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住院医师研究经历与职业道路协会:一项针对近期耳鼻喉科毕业生的全国性调查。

Resident Research Experience and Career Path Association: A National Survey of Recent Otolaryngology Graduates.

作者信息

Zahtz Gerald, Vambutas Andrea, Hussey Heather M, Rosen Lisa

机构信息

Department of Otolaryngology, Hofstra North Shore-LIJ School of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Bronx, New York, USA

Department of Otolaryngology, Hofstra North Shore-LIJ School of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York, USA Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Bronx, New York, USA Department of Molecular Medicine, Feinstein Institute for Medical Research, Hofstra North Shore-LIJ School of Medicine, Manhasset, New York, USA.

出版信息

Otolaryngol Head Neck Surg. 2014 Jul;151(1):46-51. doi: 10.1177/0194599814529408. Epub 2014 Apr 4.

Abstract

OBJECTIVE

To determine whether the research rotation experience affects the career path of otolaryngology residents.

STUDY DESIGN/SETTING: Two web-based surveys were disseminated by the AAO-HNS; one to current and former resident trainees and the other to current residency program directors.

SUBJECTS AND METHODS

A web-based survey was disseminated to all AAO-HNS members classified as otolaryngology residents or residency graduates within the last 6 years, regarding their research rotation and its potential influence on their career path. A second web-based survey was delivered simultaneously to program directors to evaluate their perception of the need for research in a training program and their role in the rotation. Chi-square tests for independence as well as multivariate analyses were conducted to determine whether aspects of the resident research rotation related to career path.

RESULTS

The resident survey was completed by 350 respondents (25% response rate), and 39 program directors completed the second survey (37% response rate). Multiple factors were examined, including federal funding of faculty, mentorship, publications prior to residency, success of research project measured by publication or grant submission, and type of research. Multivariate analyses revealed that factors most predictive of academic career path were intellectual satisfaction and presence of a T32 training grant within the program (P < .05).

CONCLUSION

The composition and quality of the residency research rotation vary across institutions. Factors that enhance stronger intellectual satisfaction and the presence of T32 grant, which demonstrates an institution's commitment to research training, may promote pursuit of a career in academia versus private practice.

摘要

目的

确定科研轮转经历是否会影响耳鼻咽喉科住院医师的职业发展路径。

研究设计/背景:美国耳鼻咽喉头颈外科学会(AAO-HNS)开展了两项基于网络的调查;一项针对现任和前任住院医师培训学员,另一项针对现任住院医师培训项目主任。

研究对象与方法

向所有在过去6年内被归类为耳鼻咽喉科住院医师或住院医师毕业生的AAO-HNS成员进行了一项基于网络的调查,内容涉及他们的科研轮转及其对职业发展路径的潜在影响。同时向项目主任进行了第二项基于网络的调查,以评估他们对培训项目中科研需求的看法以及他们在轮转中的作用。进行了独立性卡方检验和多变量分析,以确定住院医师科研轮转的各个方面是否与职业发展路径相关。

结果

350名受访者完成了住院医师调查(回复率为25%),39名项目主任完成了第二项调查(回复率为37%)。研究了多个因素,包括教员的联邦资金、指导、住院前的出版物、以出版物或资助申请衡量的研究项目成功率以及研究类型。多变量分析显示,最能预测学术职业发展路径的因素是智力满意度和项目中是否存在T32培训资助(P < 0.05)。

结论

各机构住院医师科研轮转的构成和质量各不相同。能够提高智力满意度的因素以及T32资助的存在,这表明机构对科研培训的重视,可能会促进住院医师追求学术职业而非私人执业。

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