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新住院医师培训计划中学术活动的起点:机构成功的经验教训。

Starting Line for Scholarly Activity in New Residency Programs: Lessons Learned for Institutional Success.

机构信息

Department of Surgery, Grand Strand Medical Center, University of South Carolina, Myrtle Beach, South Carolina.

Department of Surgery, Grand Strand Medical Center, University of South Carolina, Myrtle Beach, South Carolina.

出版信息

J Surg Res. 2019 Jul;239:136-141. doi: 10.1016/j.jss.2019.02.008. Epub 2019 Mar 1.

Abstract

BACKGROUND

One focal point of Graduate Medical Education (GME) is scholarly activity and its integration into clinical practice by evidence-based learning. Program directors and educational leaders view scholarly work as the foundation for continuing resident education; however, the high demand of scholarly activity can be cumbersome for newly accredited residency programs.

METHODS

We reviewed all scholarly activity over a 2-y period (2015-2017) involving three new GME programs at a single institution (internal medicine, surgery, and transitional year). A voluntary anonymous online survey was distributed to all residents to assess their perceptions and expectations regarding research, review prior research experience, and analyze any barriers or successes within the research program.

RESULTS

The survey was distributed to 61 residents with a response rate of 59% (36/61), including postgraduate years 1-5. Respondent demographics included males (55.6%), ages 26-30 y (63.9%), and respondents commonly being postgraduate year-1 (58.3%) level. In total, 171 scholarly activities were recorded. Survey review of resident basic research knowledge, concepts, and experience included preresidency research (91.7%), prior scholarly activity (79.2%), and interest to meet career goals (66.7%). Barriers or delays in research were lack of structured curriculum (50%), technical support (45.8%), research experience (37.5%), and interest (33%).

CONCLUSIONS

Newly accredited GME training programs can avoid an unnecessary institutional deficiency in scholarly activity by developing a structured and comprehensive research curriculum. Resident engagement, developing a mentor-mentee relationship, and research experience before residency can allow a successful research program.

摘要

背景

住院医师规范化培训(GME)的一个重点是学术活动,以及通过循证学习将其融入临床实践。项目主任和教育领导者将学术工作视为继续住院医师教育的基础;然而,对于新获得认证的住院医师培训计划来说,学术活动的高要求可能会很繁琐。

方法

我们回顾了一家机构内三个新的 GME 项目(内科、外科和过渡年)在 2 年期间(2015-2017 年)的所有学术活动。我们向所有住院医师分发了一份自愿匿名的在线调查,以评估他们对研究的看法和期望,回顾之前的研究经验,并分析研究计划中的任何障碍或成功。

结果

该调查分发给 61 名住院医师,回复率为 59%(36/61),包括住院医师的第 1-5 年。受访者的人口统计学特征包括男性(55.6%)、年龄在 26-30 岁(63.9%),以及常见的住院医师第 1 年(58.3%)水平。总共记录了 171 项学术活动。对住院医师基础研究知识、概念和经验的调查回顾包括住院前研究(91.7%)、以前的学术活动(79.2%)以及满足职业目标的兴趣(66.7%)。研究的障碍或延迟包括缺乏结构化课程(50%)、技术支持(45.8%)、研究经验(37.5%)和兴趣(33%)。

结论

新获得认证的 GME 培训计划可以通过制定结构化和全面的研究课程来避免学术活动方面不必要的机构缺陷。住院医师的参与、建立导师-学员关系以及在住院前的研究经验可以使一个成功的研究计划成为可能。

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