Vinci Robert J, Bauchner Howard, Finkelstein Jonathan, Newby P K, Muret-Wagstaff Sharon, Lovejoy Frederick H
Boston Medical Center, Department of Pediatrics, Boston University School of Medicine, 818 Harrison Ave, Boston, MA 02118, USA.
Pediatrics. 2009 Oct;124(4):1126-34. doi: 10.1542/peds.2008-3700. Epub 2009 Sep 28.
The Pediatric Residency Review Committee requires programs to provide a curriculum that advances residents' knowledge of the basic principles of research. In July 2002, the Boston Combined Residency Program instituted a 3-month career-development block (CDB) rotation. During the rotation residents pursue an academic or clinical project under mentorship by a faculty member.
Our objective for this study was to evaluate the outcome of the CDB rotation since it was implemented.
A survey was administered to 165 residents who completed the CDB rotation.
Of 165 residents, 136 (82%) responded to the survey. Of 122 residents who reported the type of project they conducted, 59 (48%) completed a clinical/health services project, 24 (20%) completed a project in education or curriculum development, and 7 (6%) worked in basic science. Thirty-five residents (27%) received funding to support their work. Thirty-five residents (26%) presented at national meetings such as the Pediatric Academic Societies Meeting. Fifteen (11%) residents have had manuscripts accepted for publication, and 22 (16%) additional residents have submitted manuscripts for publication. Factors associated with successful publication included having received funding (odds ratio: 3.37 [95% confidence interval: 1.34-8.42]) and the nature of the research project (odds ratio: 3.55 [95% confidence interval: 1.40-9.04]). The majority of residents (84%) stated that the CDB rotation enhanced residency training.
A dedicated academic rotation that includes protected time, senior faculty mentorship, and program funding, can lead to productive research accomplishments by pediatric residents. Support of academic work during residency training may encourage engagement in a variety of academically oriented activities.
儿科住院医师评审委员会要求各项目提供一门能提升住院医师研究基本原则知识的课程。2002年7月,波士顿联合住院医师项目设立了为期3个月的职业发展模块(CDB)轮转。在轮转期间,住院医师在教员的指导下开展一个学术或临床项目。
我们开展本研究的目的是评估CDB轮转实施后的效果。
对165名完成CDB轮转的住院医师进行了一项调查。
165名住院医师中,136名(82%)对调查做出了回应。在122名报告了他们所开展项目类型的住院医师中,59名(48%)完成了一个临床/卫生服务项目,24名(20%)完成了一个教育或课程开发项目,7名(6%)从事基础科学研究。35名住院医师(27%)获得了资助以支持他们的工作。35名住院医师(26%)在全国性会议上进行了展示,如儿科学术协会会议。15名(11%)住院医师的稿件已被接受发表,另外22名(16%)住院医师已提交稿件以供发表。与成功发表相关的因素包括获得资助(优势比:3.37 [95%置信区间:1.34 - 8.42])和研究项目的性质(优势比:3.55 [95%置信区间:1.40 - 9.04])。大多数住院医师(84%)表示CDB轮转增强了住院医师培训。
一个专门的学术轮转,包括受保护的时间、资深教员指导和项目资助,可使儿科住院医师取得富有成效的研究成果。住院医师培训期间对学术工作的支持可能会鼓励他们参与各种学术导向活动。