Clinician-Educator Training and Its Impact on Career Success: a Mixed Methods Study

Background Clinician-educator (CE) careers in academic medicine are heterogeneous. Expectations for CEs have grown, along with a need to better prepare CEs for these roles. Objective To assess whether advanced education training is associated with productivity and success. Design We used a sequential mixed methods approach, collecting quantitative survey data and qualitative focus groups data. We developed a three-tiered categorization of advanced training to reflect intensity by program type. Participants We surveyed CEs in the Society of General Internal Medicine (SGIM) and conducted two focus groups at an SGIM annual meeting. Main Measures Primary outcomes were academic productivity (manuscripts, presentations, etc.) and leadership role attainment. Secondary analysis examined the interactive effect of gender and training intensity on these outcomes. Key Results A total of 198 completed the survey (response rate 53%). Compared with medium- or low-intensity training, high-intensity training was associated with a greater likelihood of publishing >= 3 first- or senior-author manuscripts (adjusted OR 2.6; CI 0.8-8.6;p = 0.002), teaching >= 3 lectures/workshops at the regional/national/international level (adjusted OR 5.7; CI 1.5-21.3;p = 0.001), and having >= 3 regional/national committee memberships (adjusted OR 3.4; CI 1.0-11.7;p = 0.04). Among participants in the "no training" and "high-intensity training" categories, men were more likely to have >= 3 publications (OR 4.87 and 3.17, respectively), while women in the high intensity category had a likelihood similar to men with no training (OR 4.81 vs. OR 4.87). Participants felt the value of advanced training exists not only in content but also in networking opportunities that programs provide. Conclusions While opinions were divided as to whether advanced training is necessary to position oneself for education roles, it is associated with greater academic productivity and reduced gender disparity in the publication domain. Institutions should consider providing opportunities for CEs to pursue advanced education training.