Atalay Alev J, Ard Kevin, Bethea Emily, Christopher Kenneth B, Yialamas Maria A
Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
Adv Med Educ Pract. 2020 Feb 18;11:121-129. doi: 10.2147/AMEP.S238221. eCollection 2020.
Participation in scholarship is a requirement for Internal Medicine (IM) residencies, but programs struggle to successfully integrate research into busy clinical schedules. In 2013, the IM residency at Brigham and Women's Hospital implemented the Housestaff Research Project (HRP)- a novel residency-wide research initiative designed to facilitate participation in scholarship. The HRP had two components-a formal research curriculum and an infrastructure that provided funding and mentorship for resident-led, housestaff wide projects.
This is a mixed-methods study of 190 IM residents and two HRP-supported research projects. Seventy-seven residents responded to an electronic survey about their interests in research exposure in residency. Fifty-six residents responded to an electronic survey about their participation in the HRP. The success of HRP-supported projects was evaluated through resident comments, interviews with three residents leading the first two HRPs and a description of the success of the projects based on resident involvement and dissemination of the results.
Eighty-seven percent (n= 67/77) of residents were interested in additional research exposure during residency. Ninety-five percent (n = 53/56) of residents had heard of the HRP, and 77% had participate in at least one aspect of it. Approximately 20 residents were directly involved in the two resident-led projects. HRP-supported projects resulted in presentations at three local and three national conferences, one manuscript in press, and one manuscript in preparation. The resident project leaders felt that a strength and unique aspect of the HRP was the collaboration with co-residents.
The HRP successfully created a culture of research and scholarship within the residency. The HRP leaders and residents that participated in HRP-supported projects expressed the most direct benefits from the program. All residents were exposed to research concepts and methods. Future directions for the HRP include selecting projects that maximize the number of resident participants and integrating a more robust research curriculum.
参与学术研究是内科住院医师培训的一项要求，但各项目在将研究成功融入繁忙的临床日程安排方面面临困难。2013年，布莱根妇女医院的内科住院医师培训项目实施了住院医师研究项目（HRP）——一项全新的全院范围的研究倡议，旨在促进学术研究参与。HRP有两个组成部分——一个正式的研究课程以及一个为住院医师主导的全院范围项目提供资金和指导的基础设施。
这是一项针对190名内科住院医师和两个由HRP支持的研究项目的混合方法研究。77名住院医师回复了关于他们对住院医师培训期间研究接触兴趣的电子调查问卷。56名住院医师回复了关于他们参与HRP情况的电子调查问卷。通过住院医师的评论、对前两个HRP项目的三名住院医师负责人的访谈以及基于住院医师参与情况和研究结果传播情况对项目成功情况的描述，对HRP支持项目的成功进行了评估。
87%（n = 67/77）的住院医师对在住院医师培训期间增加研究接触感兴趣。95%（n = 53/56）的住院医师听说过HRP，77%的住院医师至少参与了其中一个方面。约20名住院医师直接参与了这两个由住院医师主导的项目。HRP支持的项目在三个地方会议和三个全国会议上进行了展示，一篇论文已发表，一篇论文正在撰写中。住院医师项目负责人认为HRP的一个优势和独特之处在于与住院医师同伴的合作。
HRP在住院医师培训项目中成功营造了一种研究和学术的文化氛围。参与HRP支持项目的HRP负责人和住院医师表示从该项目中获得了最直接的益处。所有住院医师都接触到了研究概念和方法。HRP未来的方向包括选择能使住院医师参与人数最大化的项目，并整合更完善的研究课程。
