Departments of Pediatrics and Healthcare Policy & Research, Weill Cornell Medicine (EL Abramson), New York, NY.
Department of Pediatrics, University of Oklahoma (MM Naifeh).
Acad Pediatr. 2020 Sep-Oct;20(7):998-1006. doi: 10.1016/j.acap.2020.02.020. Epub 2020 Feb 20.
Training residents to be scholars is endorsed by leading medical education organizations. Our previous research suggests that the scholarly activity (SA) training experience is highly variable across pediatric residency programs, and residents and program directors (PDs) are generally dissatisfied. Understanding how PD and resident views align can help programs better guide resource allocation and improvement efforts.
We conducted cross-sectional surveys of second and third year pediatric residents and PDs at 22 diverse US categorical programs. We compared resident and PD responses to SA training beliefs, barriers, and satisfaction by 2-proportion z tests. We used descriptive statistics to describe resident responses in relation to same-institution PD responses.
About 464 of 771 residents (60.2%) and 22 PDs (100%) responded. Across programs, PDs more strongly agreed that all residents should participate in SA (59% of PDs [n = 13] versus 27% of residents [n = 127], P = .002). Residents more strongly believed all residents should have protected SA time (91% of residents [n = 424] versus 68% of PDs [n = 15], P = .001). PDs more strongly perceived gaps in other resources as barriers, including lack of funding to conduct or present SA (P < .001, P = .02), lack of statistical support (P = .03), and lack of faculty mentorship (P < .001). Within program concordance was low.
Discordance exists between PDs and residents with respect to SA participation and necessary resources, particularly, protected time. Programs must help residents identify when SA can be accomplished. Clearer national guidelines around SA training may also be necessary to reduce discordance and improve perceptions.
培训住院医师成为学者得到了主要医学教育组织的认可。我们之前的研究表明，学术活动（SA）培训经验在儿科住院医师培训项目中差异很大，住院医师和项目主任（PD）普遍感到不满。了解 PD 和住院医师的观点如何一致，可以帮助项目更好地指导资源分配和改进工作。
我们对 22 个美国分类项目的第二和第三年儿科住院医师和 PD 进行了横断面调查。我们通过 2 个比例 z 检验比较了住院医师和 PD 对 SA 培训信念、障碍和满意度的反应。我们使用描述性统计来描述住院医师对同一机构 PD 反应的反应。
大约 771 名住院医师中有 464 名（60.2%）和 22 名 PD（100%）做出了回应。在所有项目中，PD 更强烈地认为所有住院医师都应该参与 SA（59%的 PD [n=13]与 27%的住院医师 [n=127]，P=0.002）。住院医师更强烈地认为所有住院医师都应该有受保护的 SA 时间（91%的住院医师 [n=424]与 68%的 PD [n=15]，P=0.001）。PD 更强烈地认为其他资源存在差距是障碍，包括缺乏进行或呈现 SA 的资金（P<0.001，P=0.02）、缺乏统计支持（P=0.03）和缺乏教师指导（P<0.001）。在项目内一致性较低。
在 SA 参与和必要资源方面，PD 和住院医师之间存在分歧，尤其是在受保护的时间方面。项目必须帮助住院医师确定何时可以完成 SA。围绕 SA 培训制定更明确的国家准则也可能有助于减少分歧和改善看法。
