多伦多大学外科医生-科学家和临床医生-研究员项目中的研究项目（1987 - 2016年）：一项队列研究。
Research projects in the Surgeon-Scientist and Clinician-Investigator programs at the University of Toronto (1987-2016): a cohort study.
作者信息
Goldenberg Neil M, Steinberg Benjamin E, Rutka James T, Chen Robert, Cabral Val, Rosenblum Norman D, Kapus Andras, Lee Warren L
机构信息
Departments of Anesthesia (Goldenberg, Steinberg); Surgery (Rutka, Cabral, Kapus); Medicine (Chen, Lee); Pediatrics (Rosenblum), University of Toronto; Keenan Research Centre for Biomedical Science (Kapus, Lee), Li Ka Shing Knowledge Institute at St. Michael's Hospital; Interdepartmental Division of Critical Care Medicine (Lee), University of Toronto, Toronto, Ont.
出版信息
CMAJ Open. 2016 Aug 22;4(3):E444-E447. doi: 10.9778/cmajo.20160062. eCollection 2016 Jul-Sep.
BACKGROUND
Physicians have traditionally been at the forefront of medical research, bringing clinical questions to the laboratory and returning with ideas for treatment. However, we have anecdotally observed a decline in the popularity of basic science research among trainees. We hypothesized that fewer resident physicians have been pursuing basic science research training over time.
METHODS
We examined records from residents in the Surgeon-Scientist and Clinician-Investigator programs at the University of Toronto (1987-2016). Research by residents was categorized independently by 2 raters as basic science, clinical epidemiology or education-related based on the title of the project, the name of the supervisor and Pubmed searches. The study population was divided into quintiles of time, and the proportion pursuing basic science training in each quintile was calculated.
RESULTS
Agreement between the raters was 100%; the categorization of the research topic remained unclear in 9 cases. The proportion of trainees pursuing basic science training dropped by 60% from 1987 to 2016 ( = 0.005).
INTERPRETATION
Significantly fewer residents in the Surgeon-Scientist and Clinician-Investigator Programs at the University of Toronto are pursuing training in the basic sciences as compared with previous years.
背景
传统上，医生一直处于医学研究的前沿，他们将临床问题带到实验室，并带着治疗思路返回。然而，我们通过轶事观察到，基础科学研究在学员中的受欢迎程度有所下降。我们推测，随着时间的推移，从事基础科学研究培训的住院医师越来越少。
方法
我们研究了多伦多大学外科科学家和临床研究者项目中住院医师的记录（1987 - 2016年）。两名评估者根据项目标题、导师姓名和PubMed搜索结果，将住院医师的研究独立分类为基础科学、临床流行病学或教育相关。研究人群按时间分为五个五分位数，并计算每个五分位数中接受基础科学培训的比例。
结果
评估者之间的一致性为100%；9个案例中研究主题的分类仍不明确。从1987年到2016年，接受基础科学培训的学员比例下降了60%（P = 0.005）。
解读
与往年相比，多伦多大学外科科学家和临床研究者项目中从事基础科学培训的住院医师明显减少。
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