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MD-PhD training takes, on average, 8 years to complete and involves two transitions, an MD-preclinical to PhD-research phase and a PhD-research to MD-clinical phase. There is a paucity of research about MD-PhD students' experiences during each transition. This study examined transition experiences reported by 48 MD-PhD students who had experienced at least one of these transitions during their training. We purposefully sampled medical schools across the United States to recruit participants. Semistructured interviews were audio-recorded and transcribed for analysis; items focused on academic and social experiences within and outside their programs. Using a phenomenological approach and analytic induction, we examined students' transition experiences during their MD-PhD programs. Five broad themes emerged centering on multiple needs: mentoring, facilitating integration with students in each phase, integrating the curriculum to foster mastery of skills needed for each phase, awareness of cultural differences between MD and PhD training, and support. None of the respondents attributed their transition experiences to gender or race/ethnicity. Students emphasized the need for mentoring by MD-PhD faculty and better institutional and program supports to mitigate feelings of isolation and help students relearn knowledge for clinical clerkships and ease re-entry into the hospital culture, which differs substantially from the research culture.

This US study investigates interactive associations between structure in inquiry-type learning activities and academic attainment in high school science with introductory college science performance as the outcome. Past studies of this type have tended to use smaller samples and shorter-range methods of assessing the influence of interactions. This study used a large-scale nationally representative sampling of science students and investigated the existence of long-range associations between high school and college. Replicated across three different disciplinary data-sets (biology, chemistry, and physics) totaling over 8,000 surveys, the analysis discovered an interaction between structure and attainment associated with differences in long-range student performance. The implications for these findings in terms of theory and practise are discussed in the conclusions. [ABSTRACT FROM AUTHOR]