普通外科住院医师培训期间的研究：基于网络的机会、结构及成果综述
Research during general surgery residency: a Web-based review of opportunities, structure and outputs.
作者信息
Brochu Audrey, Aggarwal Rajesh
机构信息
Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Office of Strategic Business Development and Partnerships, Jefferson Health, Philadelphia, Pennsylvania; Division of Minimally Invasive, Metabolic, and Bariatric Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
出版信息
J Surg Res. 2018 Mar;223:149-154. doi: 10.1016/j.jss.2017.10.024. Epub 2017 Nov 24.
BACKGROUND
Academic research is an integral part of general surgery training. Despite the recent research curriculum requirements of the Accreditation Council for Graduate Medical Education, there is perceived lack of research structure for residents. The aim of this study was to identify research opportunities, structure, and academic outputs during general surgical United States (US) residency.
METHODS
A Web-based review of all accredited general surgery US residency programs was undertaken. Individual websites were reviewed for resident research duration, type, and structure. Research outputs, departmental projects, and availability of faculty supervisors were also identified.
RESULTS
Data were available for 242 general surgery residency programs of which 137 (56.6%) offer dedicated research years, ranging from 1 to 4 years, and 30 (12.4%) programs mandate such time as required. One hundred forty-two (58.7%) programs mentioned opportunities in clinical research, 129 (53.3%) in basic sciences, 29 (12.0%) in health services and outcomes-based research, and 15 (6.2%) in education. Advanced degrees were mentioned by 38 (15.7%) programs, the majority being Master of Public Health, Master of Business Administration, or Doctor of Philosophy. Nineteen (7.9%) programs mentioned research structure, mostly qualitative in description. Thirty-four (14.0%) programs provided examples of resident presentations or publications, and 25 (10.3%) mentioned a resident research day. One hundred ninety-nine (82.2%) programs offered a list of faculty supervisors and 129 (53.3%) listed examples of department research projects.
CONCLUSIONS
Although research opportunities are ample within surgical US residency training, programs should consider the opportunity to offer varied types of research, with the potential to pursue an advanced degree. Finally, guidelines should be developed with regard to resident research structure, process, and outcomes.
背景
学术研究是普通外科培训不可或缺的一部分。尽管研究生医学教育认证委员会最近对研究课程有要求，但住院医师的研究架构仍被认为存在不足。本研究的目的是确定美国普通外科住院医师培训期间的研究机会、架构和学术成果。
方法
对所有经认可的美国普通外科住院医师培训项目进行基于网络的审查。对各个项目网站进行审查，以了解住院医师研究的时长、类型和架构。还确定了研究成果、部门项目以及教员导师的情况。
结果
获取了242个普通外科住院医师培训项目的数据，其中137个（56.6%）提供为期1至4年的专门研究年，30个（12.4%）项目按要求规定了此类时间。142个（58.7%）项目提到了临床研究机会，129个（53.3%）提到了基础科学研究机会，29个（12.0%）提到了卫生服务和基于结果的研究机会，15个（6.2%）提到了教育研究机会。38个（15.7%）项目提到了高级学位，其中大多数是公共卫生硕士、工商管理硕士或哲学博士。19个（7.9%）项目提到了研究架构，大多是定性描述。34个（14.0%）项目提供了住院医师报告或发表成果的示例，25个（10.3%）提到了住院医师研究日。199个（82.2%）项目提供了教员导师名单，129个（53.3%）列出了部门研究项目的示例。
结论
尽管在美国外科住院医师培训中有充足的研究机会，但各项目应考虑提供多种类型研究的机会，并有可能攻读高级学位。最后，应制定关于住院医师研究架构、过程和成果的指导方针。
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