Division of General Internal Medicine, Department of Medicine, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo, 104-8560, Japan.
J Gen Intern Med. 2009 Jun;24(6):716-20. doi: 10.1007/s11606-009-0970-4. Epub 2009 Apr 25.
The Ministry of Health, Labour and Welfare of Japan has been promoting participation in scholarly activities for physicians during residency training. However, there is debate regarding whether this is worthwhile for residents.
To evaluate residents' opinions of engaging in scholarly activities and identify factors associated with overall satisfaction with their training program.
Cross-sectional national survey.
1,124 second-year residents in teaching hospitals in Japan in 2007
Collected data included demographics, teaching hospital characteristics and resources, residents' research experiences, including type of activities, barriers to performing scholarly activities, residents' opinions of scholarly requirements, and resident satisfaction with their residency program.
1,124 residents/1,500 responded for a response rate of 74.9%. Our data showed that 60.2% of Japanese residents engaged in some type of scholarly activity. Barriers included: "No resident time"; "No mentor;" and "No resident interest." Sixty-three percent of residents thought that research should be a residency requirement. In multivariate logistic analysis, residents' overall satisfaction with their residency program was significantly associated with participation in research activity (odds ratio (OR), 1.5; 95% confidence interval (CI), 1.1-2.1); male gender (OR, 1.5; 95% CI: 1.1-2.2); satisfaction with residency compensation (OR, 3.8; 95% CI, 2.6-5.0), and satisfaction with the residency curriculum (OR, 19.5; 95% CI, 13.7-27.7).
The majority of residents surveyed thought that research activity was worthwhile. Residents' participation in research activity was associated with higher levels of satisfaction with residency training. Implementing measures to overcome existing barriers may have educational benefits for residents.
日本厚生劳动省一直在推动住院医师培训期间医师参与学术活动。然而,对于住院医师来说,这是否值得还有争议。
评估住院医师对参与学术活动的看法,并确定与他们对培训计划总体满意度相关的因素。
横断面全国性调查。
2007 年日本教学医院的 1124 名二年级住院医师。
收集的数据包括人口统计学、教学医院的特点和资源、住院医师的研究经验,包括活动类型、开展学术活动的障碍、住院医师对学术要求的看法,以及住院医师对其住院医师培训计划的满意度。
1124 名住院医师/1500 名回应,回应率为 74.9%。我们的数据显示,60.2%的日本住院医师参与了某种类型的学术活动。障碍包括:“没有住院医师时间”、“没有导师”和“住院医师没有兴趣”。63%的住院医师认为研究应该是住院医师培训的要求。在多变量逻辑分析中,住院医师对其住院医师培训计划的总体满意度与参与研究活动显著相关(比值比(OR),1.5;95%置信区间(CI),1.1-2.1);男性(OR,1.5;95%CI:1.1-2.2);对住院医师薪酬的满意度(OR,3.8;95%CI,2.6-5.0)和对住院医师课程的满意度(OR,19.5;95%CI,13.7-27.7)。
大多数接受调查的住院医师认为研究活动是值得的。住院医师参与研究活动与对住院医师培训的满意度更高相关。实施克服现有障碍的措施可能对住院医师有教育意义。