M.B. Conroy is professor of medicine and chief, Division of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah. S. Shaffiey is a surgery resident, University of Pittsburgh Medical Center and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. S. Jones is instructor of medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. D.J. Hackam is professor of pediatric surgery and surgeon-in-chief, Johns Hopkins Children's Center, Baltimore, Maryland. G. Sowa is professor and chair of physical medicine and rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. D.G. Winger is a statistician, University of Pittsburgh Clinical and Translational Science Institute, Pittsburgh, Pennsylvania. L. Wang is a statistician, University of Pittsburgh Clinical and Translational Science Institute, Pittsburgh, Pennsylvania. M.L. Boninger is professor of physical medicine and rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. A.K. Wagner is associate professor of physical medicine and rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. A.S. Levine is senior vice chancellor for health sciences and dean, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Acad Med. 2018 Nov;93(11):1727-1731. doi: 10.1097/ACM.0000000000002328.
Many medical schools require scholarly research projects. However, outcomes data from these initiatives are scarce. The authors studied the impact of the Scholarly Research Project (SRP), a four-year longitudinal requirement for all students at the University of Pittsburgh School of Medicine (UPSOM), on research productivity and residency match.
The authors conducted a longitudinal study of non-dual-degree UPSOM graduates in 2006 (n = 121, non-SRP participants) versus 2008 (n = 118), 2010 (n = 106), and 2012 (n = 132), all SRP participants. The authors used PubMed for publication data, National Resident Matching Program for residency match results, and Blue Ridge Institute for Medical Research for National Institutes of Health funding rank for residency-affiliated academic institutions.
Research productivity of students increased for those completing the SRP, measured as a greater proportion of students with publications (27.3% in 2006 vs. 45.8% in 2008, 55.7% in 2010, and 54.5% in 2012; P < .001) and first-authorship (9.9% in 2006 vs. 26.3% in 2008, 33.0% in 2010, and 35.6% in 2012; P < .001). Across years, there was a significantly greater proportion of students with peer-reviewed publications matched in higher-ranked residency programs (57.0% with publications in the top 10%, 52.7% in the top 10%-25%, 32.4% in the top 25%-50%, 41.2% in the bottom 50%, and 45.2% in unranked programs; P = .018).
Longitudinal research experiences for medical students may be one effective tool in fostering student publications and interest in extending training in a research-focused medical center.
许多医学院要求学生完成学术研究项目。然而,这些计划的成果数据却很少。作者研究了匹兹堡大学医学院(UPSOM)所有学生必须完成的四年纵向学术研究项目(SRP)对研究成果和住院医师匹配的影响。
作者对 2006 年(n=121,非 SRP 参与者)、2008 年(n=118)、2010 年(n=106)和 2012 年(n=132)的非双学位 UPSOM 毕业生进行了纵向研究,所有参与者均完成了 SRP。作者使用 PubMed 检索发表数据,使用美国全国住院医师匹配计划(National Resident Matching Program)检索住院医师匹配结果,使用蓝岭医学研究所(Blue Ridge Institute for Medical Research)检索与住院医师相关的学术机构的美国国立卫生研究院(National Institutes of Health)资助排名。
完成 SRP 的学生的研究成果有所提高,表现为具有发表文章的学生比例更高(2006 年为 27.3%,2008 年为 45.8%,2010 年为 55.7%,2012 年为 54.5%;P<0.001)和第一作者(2006 年为 9.9%,2008 年为 26.3%,2010 年为 33.0%,2012 年为 35.6%;P<0.001)。各年中,具有同行评议出版物的学生在排名较高的住院医师项目中匹配的比例显著更高(发表文章排名在前 10%的学生占 57.0%,排名在前 10%-25%的学生占 52.7%,排名在前 25%-50%的学生占 32.4%,排名在后 50%的学生占 41.2%,未排名的学生占 45.2%;P=0.018)。
为医学生提供纵向研究经验可能是促进学生发表文章和对在以研究为重点的医学中心进一步培训产生兴趣的有效工具之一。