Michelson Kenneth A, Nigrovic Lise E, Nagler Joshua, McAneney Constance M, Mistry Rakesh D
From the Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
Division of Emergency Medicine, Cincinnati Children's Medical Center, Cincinnati, OH.
Pediatr Emerg Care. 2020 Feb;36(2):e38-e42. doi: 10.1097/PEC.0000000000001085.
Factors predictive of research career interest among pediatric emergency medicine (PEM) fellows are not known. We sought to determine the prevalence and determinants of interest in research careers among PEM fellows.
We performed an electronically distributed national survey of current PEM fellows. We assessed demographics, barriers to successful research, and beliefs about research using 4-point ordinal scales. The primary outcome was the fellow-reported predicted percentage of time devoted to clinical research 5 years after graduation. We measured the association between barriers and beliefs and the predicted future clinical research time using the Spearman correlation coefficient.
Of 458 current fellows, 231 (50.4%) submitted complete responses to the survey. The median predicted future clinical research time was 10% (interquartile range, 5%-20%). We identified no association between sex, residency type, and previous research exposure and predicted future research time. The barrier that most correlated with decreased predicted clinical research time was difficulty designing a feasible fellowship research project (Spearman coefficient [ρ], 0.20; P = 0.002). The belief that most correlated with increased predicted clinical research time was excitement about research (ρ = 0.69, P < 0.001).
Most fellows expect to devote a minority of their career to clinical research. Excitement about research was strongly correlated with career research interest.
目前尚不清楚预测儿科急诊医学（PEM）住院医师科研职业兴趣的因素。我们试图确定PEM住院医师对科研职业兴趣的患病率及决定因素。
我们对当前的PEM住院医师进行了一项全国性电子问卷调查。我们使用4分制有序量表评估人口统计学特征、成功开展研究的障碍以及对科研的看法。主要结局是住院医师报告的毕业后5年用于临床研究时间的预测百分比。我们使用Spearman相关系数测量障碍与看法和未来临床研究预测时间之间的关联。
在458名现任住院医师中，231名（50.4%）提交了完整的调查问卷回复。未来临床研究时间的预测中位数为10%（四分位间距，5%-20%）。我们未发现性别、住院医师培训类型和既往科研经历与未来科研时间预测之间存在关联。与临床研究预测时间减少相关性最高的障碍是难以设计一个可行的住院医师科研项目（Spearman系数[ρ]，0.20；P = 0.002）。与临床研究预测时间增加相关性最高的看法是对科研的热情（ρ = 0.69，P < 0.001）。
大多数住院医师预计其职业生涯中用于临床研究的时间占少数。对科研的热情与职业科研兴趣密切相关。
