Neale Anne Victoria
Department of Family Medicine, Wayne State University, Detroit, MI 48201, USA.
Fam Med. 2002 Apr;34(4):262-7.
The Accreditation Council for Graduate Medical Education recognizes that research education is a fundamental, although not always required, aspect of resident training. Since there is little information available on family practice resident research requirements, directors of US family practice training programs were surveyed about their programs' research requirements and research curricula.
A questionnaire survey was mailed to directors of family practice residency training programs listed in the American Academy of Family Physicians Directory of Family Practice Residency Programs. Seventy-five percent of residency program directors participated in the study.
Almost half (48.6%) of responding programs required a resident research project, but only one fourth linked annual resident promotions to progress on the research project. Programs that required a project were more likely to say they provide a research curriculum, but information on these varied widely. Only 12.9% said faculty were required to engage in research/scholarly activities. The top two reasons for requiring resident research were (1) to develop critical thinking and patient care skills and (2) to understand the medical literature. The top two reasons for not requiring resident research were (1) attitude that it isn't necessary and (2) lack of faculty or time.
The research requirement during family practice residency appears to be growing. However, the nature and benefit of family practice residency research education still remains undefined.
毕业后医学教育认证委员会认识到,研究教育是住院医师培训的一个基本方面,尽管并非总是必需的。由于关于家庭医学住院医师研究要求的信息很少,因此对美国家庭医学培训项目的主任就其项目的研究要求和研究课程进行了调查。
向《美国家庭医师学会家庭医学住院医师项目名录》中列出的家庭医学住院医师培训项目主任邮寄了一份问卷调查。75%的住院医师项目主任参与了该研究。
近一半(48.6%)的回应项目要求住院医师进行研究项目,但只有四分之一将住院医师的年度晋升与研究项目的进展挂钩。要求有项目的项目更有可能表示他们提供研究课程,但关于这些课程的信息差异很大。只有12.9%的项目表示要求教师参与研究/学术活动。要求住院医师进行研究的前两个原因是:(1)培养批判性思维和患者护理技能;(2)理解医学文献。不要求住院医师进行研究的前两个原因是:(1)认为没有必要;(2)缺乏教师或时间。
家庭医学住院医师培训期间的研究要求似乎在增加。然而,家庭医学住院医师研究教育的性质和益处仍然不明确。