Bernstein Joseph, Ahn Jaimo, Iannotti Joseph P, Brighton Carl T
Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA.
Clin Orthop Relat Res. 2006 Aug;449:95-9. doi: 10.1097/01.blo.0000224040.77215.ff.
The University of Pennsylvania orthopaedic surgery residency program under the direction of Dr. Carl T. Brighton was uniquely structured to require a year of research as part of a 5-year program. This requirement was instituted to foster critical thinking, and not necessarily to produce academic orthopaedic surgeons. Nonetheless, measures of academic productivity of the 127 residents who trained under Dr. Brighton's leadership may be instructive. The purpose of this study was to assess metrics of academic productivity. In addition, the six current and former chairmen of orthopaedic surgery programs who performed research while residents at the University of Pennsylvania were surveyed for their impressions regarding required research rotations. Fifty-nine percent of the University of Pennsylvania residents took faculty positions after training; 75% published a peer-reviewed paper after residency; and 17% are current members of the American Orthopaedic Association. Overall, the chairmen surveyed found great value in their own resident research experience, but none have replicated the Brighton model of residency organization. Only two of the six programs have a research year: at both, this research rotation is in addition to the standard 5 years of clinical education and only at one are all residents required to participate.
在卡尔·T·布莱顿博士的指导下，宾夕法尼亚大学的整形外科住院医师培训项目结构独特，要求在为期5年的项目中安排一年的研究时间。设立这一要求是为了培养批判性思维，而不一定是为了培养学术型整形外科医生。尽管如此，对在布莱顿博士领导下接受培训的127名住院医师的学术产出进行衡量可能会有启发意义。本研究的目的是评估学术产出指标。此外，还对宾夕法尼亚大学整形外科项目的六位现任和前任主任进行了调查，他们在住院期间都进行过研究，询问他们对规定的研究轮转的看法。宾夕法尼亚大学59%的住院医师培训结束后担任了教职；75%的住院医师在培训结束后发表了一篇经同行评审的论文；17%的人是美国整形外科协会的现任成员。总体而言，接受调查的主任们认为他们自己的住院医师研究经历非常有价值，但没有一个人复制了布莱顿的住院医师培训模式。六个项目中只有两个有研究年：在这两个项目中，这种研究轮转是在标准的5年临床教育之外进行的，而且只有一个项目要求所有住院医师都参与。
