Department of Orthopaedic Surgery, 3400 Spruce Street, 2 Silverstein, Philadelphia, PA 19104, USA.
J Bone Joint Surg Am. 2010 Apr;92(4):1041-6. doi: 10.2106/JBJS.I.00504.
The successful incorporation of research into the future careers of residents provides tremendous potential for increasing scientific orthopaedic inquiry and improving musculoskeletal care. Therefore, we sought to assess resident opinions regarding plans and incentives for future research and the opinions of academic chairs who must support them.
Residents from sixteen departments were surveyed with a twenty-four-question online survey. Similar surveys were sent to chairs of all residency-sponsoring departments.
The response rate was 44% (183) for the residents and 60% (eighty-six) for the chairs. Forty-two percent of the residents felt certain or likely that they would perform research during their careers, and 28% were undecided. Ninety-nine percent thought that orthopaedic surgeons performing research is important to clinical orthopaedics. Ninety-three percent of the residents expressed the need for monetary incentives for research, but only 40% would help to provide it. Chairs similarly noted the importance of research subsidization (92%) and a willingness to support it (70%). Residents indicated that increased funding and protected time would provide the greatest incentives for research during residency; chairs agreed. After training, debt relief and salary support were most important for residents; chairs chose protected time and a chair who is supportive of research as most important. Primary authorship on a prior manuscript and past research experience were found to be associated with greater future research interest in univariate analyses; primary authorship maintained an independent association in multivariate analysis. Younger residents and women were more likely to be unsure of their research interest.
Many orthopaedic residents in training have interest in integrating research into their future practice and support the research mission of orthopaedic surgeons. Our results may aid in identifying residents with high research interest (and those unsure) and help to guide the provision of incentives to actuate those interests.
将研究成功融入住院医师的未来职业中，为增加骨科科学研究和改善肌肉骨骼护理提供了巨大的潜力。因此，我们试图评估住院医师对未来研究计划和激励措施的看法，以及必须支持他们的学术主席的看法。
对来自 16 个科室的住院医师进行了一项 24 个问题的在线调查。向所有参与住院医师培训的科室主席发送了类似的调查。
住院医师的回复率为 44%（183 人），科室主席的回复率为 60%（86 人）。42%的住院医师确信或可能在职业生涯中进行研究，28%的人未决定。99%的人认为从事研究的骨科医生对临床骨科很重要。93%的住院医师表示需要为研究提供经济激励，但只有 40%的人愿意提供帮助。主席们也同样指出了研究补贴的重要性（92%）和支持研究的意愿（70%）。住院医师表示，在住院期间，增加资金和保护时间将为研究提供最大的激励；主席们表示同意。培训结束后，债务减免和工资支持对住院医师最重要；主席们选择了保护时间和支持研究的主席作为最重要的。单因素分析显示，在先前的手稿中担任主要作者和有研究经验与未来研究兴趣增加有关；多因素分析显示，担任主要作者具有独立的相关性。年轻的住院医师和女性更有可能对自己的研究兴趣不确定。
许多接受培训的骨科住院医师有兴趣将研究纳入未来的实践，并支持骨科医生的研究使命。我们的研究结果可能有助于识别出对研究感兴趣（和不确定的）的住院医师，并有助于指导提供激励措施以激发这些兴趣。
