion. Despite robust support of MD-PhD programs, the number of dual d egree recipients on orthopaedic faculties is small when compared to the rel ative size of the specialty. Other sources of research-trained staff should perhaps be developed. (C) 2001 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved.