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骨科住院医师培训期间的研究生产力与预先计划和受保护的研究时间相关:德语国家的调查。

Research productivity during orthopedic surgery residency correlates with pre-planned and protected research time: a survey of German-speaking countries.

机构信息

Department of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Sporthopaedicum Straubing-Regensburg, Regensburg, Germany.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2021 Jan;29(1):292-299. doi: 10.1007/s00167-020-05983-w. Epub 2020 Apr 17.

DOI:10.1007/s00167-020-05983-w
PMID:32303802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7862526/
Abstract

PURPOSE

The purpose of this study was to identify modifiable factors associated with research activity among residents working in orthopedic surgery and traumatology.

METHODS

Residents at 796 university-affiliated hospitals in Austria, Germany, and Switzerland were invited to participate. The online survey consisted of questions that ascertained 13 modifiable and 17 non-modifiable factors associated with the residents' current research activities. Responses of 129 residents were analyzed. Univariate linear regression was used to determine the association of individual factors with the current research activity (hours per week). The impact of significant non-modifiable factors (with unadjusted p values < 0.05) was controlled for using multivariate linear regression.

RESULTS

The univariate analysis demonstrated six non-modifiable factors that were significantly associated with the current research activity: a University hospital setting (p < 0.001), an A-level hospital setting (p = 0.024), Swiss residents (p = 0.0012), the completion of a dedicated research year (p = 0.007), female gender (p = 0.016), and the department's size (p = 0.048). Multivariate regression demonstrated that the number of protected research days per year (p < 0.029) and the percentage of protected days, that were known 1 week before (p < 0.001) or the day before (p < 0.001), were significantly associated with a higher research activity.

CONCLUSIONS

As hypothesized, more frequent and predictable protected research days were associated with higher research activity among residents in orthopedic surgery and traumatology.

LEVEL OF EVIDENCE

III.

摘要

目的

本研究旨在确定与从事骨科和创伤外科的住院医师相关的可改变因素与研究活动之间的关系。

方法

邀请奥地利、德国和瑞士 796 家大学附属医院的住院医师参加。在线调查包括了确定与住院医师当前研究活动相关的 13 个可改变和 17 个不可改变因素的问题。分析了 129 名住院医师的回答。采用单变量线性回归来确定各因素与当前研究活动(每周工作时间)之间的关系。使用多元线性回归来控制具有未调整 p 值<0.05 的显著不可改变因素的影响。

结果

单变量分析显示,有 6 个不可改变的因素与当前的研究活动显著相关:大学医院环境(p<0.001)、A 级医院环境(p=0.024)、瑞士居民(p=0.0012)、完成专门的研究年(p=0.007)、女性性别(p=0.016)和科室规模(p=0.048)。多元回归分析表明,每年受保护的研究天数(p<0.029)以及提前一周(p<0.001)或前一天(p<0.001)已知的受保护天数的百分比与更高的研究活动显著相关。

结论

正如假设的那样,更频繁和可预测的受保护研究天数与骨科和创伤外科住院医师的更高研究活动相关。

证据水平

III。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7438/7862526/0d130ae49fff/167_2020_5983_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7438/7862526/14e73ee6a42a/167_2020_5983_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7438/7862526/0d130ae49fff/167_2020_5983_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7438/7862526/14e73ee6a42a/167_2020_5983_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7438/7862526/0d130ae49fff/167_2020_5983_Fig2_HTML.jpg

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本文引用的文献

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Have Residents Produced More Research Since the Inception of the 80-Hour Workweek?自实行80小时工作周以来,住院医师的研究成果是否有所增加?
Iowa Orthop J. 2017;37:205-209.
沙特骨科住院医师的研究活动和批判性评价技能。
BMC Med Educ. 2021 Jun 2;21(1):311. doi: 10.1186/s12909-021-02772-y.