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儿科住院医师培训期间的研究:预测因素及住院医师确定的影响因素

Research during pediatric residency: predictors and resident-determined influences.

作者信息

Ullrich Nicole, Botelho Christine A, Hibberd Patricia, Bernstein Henry H

机构信息

Department of Neurology, Children's Hospital Boston, Massachusetts 02115, USA.

出版信息

Acad Med. 2003 Dec;78(12):1253-8. doi: 10.1097/00001888-200312000-00014.

Abstract

PURPOSE

Participation in research during residency is thought to be a strong predictor of future research activity; however, the proportion of residents who actually engage in research is small. This study examined (1) which factors are associated with research during residency; (2) which factors influence residents' abilities to conduct research; and (3) the number of residents conducting research in a research-oriented training program.

METHOD

One hundred fifteen pediatrics residents were asked at a housestaff retreat to complete a questionnaire about their attitudes toward research. Comparisons between those who were or were not conducting research during residency were made using chi-square or Fisher exact tests; stepwise logistic regression was used to identify factors associated with conducting research during residency.

RESULTS

The response rate was 95% (n = 110, or 82% of the residency program). Respondents were representative of postgraduate year, gender, and residency track. Although 92% of respondents reported having conducted research before residency, only 18% were currently involved in research (p <.001). Fifty-five percent reported interest in conducting research. Advanced degrees and future career plans influenced their decisions to do research (p <.05). Respondents were more likely to conduct clinical research than basic science or laboratory-based research (14% versus 3% of all respondents, p =.007). The most commonly identified influences to conducting research were availability of time (97%), personal interest in research (84%), availability of opportunities (76%), and mentors on hand (72%).

CONCLUSION

Interest in research during residency is high, but participation in research is low. There are several influences to the types and amounts of research conducted during pediatrics residency.

摘要

目的

住院医师培训期间参与研究被认为是未来研究活动的有力预测指标;然而,实际参与研究的住院医师比例很小。本研究调查了:(1)哪些因素与住院医师培训期间的研究相关;(2)哪些因素影响住院医师开展研究的能力;(3)在以研究为导向的培训项目中进行研究的住院医师数量。

方法

在一次住院医师务虚会上,115名儿科住院医师被要求填写一份关于他们对研究态度的问卷。使用卡方检验或费舍尔精确检验对住院医师培训期间进行研究和未进行研究的人员进行比较;采用逐步逻辑回归来确定与住院医师培训期间进行研究相关的因素。

结果

回复率为95%(n = 110,占住院医师培训项目的82%)。受访者在研究生年级、性别和住院医师培训方向方面具有代表性。尽管92%的受访者报告在住院医师培训前曾进行过研究,但目前只有18%的人参与研究(p <.001)。55%的人表示有进行研究的兴趣。高学历和未来职业规划影响了他们进行研究的决定(p <.05)。与基础科学或基于实验室的研究相比,受访者更有可能进行临床研究(分别占所有受访者的14%和3%,p =.007)。开展研究最常提及的影响因素是时间可用性(97%)、个人研究兴趣(84%)、机会可用性(76%)和现有导师(72%)。

结论

住院医师培训期间对研究的兴趣很高,但参与研究的比例较低。儿科住院医师培训期间进行的研究类型和数量受到多种因素的影响。

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