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学术文化的发展:家庭医学住院医师培训项目中结构化学术活动路线图的影响

Development of a Culture of Scholarship: The Impact of a Structured Roadmap for Scholarly Activity in Family Medicine Residency Program.

作者信息

Waheed Abdul, Nasir Munima, Azhar Erum

机构信息

Family Medicine, Wellspan Good Samaritan Hospital, Lebanon, USA.

Family and Community Medcine, Penn State University College of Medicine, Milton S. Hershey Medical Center, Hershey, USA.

出版信息

Cureus. 2020 Mar 1;12(3):e7153. doi: 10.7759/cureus.7153.

Abstract

INTRODUCTION

The Accreditation Council of Graduate Medical Education (ACGME) mandates resident scholarship in all residency programs. Resident scholarship requirement continues to be one of the most common citations by the Residency Review Committee (RRC). This study evaluates the impact of a structured roadmap for resident scholarly activity in a single-family medicine residency program.

METHODS

This retrospective study compares resident scholarship before and after exposure to a structured roadmap for scholarly activity as well as characteristics associated with higher scholarship productivity. The data was analyzed using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) version 16.0. Student's t-test was used to calculate the statistically significant difference.

RESULTS

There were a total of 16 residents who graduated in the first cohort whereas the second cohort consisted of 18 residents. There was a steady increase in resident scholarly activity over time. The number of publications by those who were exposed to a 13-step structured roadmap for scholarly activity was more than twice when compared with the first cohort. Those who pursued a fellowship after residency published three times more than those who did not.

CONCLUSION

Exposure to a structured roadmap for scholarly activity may be associated with higher production of resident scholarly activity. Larger studies comparing national level data from isolated community hospitals and big academic centers are needed for a conclusive argument. Although the availability of resources may increase the likelihood of more scholarship, the establishment of a research culture is more important. Further studies are needed to determine the factors which lead to the establishment of research culture in a residency program.

摘要

引言

研究生医学教育认证委员会(ACGME)要求所有住院医师培训项目开展住院医师学术活动。住院医师学术活动要求仍然是住院医师评审委员会(RRC)最常引用的内容之一。本研究评估了在一个单一的家庭医学住院医师培训项目中,为住院医师学术活动制定结构化路线图的影响。

方法

这项回顾性研究比较了接触学术活动结构化路线图前后的住院医师学术成果,以及与较高学术产出相关的特征。使用社会科学统计软件包(SPSS Inc.,伊利诺伊州芝加哥)16.0版对数据进行分析。采用学生t检验计算统计学上的显著差异。

结果

第一组共有16名住院医师毕业,而第二组有18名住院医师。随着时间的推移,住院医师的学术活动稳步增加。与第一组相比,接触13步学术活动结构化路线图的人员发表的论文数量增加了两倍多。住院医师培训结束后继续攻读专科 fellowship 的人员发表的论文数量是未攻读人员的三倍。

结论

接触学术活动结构化路线图可能与住院医师学术活动的更高产出相关。需要进行更大规模的研究,比较来自偏远社区医院和大型学术中心的国家级数据,以得出确凿的结论。虽然资源的可用性可能会增加更多学术成果产生的可能性,但建立研究文化更为重要。需要进一步研究以确定在住院医师培训项目中导致建立研究文化的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9554/7053682/32e6123cdb9f/cureus-0012-00000007153-i01.jpg

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