Journal of Cancer Education

, Volume 28, Issue 1, pp 18–26 | Cite as

Evaluating Postgraduate Public Health and Biomedical Training Program Outcomes:

Lost Opportunities and Renewed Interest
  • Jessica Faupel-Badger
  • David E. Nelson
  • Stephen Marcus
  • Aisha Kudura
  • Elaine Nghiem


To identify recent studies in the scientific literature that evaluated structured postgraduate public health and biomedical training programs and reported career outcomes among individual trainees, a comprehensive search of several databases was conducted to identify published studies in English between January 1995 and January 2012. Studies of interest included those that evaluated career outcomes for trainees completing full-time public health or biomedical training programs of at least 12 months duration, with structured training offered on-site. Of the over 600 articles identified, only 13 met the inclusion criteria. Six studies evaluated US federal agency programs and six were of university-based programs. Seven programs were solely or predominantly of physicians, with only one consisting mainly of PhDs. Most studies used a cohort or cross-sectional design. The studies were mainly descriptive, with only four containing statistical data. Type of employment was the most common outcome measure (n = 12) and number of scientific publications (n = 6) was second. The lack of outcomes evaluation data from postgraduate public health and biomedical training programs in the published literature is a lost opportunity for understanding the career paths of trainees and the potential impact of training programs. Suggestions for increasing interest in conducting and reporting evaluation studies of these structured postgraduate training programs are provided.


Career Evaluation Fellowship Postdoctoral 



We thank Mary Ryan, biomedical librarian/informationist at NIH library, for her help with search terms and conducting literature searches. Aisha Kudura acknowledges summer 2011 fellowship support from the National Cancer Institute’s Introduction to Cancer Research Careers and Elaine Nghiem acknowledges summer 2011 fellowship support from the NIH Office of Research on Women’s Health and Foundation for Advanced Education in the Sciences. We also thank Drs. Julie Mason and Jonathan Wiest for critical reading of the manuscript and insightful comments.


