Young Richard A, Dehaven Mark J, Passmore Cindy, Baumer Joane G
John Peter Smith Family Medicine Residency Program, Forth Worth, Tex. 76104, USA.
Fam Med. 2006 May;38(5):341-8.
The Future of Family Medicine project concluded that research must become a greater part of the culture of the specialty. We examined the participation of family physician residency faculty in research, their protected time, and their research output and how these varied by program type.
This was a cross-sectional survey of all family medicine residency programs in the United States. The response rate was 66% (298/453).
The majority of programs reported at least one family physician who participates in research, though the medical school-based (MSB) programs reported a higher total number of faculty than the community-based, medical school affiliated (MSA) programs (9.53 versus 2.72) and percentage of faculty (56% versus 37%). Substantially more MSB programs reported that they had at least one family physician with significant protected time for research (48% versus 7% for > 25% protected time) or any protected time (69% for MSB versus 45% for MSA). MSB programs and MSA programs reported similar success at producing at least one poster or paper for national meetings within the last 3 years (63% versus 41%) but not for published papers (86% versus 43%).
We found that only about half of the family medicine residencies produced any nationally recognized research over a 3-year period and that this represents only a small improvement over the last 10 years. Our findings suggest that more support is needed if research is to become an integral part of the culture of family medicine.
“家庭医学的未来”项目得出结论,研究必须在该专业文化中占据更大比重。我们研究了家庭医学住院医师培训项目教员的研究参与情况、他们的保护时间、研究产出,以及这些因素如何因项目类型而异。
这是一项针对美国所有家庭医学住院医师培训项目的横断面调查。回复率为66%(298/453)。
大多数项目报告称至少有一名家庭医生参与研究,不过基于医学院的(MSB)项目报告的教员总数高于社区型、医学院附属(MSA)项目(9.53对2.72),教员比例也更高(56%对37%)。更多的MSB项目报告称,他们至少有一名家庭医生有大量用于研究的保护时间(保护时间>25%的项目中,MSB为48%,MSA为7%)或任何保护时间(MSB为69%,MSA为45%)。MSB项目和MSA项目在过去3年内至少发表一篇用于全国会议的海报或论文方面的成功率相近(63%对41%),但在发表论文方面并非如此(86%对43%)。
我们发现,在三年时间里,只有约一半的家庭医学住院医师培训项目产出了任何全国认可的研究成果,与过去十年相比,这只是略有改善。我们的研究结果表明,如果研究要成为家庭医学文化的一个组成部分,还需要更多支持。