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放射科住院医师的机构学术和研究轨道课程:6 年的发展、实施和结果评估。

An Institutional Academic and Research Track Curriculum for Radiology Residents: Development, Implementation, and Outcomes Assessment at 6 Years.

机构信息

Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 N. University Blvd, Room 0663, Indianapolis, IN.

Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 N. University Blvd, Room 0663, Indianapolis, IN.

出版信息

Acad Radiol. 2020 Sep;27(9):1298-1310. doi: 10.1016/j.acra.2019.11.024. Epub 2020 May 23.

Abstract

RATIONALE AND OBJECTIVES

We report the creation of a voluntary research development curriculum for radiology residents at our institution, detailing outcomes after 6 years of existence.

MATERIALS AND METHODS

We developed a comprehensive Academic and Research Track (ART) curriculum for radiology residents in our department, including mentorship, monthly meetings, didactic curriculum, ongoing evaluation/feedback, protected academic time, and financial support. A literature review identified all indexed publications for our residency graduates from 6 years pre- (2007-2012) to 6 years post-ART (2013-2018) intervention. We also documented career outcomes (academic versus private practice). Summary statistics, Chi-square, and Poisson regression analyses were performed.

RESULTS

ART group demonstrated significantly greater publication likelihood versus pre-ART predecessors (odds ratio [OR]: 3.59, 95% confidence intervals [CI]: 1.40-9.19; risk ratios [RR]: 1.58, 95% CI: 1.19-2.11; p= 0.01), contemporaneous non-ART cohort (OR: 3.03, 95% CI: 1.12-8.33; RR: 1.45, 95% CI: 1.08-1.96; p = 0.04), and combined pre-ART plus non-ART group (OR: 3.34, 95% CI: 1.35-8.22; RR: 1.41, 95% CI: 0.87-2.29; p = 0.012). In Poisson regression, ART was a significant factor for total, first author, and senior author publications among all graduates and among the subset which remained in academics (all p-values < 0.05). Estimators were positive in all regressions, indicating a positive effect of ART for increasing numbers of publications.

CONCLUSION

ART membership was associated with significantly increased indexed publications. A greater proportion of ART members remained in academics compared to non-ART members, but did not reach statistical significance. We detail our ART structure and curriculum, which may be used as a malleable template for other radiology departments.

摘要

背景与目的

我们报告了为本院放射科住院医师创建的自愿性研究发展课程,详细介绍了该课程存在 6 年后的结果。

材料与方法

我们为所在部门的放射科住院医师制定了全面的学术和研究轨道(ART)课程,包括导师指导、每月会议、教学课程、持续评估/反馈、受保护的学术时间和财政支持。文献回顾确定了从 ART 干预前 6 年(2007-2012 年)到 ART 后 6 年(2013-2018 年)期间所有我们住院医师毕业生的索引出版物。我们还记录了职业结果(学术与私人执业)。采用汇总统计、卡方检验和泊松回归分析。

结果

ART 组的发表可能性明显高于 ART 干预前的前辈(比值比 [OR]:3.59,95%置信区间 [CI]:1.40-9.19;风险比 [RR]:1.58,95% CI:1.19-2.11;p=0.01),与同期非 ART 队列相比(OR:3.03,95% CI:1.12-8.33;RR:1.45,95% CI:1.08-1.96;p=0.04),与 ART 干预前加非 ART 组相比(OR:3.34,95% CI:1.35-8.22;RR:1.41,95% CI:0.87-2.29;p=0.012)。在泊松回归中,ART 是所有毕业生和留在学术界的亚组中总、第一作者和资深作者出版物的重要因素(所有 p 值均<0.05)。所有回归中的估计值均为正,表明 ART 对增加出版物数量具有积极影响。

结论

ART 成员的索引出版物显著增加。与非 ART 成员相比,ART 成员中更多的人留在学术界,但未达到统计学意义。我们详细介绍了我们的 ART 结构和课程,这可能为其他放射科部门提供一个灵活的模板。

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