Lohr Joann, Smith J Michael, Welling Richard, Engel Amy, Hasselfeld Kim, Rusche Joy
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA.
Curr Surg. 2006 Nov-Dec;63(6):426-34. doi: 10.1016/j.cursur.2006.04.011.
Resident research teams were established at this community hospital in the 1997 academic year. Research productivity, including publications and presentations in the years before establishing research teams and the 8 years subsequent to establishment of research teams with faculty mentors, was reviewed.
Each team is supported by a research specialist who provides assistance with project design, data evaluation, statistical analysis, manuscript editing, and preparation of research presentations. Every resident is assigned to a research team that meets monthly. The teams consist of a 4th- or 5th-year resident, 2nd- or 3rd-year resident, surgical intern, research team mentor, and research specialist. The resident is required to be an active contributing co-investigator on 1 team project per year, contributing to the development and performance of the study, participating in writing the manuscript, and must be able to defend the study. By the end of the third year, the resident is required to complete 1 individual project that is submitted to the postgraduate competition for residents. In addition, a completed manuscript must be ready to submit to a peer-reviewed journal. Promotion can be denied if the appropriate time has not been devoted to research. Minimum completion requirements include a case report and a presentation at a national or regional meeting. The research registry was reviewed for all presentations and publications given by the surgical residents during the 8 years before the teams were established and the 8 years after the teams were formed.
In the 8 years before the establishment of research teams, 60 papers were published. After the establishment of research teams, 77 papers were published. During the 8 years before research teams were being established, 69 presentations were given. During the subsequent 8 years with the use of mentoring and research teams, 92 presentations were given. The research teams resulted in a 33% increase in presentations and a 13% increase in publications.
Establishment of research teams and mentoring can help stimulate research interest and activity. Continuity on research teams throughout the 5-year residency is also crucial for the progression and development, duration, and completion of projects. Continuity of the mentor and research specialists also helps facilitate productivity and completion of the task. This method has been highly successful in improving the research presentations and publications in a community-based hospital residency.
1997学年在这家社区医院成立了住院医师研究团队。回顾了研究生产力,包括在成立研究团队之前的几年以及在有教员导师的研究团队成立后的8年里的出版物和报告情况。
每个团队由一名研究专员提供支持,该专员在项目设计、数据评估、统计分析、稿件编辑以及研究报告准备方面提供协助。每位住院医师被分配到一个每月开会的研究团队。这些团队由一名四年级或五年级住院医师、二年级或三年级住院医师、外科实习生、研究团队导师和研究专员组成。住院医师每年必须在一个团队项目中担任积极的共同研究者,为研究的开展和实施做出贡献,参与撰写稿件,并且必须能够为该研究进行答辩。到第三年结束时,住院医师需要完成一个个人项目并提交给住院医师研究生竞赛。此外,必须准备好一份完整的稿件以便提交给同行评审期刊。如果没有投入适当的时间进行研究,晋升可能会被拒绝。最低完成要求包括一份病例报告以及在全国或地区会议上的一次报告。对手术住院医师在团队成立前的8年以及团队成立后的8年里所做的所有报告和发表的所有出版物进行了研究登记审查。
在研究团队成立前的8年里,发表了60篇论文。研究团队成立后,发表了77篇论文。在研究团队成立前的8年里,做了69次报告。在随后使用导师指导和研究团队的8年里,做了92次报告。研究团队使报告数量增加了33%,出版物数量增加了13%。
研究团队的成立和导师指导有助于激发研究兴趣和活动。在整个5年住院医师培训期间研究团队的连续性对于项目的进展、发展、持续时间和完成也至关重要。导师和研究专员的连续性也有助于提高生产力和完成任务。这种方法在提高社区医院住院医师培训中的研究报告和出版物数量方面非常成功。