McHenry Megan S, Abramson Erika L, McKenna Michael P, Li Su-Ting T
Department of Pediatrics, Indiana University, School of Medicine, Indianapolis, Ind.
Department of Pediatrics and Healthcare Policy & Research, Weill Cornell Medicine, New York, NY.
Acad Pediatr. 2017 Mar;17(2):144-148. doi: 10.1016/j.acap.2016.09.010.
To determine factors associated with increased research productivity, satisfaction, and perceived barriers to research within residency from the experience of pediatric chief residents.
An online cross-sectional survey was administered to academic year 2014-15 chief residents. Topics assessed included program demographic characteristics, career intentions, research productivity, satisfaction with research training and opportunities, and research barriers. Chi-square and Fisher exact tests were used for descriptive statistics. Multivariable logistic regression analysis was used to determine factors associated with productivity and research satisfaction.
The response rate was 63% (165 of 261). Half (82 of 165) were productive in research. Most were satisfied with their quality of research training (55%; 90 of 165) and research opportunities (69%; 114 of 165). Chiefs reporting interest in research were 5 times more likely to be productive than those who did not (odds ratio [OR] = 5.2; 95% confidence interval [CI], 2.3-11.8). Productive chiefs were more likely to report including research time in future careers (P = .003). Most (83%; 137 of 165) thought their programs were supportive of resident research, but lack of time was frequently cited as a major barrier. Those satisfied with research opportunities were less likely to find lack of training (OR = 0.3; 95% CI, 0.1-0.7) or faculty mentorship (OR = 0.2; 95% CI, 0.0-0.9) as a major barrier.
Pediatric chief resident interest in research is strongly associated with research productivity during residency, and research productivity is strongly associated with career plans including research time. By cultivating research interest through faculty mentorship, research training, and dedicated time, pediatric residency programs might help foster early research success and, potentially lead to continued engagement with research in trainees' future careers.
根据儿科总住院医师的经验，确定与住院医师培训期间研究生产力提高、满意度及感知到的研究障碍相关的因素。
对2014 - 2015学年的总住院医师进行在线横断面调查。评估的主题包括项目人口统计学特征、职业意向、研究生产力、对研究培训和机会的满意度以及研究障碍。卡方检验和Fisher精确检验用于描述性统计。多变量逻辑回归分析用于确定与生产力和研究满意度相关的因素。
回复率为63%（261人中165人）。一半（165人中82人）在研究方面有产出。大多数人对其研究培训质量（55%；165人中90人）和研究机会（69%；165人中114人）感到满意。报告对研究感兴趣的总住院医师产出的可能性是不感兴趣者的5倍（优势比[OR]=5.2；95%置信区间[CI]，2.3 - 11.8）。有产出的总住院医师更有可能报告在未来职业中纳入研究时间（P = 0.003）。大多数（83%；165人中137人）认为他们的项目支持住院医师研究，但时间不足经常被列为主要障碍。对研究机会满意的人不太可能将缺乏培训（OR = 0.3；95% CI，0.1 - 0.7）或教师指导（OR = 0.2；95% CI，0.0 - 0.9）视为主要障碍。
儿科总住院医师对研究的兴趣与住院医师培训期间的研究生产力密切相关，而研究生产力与包括研究时间的职业规划密切相关。通过教师指导、研究培训和专用时间培养研究兴趣，儿科住院医师培训项目可能有助于促进早期研究成功，并有可能使受训者在未来职业中持续参与研究。
