Cull William L, Yudkowsky Beth K, Schonfeld David J, Berkowitz Carol D, Pan Richard J
American Academy of Pediatrics, Division of Health Policy Research, AAP Committee on Pediatric Research, Elk Grove Village, Illinois, USA.
J Pediatr. 2003 Nov;143(5):564-9. doi: 10.1067/S0022-3476(03)00324-X.
To examine pediatric residents' research experiences during residency and to explore whether residents' attitudes toward research are related to their decision to pursue subspecialty fellowships.
A national random sample of 500 PL-3 pediatric residents completing training in 2001 was surveyed. Responses were obtained from 318 residents (64%). Resident research experiences and perceived competence were compared for residents planning to pursue subspecialty training (34%) and residents who were not (66%).
Residents interested in a subspecialty were more likely to have had formal research training (39% vs 27%) and to have assisted on a research project (26% vs 14%) during residency. Upon residency completion, residents in both groups rated their knowledge of most research skills as being fair or poor. A favorable rating toward research was the strongest predictor of whether residents have subspecialty rather than general pediatrics as their future clinical goal (OR=3.7).
Given residents' limited research exposure and the strong association found between residents' research attitudes and their plans to pursue subspecialty training, serious consideration should be given to the possible benefits of research promotion programs, which may lead to increased resident interest in pediatric fellowships and pediatric research.
研究儿科住院医师培训期间的研究经历,并探讨住院医师对研究的态度是否与他们选择专科 fellowship 的决定有关。
对2001年完成培训的500名 PL - 3 级儿科住院医师进行全国随机抽样调查。318名住院医师(64%)回复了问卷。比较了计划接受专科培训的住院医师(34%)和不打算接受专科培训的住院医师(66%)的研究经历和感知能力。
对专科感兴趣的住院医师在培训期间更有可能接受过正规研究培训(39% 对 27%)并协助过研究项目(26% 对 14%)。培训结束时,两组住院医师对大多数研究技能的掌握程度评价为一般或较差。对研究的积极评价是住院医师未来临床目标是选择专科而非普通儿科的最强预测因素(OR = 3.7)。
鉴于住院医师的研究接触有限,且住院医师的研究态度与他们接受专科培训计划之间存在密切关联,应认真考虑研究促进项目可能带来的益处,这可能会提高住院医师对儿科 fellowship 和儿科研究的兴趣。