Department of Surgery, UC Davis School of Medicine, Sacramento, California.
Department of Surgery, UC Davis School of Medicine, Sacramento, California; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
J Surg Educ. 2017 Nov-Dec;74(6):980-985. doi: 10.1016/j.jsurg.2017.05.009. Epub 2017 May 19.
The surgical community commonly perceives a decline in surgical and patient care skills among residents who take dedicated time away from clinical activity to engage in research. We hypothesize that residents perceive a decline in their skills because of dedicated research time.
UC Davis Medical Center, Sacramento, CA, an institutional tertiary care center.
General surgery residents and graduates from UC Davis general surgery residency training program, who had completed at least 1 year of research during their training. A total of 35 people were asked to complete the survey, and 19 people submitted a completed survey.
Participants were invited to complete an online survey. Factors associated with the decline in skills following their research years were examined. All statistical analyses were performed with IBM SPSS Statistics software.
A total of 19 current or former general surgery residents responded to the survey (54% response rate). Overall, 42% described their research as "basic science." Thirteen residents (68%) dedicated 1 year to research, while the remainder spent 2 or more years. Basic science researchers were significantly more likely to report a decrease in clinical judgment (75% vs. 22%, p = 0.013) as well as a decrease in patient care skills (63% vs. 0%, p = 0.002). Residents who dedicated at least 2 years to research were more likely to perceive a decline in overall aptitude and surgical skills (100% vs. 46%, p = 0.02), and a decline in patient care skills (67% vs. 8%, p = 0.007).
Most residents who dedicate time for research perceive a decline in their overall clinical aptitude and surgical skills. This can have a dramatic effect on the confidence of these residents in caring for patients and leading a care team once they re-enter clinical training. Residents who engaged in 2 or more years of research were significantly more likely to perceive these problems. Further research should determine how to keep residents who are interested in academics from losing ground clinically while they are pursuing research training.
外科界普遍认为，那些专门抽出时间从事研究而脱离临床活动的住院医师，其外科和患者护理技能会下降。我们假设住院医师认为自己的技能下降是因为专门从事研究。
加州大学戴维斯分校医疗中心，萨克拉门托，加利福尼亚州，一个机构的三级保健中心。
加州大学戴维斯分校普通外科住院医师培训项目的普通外科住院医师和毕业生，他们在培训期间至少完成了 1 年的研究。共有 35 人被要求完成调查，其中 19 人提交了完整的调查。
邀请参与者完成在线调查。研究了与研究年后技能下降相关的因素。所有的统计分析都是用 IBM SPSS Statistics 软件进行的。
共有 19 名现任或前任普通外科住院医师对调查做出了回应（54%的回应率）。总的来说，42%的人将他们的研究描述为“基础科学”。13 名住院医师（68%）将 1 年用于研究，其余的则花费了 2 年或更长时间。基础科学研究人员更有可能报告临床判断能力下降（75%比 22%，p = 0.013）以及患者护理技能下降（63%比 0%，p = 0.002）。至少花 2 年时间从事研究的住院医师更有可能认为自己的整体能力和手术技能下降（100%比 46%，p = 0.02），以及患者护理技能下降（67%比 8%，p = 0.007）。
大多数专门抽出时间从事研究的住院医师认为自己的整体临床能力和手术技能下降。这会极大地影响这些住院医师在重新进入临床培训时照顾患者和领导护理团队的信心。从事 2 年以上研究的住院医师更有可能认为存在这些问题。进一步的研究应该确定如何在住院医师从事研究培训的同时，防止他们在临床方面失去优势。
