Valikodath Nita G, Fausett Blake V, Oren Gale A, Whitney Katherine, Woodward Maria A, Mian Shahzad I
Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, W. K. Kellogg Eye Center, Ann Arbor, Michigan.
Cincinnati Eye Institute, University of Cincinnati School of Medicine, Cincinnati, Ohio.
J Acad Ophthalmol (2017). 2017 Jan;9(1):e1-e6. doi: 10.1055/s-0037-1599078.
The Accreditation Council for Graduate Medical Education (ACGME) requires that ophthalmology residents participate in scholarly activity during residency. However, residents lack protected time for research.
To determine the impact of a dedicated research rotation on scholarly productivity and research experience during residency.
This cohort study compared two groups of ophthalmology residents. Residents who graduated between 2004-2009 did not have dedicated research time and served as control residents (CR) while residents who graduated between 2010-2015 had a dedicated research rotation and served as the intervention group (research residents, RR). Primary outcomes included publications and presentations recorded over a four-year period, spanning the three years of residency and first year after graduation. These were analyzed by linear regression and t-tests. Residents also took surveys regarding research experience and chi squared tests and logistic regression were used to compare these results.
The RR had 0.97 more publications and 1.3 more presentations compared to the CR after adjusting for PhD status, pre-residency publications and presentations, age at graduation, gender and race (p=0.09 and p=0.02, respectively). RR had higher odds of reporting adequate time to complete research (OR=13.11, 95% CI 3.58-48.03, p < 0.001) and satisfaction with their research experience (OR=6.96, 95% CI=2.104-23.053, p=0.002).
Residents with a research rotation had more time to complete research, were more satisfied with their research experience, and generated more publications and presentations compared to residents without the research rotation. A research rotation can help meet ACGME requirements and help residents achieve greater scholarly activity.
毕业后医学教育认证委员会（ACGME）要求眼科住院医师在住院期间参与学术活动。然而，住院医师缺乏专门用于研究的时间。
确定专门的研究轮转对住院期间学术产出和研究经历的影响。
这项队列研究比较了两组眼科住院医师。2004年至2009年毕业的住院医师没有专门的研究时间，作为对照住院医师（CR），而2010年至2015年毕业的住院医师有专门的研究轮转，作为干预组（研究住院医师，RR）。主要结局包括在四年期间（涵盖住院的三年和毕业后的第一年）记录的出版物和报告。通过线性回归和t检验进行分析。住院医师还进行了关于研究经历的调查，并使用卡方检验和逻辑回归来比较这些结果。
在调整博士学位状态、住院前的出版物和报告、毕业年龄、性别和种族后，RR比CR多发表0.97篇出版物，多做1.3次报告（p值分别为0.09和0.02）。RR报告有足够时间完成研究的几率更高（OR = 13.11，95% CI 3.58 - 48.03，p < 0.001），对研究经历的满意度也更高（OR = 6.96，95% CI = 2.104 - 23.053，p = 0.002）。
与没有研究轮转的住院医师相比，有研究轮转的住院医师有更多时间完成研究，对研究经历更满意，并且发表的出版物和做的报告更多。研究轮转有助于满足ACGME的要求，并帮助住院医师开展更多的学术活动。
