Abstract
Objective
Since 2002, the Klingenstein Third Generation Foundation (KTGF) has supported a network of medical student mentorship programs (MSMPs) across the USA with the explicit aim of enhancing interest in, and eventual recruitment into the field of child and adolescent psychiatry (CAP). The authors conducted a multisite, retrospective cohort analysis to examine the impact of the program on career selection, as reflected by graduation match rates into psychiatry or pediatrics.
Methods
The authors collected graduating match information (2008–2019) from fourteen participating medical schools (Exposed) and thirteen non-participating schools (Control). Control schools were selected based on region, comparable student body and faculty size, national standing, and rank in NIH funding. Match rates into psychiatry and pediatrics were compared between Exposed and Control groups.
Results
Exposed schools had significantly higher match rates into psychiatry as compared to unexposed schools (6.1% and 4.8%, respectively; OR [95%CI] = 1.29 [1.18, 1.40]; X2 = 32.036, p < 0.001). In contrast, during the same time period, exposed schools had significantly lower match rates into pediatrics than unexposed ones (11.6 and 10.5%, respectively; OR [95%CI] = 0.89 (0.83, 0.95); X2 = 12.127, p < 0.001). These findings persisted even after adjustment for secular trends in match rates.
Conclusions
Seventeen years after its inception, the KTGF medical student mentorship program network has had a positive impact on match rates into general psychiatry. Future studies will address whether these results translate to trainees’ eventual selection of careers in CAP.
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Acknowledgments
An earlier version of this work was presented as a scientific poster at the 66th Annual Conference of the American Academy of Child and Adolescent Psychiatry, Chicago, IL October 16, 2019.
Members of the Klingenstein Third Generation Foundation’s Medical Student Network who contributed to this effort include:
Russell Himmelstein and Sarah Guth (Robert Larner College of Medicine, University of Vermont); Alex Kolevzon (Icahn School of Medicine at Mount Sinai); Michael Enenbach (University of California Los Angeles David Geffen School of Medicine); Geri Fox (University of Illinois at Chicago); Mary Margaret Gleason, Myo Thwin Myint, and Loretta Sonnier (Tulane University); Anne L. Glowinski (Washington University in Saint Louis); Erica Greenberg (Harvard Medical School); Robert Horst (University of California Davis); Anita Kishore and Shashank Joshi (Stanford School of Medicine); Erin Malloy (University of North Carolina at Chapel Hill); Lisell Pérez Rogers (American Academy of Child and Adolescent Psychiatry); Hanna Stevens (University of Iowa); Jennifer Vande Voort (Mayo Clinic Alix School of Medicine); Gerrit van Schalkwyk (Warren Alpert Medical School at Brown); and James F. Leckman and Andrés Martin (Child Study Center, Yale School of Medicine).
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Ethical Considerations
This study was deemed exempt by the Yale Human Research Protection Program’s Human Investigations Committee (protocol #2000026782).
Funding Sources
Supported by the Klingenstein Third Generation Foundation, which had no role in the analysis or drafting of this report. Additional support provided by the Riva Ariella Ritvo Endowment at the Yale School of Medicine, and by NIMH R25 MH077823, ‘Research Education for Future Physician-Scientists in Child Psychiatry’.
Disclosures
Dr. Glowinski reports funding support from the National Institute of Mental Health and is a member of the ACGME Psychiatry Residency Review Committee. Dr. Kolevzon receives research support from AMO Pharma and has consulted to Ovid Therapeutics, Takeda, 5 AM Ventures, LabCorp, sema4 and Coronis Neurosciences. He sits on the advisory board of the Phelan-McDermid Syndrome Foundation. Dr. Stevens reports funding support from the National Institutes of Health, the Nellie Ball Trust and the Roy J. Carver Trust. Drs. Glowinski, Kolevzon and Stevens sit on the advisory board of the Klingenstein Third Generation Foundation. The other authors have no conflicts to declare.
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Himmelstein, R., Guth, S., Enenbach, M. et al. Psychiatry Match Rates Increase After Exposure to a Medical Student Mentorship Program: A Multisite Retrospective Cohort Analysis. Acad Psychiatry 46, 40–44 (2022). https://doi.org/10.1007/s40596-020-01210-3
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DOI: https://doi.org/10.1007/s40596-020-01210-3