Robbins Matthew S, Haut Sheryl R, Lipton Richard B, Milstein Mark J, Ocava Lenore C, Ballaban-Gil Karen, Moshé Solomon L, Mehler Mark F
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
Neurology. 2017 Apr 4;88(14):1366-1370. doi: 10.1212/WNL.0000000000003626. Epub 2017 Feb 22.
To describe and assess the effectiveness of a formal scholarly activity program for a highly integrated adult and pediatric neurology residency program.
Starting in 2011, all graduating residents were required to complete at least one form of scholarly activity broadly defined to include peer-reviewed publications or presentations at scientific meetings of formally mentored projects. The scholarly activity program was administered by the associate residency training director and included an expanded journal club, guided mentorship, a required grand rounds platform presentation, and annual awards for the most scholarly and seminal research findings. We compared scholarly output and mentorship for residents graduating within a 5-year period following program initiation (2011-2015) and during the preceding 5-year preprogram baseline period (2005-2009).
Participation in scholarship increased from the preprogram baseline (24 of 53 graduating residents, 45.3%) to the postprogram period (47 of 57 graduating residents, 82.1%, < 0.0001). Total scholarly output more than doubled from 49 activities preprogram (0.92/resident) to 139 postprogram (2.44/resident, = 0.0002). The proportions of resident participation increased for case reports (20.8% vs 66.7%, < 0.0001) and clinical research (17.0% vs 38.6%, = 0.012), but were similar for laboratory research and topical reviews. The mean activities per resident increased for published abstracts (0.15 ± 0.41 to 1.26 ± 1.41, < 0.0001), manuscripts (0.75 ± 1.37 to 1.00 ± 1.40, = 0.36), and book chapters (0.02 ± 0.14 to 0.18 ± 0.60, = 0.07). Rates of resident participation as first authors increased from 30.2% to 71.9% ( < 0.0001). The number of individual faculty mentors increased from 36 (preprogram) to 44 (postprogram).
Our multifaceted program, designed to enhance resident and faculty engagement in scholarship, was associated with increased academic output and an expanded mentorship pool. The program was particularly effective at encouraging presentations at scientific meetings. Longitudinal analysis will determine whether such a program portfolio inspires an increase in academic careers involving neuroscience-oriented research.
描述并评估一项针对高度整合的成人及儿科神经科住院医师培训项目的正式学术活动计划的有效性。
从2011年开始，所有即将毕业的住院医师都被要求完成至少一种形式的学术活动，该活动被广泛定义为包括同行评审的出版物或在正式指导项目的科学会议上的报告。学术活动计划由住院医师培训副主任管理，包括扩大的期刊俱乐部、指导式辅导、一次必修的大查房平台报告以及针对最具学术性和开创性研究成果的年度奖项。我们比较了项目启动后5年期间（2011 - 2015年）毕业的住院医师与之前5年项目前基线期（2005 - 2009年）毕业的住院医师的学术产出和辅导情况。
参与学术活动的比例从项目前基线期（53名毕业住院医师中的24名，45.3%）增加到项目后时期（57名毕业住院医师中的47名，82.1%，<0.0001）。学术活动总产出从项目前的49项活动（每位住院医师0.92项）增加了一倍多，达到项目后的139项（每位住院医师2.44项，=0.0002）。病例报告（20.8%对66.7%，<0.0001）和临床研究（17.0%对38.6%，=0.012）中住院医师参与的比例有所增加，但实验室研究和专题综述的比例相似。每位住院医师发表摘要的平均活动数量增加（从0.15±0.41增加到1.26±1.41，<0.0001），手稿（从0.75±1.37增加到1.00±1.40，=0.36）和书籍章节（从0.02±0.14增加到0.18±0.60，=0.07）。住院医师作为第一作者的参与率从30.2%增加到71.9%（<0.0001）。个人指导教师的数量从36名（项目前）增加到44名（项目后）。
我们旨在提高住院医师和教师参与学术活动的多方面计划与学术产出增加和辅导人员库扩大相关。该计划在鼓励在科学会议上进行报告方面特别有效。纵向分析将确定这样的项目组合是否能激发涉及神经科学导向研究的学术职业有所增加。