  1. 1.
    Gibbons M (1998) Higher education relevance in the 21st century. The World Bank, Washington, DCGoogle Scholar
  2. 2.
    Goldberger, Marvin L., Brendan A. Maher, Pamela Ebert Flattau, National Research Council (U.S.). Committee for the Study of Research-Doctorate Programs in the United States, Conference Board of the Associated Research Councils, and National Research Council (U.S.). Office of Scientific and Engineering Personnel. Studies and Surveys Unit (1995) Research-doctorate programs in the United States: continuity and change. National Academy Press, Washington, D.C.Google Scholar
  3. 3.
    Guelich JM, Singer BH, Castro MC, Rosenberg LE (2002) A gender gap in the next generation of physician-scientists: medical student interest and participation in research. J Investig Med 50(6):412–418PubMedCrossRefGoogle Scholar
  4. 4.
    Hotez PJ (2008) Training the next generation of global health scientists: a school of appropriate technology for global health. PLoS Negl Trop Dis 2(8):e279PubMedCrossRefGoogle Scholar
  5. 5.
    Laredo P (2007) Revisiting the third mission of universities: toward a renewed categorization of university activities? Higher Education Policy 20(4):441–456CrossRefGoogle Scholar
  6. 6.
    Rip A (2004) Strategic research, post-modern universities, and research training. Higher Education Policy 17(2):153–166CrossRefGoogle Scholar
  7. 7.
    Summers MF (2011) Training the next generation of protein scientists. Protein Sci 29:1786–1801Google Scholar
  8. 8.
    Advisory Committee to the National Institutes of Health Director (2012) Biomedical research workforce working group report. National Institutes of Health, BethesdaGoogle Scholar
  9. 9.
    National Institutes of Health (2006) The career achievements of national research service award postdoctoral trainees and fellows: 1975–2004.Google Scholar
  10. 10.
    Pion G, Ionescu-Pioggia M (2003) Bridging postdoctoral training and a faculty position: initial outcomes of the Burroughs Wellcome Fund Career Awards in the Biomedical Sciences. Acad Med 78(2):177–186PubMedCrossRefGoogle Scholar
  11. 11.
    National Institute of General Medical Sciences (1998) MSTP study: the careers and professional activities of graduates of the NIGMS medical scientist training program.Google Scholar
  12. 12.
    Buddeberg-Fischer B, Herta KD (2006) Formal mentoring programmes for medical students and doctors—a review of the Medline literature. Med Teach 28(3):248–257PubMedCrossRefGoogle Scholar
  13. 13.
    Dores GM, Chang S, Berger VW, Perkins SN, Hursting SD, Weed DL (2006) Evaluating research training outcomes: experience from the cancer prevention fellowship program at the National Cancer Institute. Acad Med 81(6):535–541PubMedCrossRefGoogle Scholar
  14. 14.
    Sakalys JA, Stember ML, Magilvy JK (2001) Nursing doctoral program evaluation: alumni outcomes. J Prof Nurs 17(2):87–95PubMedCrossRefGoogle Scholar
  15. 15.
    Sambunjak D, Straus SE, Marusic A (2006) Mentoring in academic medicine: a systematic review. JAMA 296(9):1103–1115PubMedCrossRefGoogle Scholar
  16. 16.
    Shadish WR, Cook TD, Campbell DT (2002) Experimental and quasi-experimental designs for causal inference, 2nd edn. Houghton-Mifflin, BostonGoogle Scholar
  17. 17.
    National Academy of Sciences. 2012. Committee to review the state of the postdoctoral experience for scientists and engineers. Accessed August 6 2012.
  18. 18.
    National Academy of Sciences, National Academy of Engineering, and Institute of Medicine. (2000) Enhancing the postdoctoral experience for scientists and engineers: a guide for postdoctoral scholars, advisers, institutions, funding organizations, and disciplinary societies. The National Academies Press, Washington, DC.Google Scholar
  19. 19.
    Cooksey D (2006) A review of UK health research funding. Stationary Office, LondonGoogle Scholar
  20. 20.
    Cronholm PF, Straton JB, Bowman MA (2009) Methodology and outcomes of a family medicine research fellowship. Acad Med 84(8):1111–1117PubMedCrossRefGoogle Scholar
  21. 21.
    Gordon SM, Dionne RA (2007) Development and interim results of a clinical research training fellowship. J Dent Educ 71(8):1040–1047PubMedGoogle Scholar
  22. 22.
    Jones SR, Filerman GL (2007) An analysis of the impact of the David A Winston Health Policy Fellowship. J Health Adm Educ 24(1):33–41PubMedGoogle Scholar
  23. 23.
    Landrigan PJ, Woolf AD, Gitterman B, Lanphear B, Forman J, Karr C, Moshier EL, Godbold J, Crain E (2007) The ambulatory pediatric association fellowship in pediatric environmental health: a 5-year assessment. Environ Health Perspect 115(10):1383–1387PubMedGoogle Scholar
  24. 24.
    Rivera R, Kirby DF, Steiger E, Seidner DL (2010) Professional outcomes of completing a clinical nutrition fellowship: Cleveland clinic’s 16-year experience. Nutr Clin Pract 25(5):497–501PubMedCrossRefGoogle Scholar
  25. 25.
    Rose SH, Long TR, Kor DJ, Onigkeit JA, Brown DR (2011) Anesthesiology critical care medicine: a fellowship and faculty recruitment program. J Clin Anesth 23:261–264PubMedCrossRefGoogle Scholar
  26. 26.
    Simon SR, Shaneyfelt TM, Collins MM, Cook EF, Fletcher RH (1999) Faculty training in general internal medicine: a survey of graduates from a research-intensive fellowship program. Academic Medicine 74(11):1253–1255PubMedCrossRefGoogle Scholar
  27. 27.
    Thacker SB, Dannenberg AL, Hamilton DH (2001) Epidemic intelligence service of the centers for disease control and prevention: 50 years of training and service in applied epidemiology. Am J Epidemiol 154(11):985–992PubMedCrossRefGoogle Scholar
  28. 28.
    Waterbor JW, Heimburger DC, Fish L, Etten TJ, Brooks CM (2002) An interdisciplinary cancer prevention and control training program in public health. J Cancer Educ 17(2):85–91PubMedGoogle Scholar
  29. 29.
    Betts CD, Abed JP, Butler MO, Gallogly MO, Goodman KJ, Orians C et al (1998) Evaluation of the Field Epidemiology Training Program (FETP). Battelle, ArlingtonGoogle Scholar
  30. 30.
    Lopez A, Caceres VM (2008) Central America Field Epidemiology Training Program (CA FETP): a pathway to sustainable public health capacity development. Hum Resour Heal 6:27CrossRefGoogle Scholar
  31. 31.
    Matovu JK, Wanyenze RK, Mawemuko S, Wamuyu-Maina G, Bazeyo W, Olico O, Serwadda D (2011) Building capacity for HIV/AIDS program leadership and management in Uganda through mentored fellowships. Glob Health Action 4:5815PubMedGoogle Scholar
  32. 32.
    Frechtling J (2002) The 2002 user friendly handbook for project evaluation. National Science Foundation, GaithersburgGoogle Scholar
  33. 33.
    Council NR (2005) Advancing the nation’s health needs: NIH research training programs. National Academies Press, Washington, D.C.Google Scholar
  34. 34.
    Rossi PH, Lipsey MW, Freeman HE (2003) Evaluation: a systematic approach, 7th edn. Sage, Thousand Oaks, CAGoogle Scholar
  35. 35.
    Pion GM, Cordray DS (2008) The Burroughs Welcome Fund Career Awards in the Biomedical Sciences: challenges to and prospects for estimating the causal effects of career development programs. Eval Health Prof 31:335–369PubMedCrossRefGoogle Scholar
  36. 36.
    Fuhrmann CN, Halme DG, O’Sullivan PS, Lindstaedt B (2011) Improving graduate education to support a branching career pipeline: recommendations based on a survey of doctoral students in the basic biomedical sciences CBE-Life Sciences Education 10:239–249Google Scholar
  37. 37.
    Sauermann, H., and M. Roach. Science PhD career preferences: levels, changes, and advisor encouragement. PLoS One 7 (5):e36307.Google Scholar

Copyright information

© Springer Science+Business Media New York (outside the USA) 2012

Authors and Affiliations

  • Jessica Faupel-Badger
    • 1
  • David E. Nelson
    • 1
  • Stephen Marcus
    • 2
  • Aisha Kudura
    • 1
    • 3
  • Elaine Nghiem
    • 1
    • 4
  1. 1.Cancer Prevention Fellowship Program, National Cancer InstituteNational Institutes of HealthBethesdaUSA
  2. 2.National Institute of General Medical SciencesNational Institutes of HealthBethesdaUSA
  3. 3.Public Health & Preventive MedicineOregon Health & Science UniversityPortlandUSA
  4. 4.University of MarylandCollege ParkUSA

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