Nadig Nandita R, Vanderbilt Allison A, Ford Dee W, Schnapp Lynn M, Pastis Nicholas J
1 Division of Pulmonary and Critical Care, Medical University of South Carolina, Charleston, South Carolina; and.
Ann Am Thorac Soc. 2015 Apr;12(4):553-6. doi: 10.1513/AnnalsATS.201501-026BC.
Individual fellowship programs are challenged to find a format of training that not only meets the Accreditation Council for Graduate Medical Education requirements, but also grooms fellows to be trusted clinicians, and encourages them to enter academic careers. This study was undertaken as part of an internal effort to evaluate and revise the program structure of the pulmonary/critical care medicine fellowship at the Medical University of South Carolina. Our objectives were to characterize variation in the training structure and specifically research opportunities of university pulmonary/critical care medicine fellowship programs, and to identify factors associated with fellow retention in academic medicine and research.
A 30-item survey was developed through rigorous internal review and was administered via email. Descriptive statistics, Cronbach's alpha, correlations, Wilcoxon sign-rank test, and ANOVA were carried out.
We had a response rate of 52%. Program directors reported that, within the past 5 years, 38% of their fellows remained in academic medicine and 20% remained in academics with significant research focus. We found a statistically significant association between obtaining a master's degree and remaining in academics (r = 0.559; P < 0.008). The survey also revealed statistically significant relationships between scholarly requirements (grant proposals, peer-reviewed original research projects) and the percent of fellows who graduated and remained in academics.
This survey offers some insights that may be useful to fellowship program directors. In particular, advanced education in research and maximizing scholarly activities might be associated with increased academic retention among fellowship trainees.
各个专科医师培训项目都面临着挑战，要找到一种培训形式，不仅要满足毕业后医学教育认证委员会的要求，还要培养出值得信赖的临床医生，并鼓励他们投身学术事业。本研究是南卡罗来纳医科大学内部评估和修订肺科/重症医学专科医师培训项目结构工作的一部分。我们的目标是描述大学肺科/重症医学专科医师培训项目的培训结构差异，特别是研究机会的差异，并确定与专科医师留在学术医学和研究领域相关的因素。
通过严格的内部审核制定了一份包含30个条目的调查问卷，并通过电子邮件进行发放。进行了描述性统计、克朗巴哈系数、相关性分析、威尔科克森符号秩检验和方差分析。
我们的回复率为52%。项目主任报告称，在过去5年里，他们的专科医师中有38%留在了学术医学领域，20%留在了有重大研究重点的学术领域。我们发现获得硕士学位与留在学术领域之间存在统计学上的显著关联（r = 0.559；P < 0.008）。调查还揭示了学术要求（资助申请、同行评审的原创研究项目）与毕业并留在学术领域的专科医师百分比之间存在统计学上的显著关系。
这项调查提供了一些对专科医师培训项目主任可能有用的见解。特别是，研究方面的高等教育和最大化学术活动可能与专科医师培训学员在学术领域的留存率增加有关。
