Department of Otolaryngology-Head and Neck Surgery, University of Missouri, Columbia.
Department of Otolaryngology-Head and Neck Surgery, University of Missouri, Columbia2currently in private practice, Castle Rock, Colorado.
JAMA Otolaryngol Head Neck Surg. 2013 Dec;139(12):1285-90. doi: 10.1001/jamaoto.2013.5303.
With the changing academic medical environment, nontraditional methods may need to be considered to foster research and scholarly activity during the otolaryngology residency experience.
To evaluate the results of a reward system on resident research activity.
DESIGN, SETTING, AND PARTICIPANTS: Retrospective review of publications and approved institutional review board (IRB) projects between July 1, 1997, and June 30, 2011, among otolaryngology residents at a single otolaryngology residency program at the University of Missouri.
A resident reward system, which awards points for research efforts for each progressive step along the research path from project design to acceptance for publication, was implemented on July 1, 2004. Residents can convert points to a monetary amount to be used for academic enrichment.
Publication rate and IRB approval rate were compared before and after institution of the reward system. Study design types that were published and study design types that received IRB approval were evaluated as well. We hypothesized that the reward system would increase research quantity and quality.
The mean publication output per resident per year increased from 0.13 (95% CI, 0.03-0.23) before commencement of the reward system to 0.43 (95% CI, 0.26-0.60) after implementation of the reward system (P = .004). Significantly more case reports were published compared with other study design types. The number of approved IRB projects before institution of the reward system was 0.47 (95% CI, 0.18-0.75) per resident per year. After instituting the reward system, this increased significantly to 1.29 (95% CI, 0.96-1.63) per resident per year (P = .007). Significant increases in IRB-approved case reports and retrospective clinical studies were noted.
After implementation of a point-based reward system, resident research activity increased. The data suggest that this system may encourage resident research, although further refinement may be required to promote higher-quality research endeavors.
随着学术医学环境的变化，可能需要考虑采用非传统方法，在耳鼻喉科住院医师培训期间培养研究和学术活动。
评估奖励制度对住院医师研究活动的结果。
设计、地点和参与者：对 1997 年 7 月 1 日至 2011 年 6 月 30 日期间，密苏里大学单一耳鼻喉科住院医师培训计划中的耳鼻喉科住院医师的出版物和经机构审查委员会 (IRB) 批准的项目进行回顾性审查。
2004 年 7 月 1 日实施了住院医师奖励制度，该制度根据研究路径的每个渐进步骤（从项目设计到接受发表）为研究工作提供积分，积分可兑换成用于学术充实的金额。
比较了奖励制度实施前后的出版物数量和 IRB 批准率。还评估了发表的研究设计类型和获得 IRB 批准的研究设计类型。我们假设奖励制度将增加研究数量和质量。
在实施奖励制度之前，每位住院医师每年的平均发表量为 0.13（95%CI，0.03-0.23），实施后增加到 0.43（95%CI，0.26-0.60）（P=0.004）。与其他研究设计类型相比，发表的病例报告明显更多。在实施奖励制度之前，每年每位住院医师批准的 IRB 项目数量为 0.47（95%CI，0.18-0.75）。实施后，这一数字显著增加到 1.29（95%CI，0.96-1.63）/年（P=0.007）。IRB 批准的病例报告和回顾性临床研究也显著增加。
实施基于积分的奖励制度后，住院医师的研究活动增加。数据表明，该系统可能会鼓励住院医师进行研究，尽管可能需要进一步改进以促进更高质量的研究工作。
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