Department of Neurosurgery, Humanitas University and Research Hospital, Milan, Italy.
Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
World Neurosurg. 2020 Oct;142:e101-e110. doi: 10.1016/j.wneu.2020.06.105. Epub 2020 Jun 22.
In parallel with the progress in neurosurgery, improvements in residents' training strategies have been reported. Increasing focus has been placed on residents' participation in research. Previous studies analyzed neurosurgery residents' contributions to research activities, time dedicated to research, and outcomes. However, few studies investigating these aspects outside the United States are present in the literature.
A 3-section survey was sent to neurosurgery residents in Italy to determine the current opinion, perceptions, and experiences in the research field. A review of the pertinent literature was carried out.
Ninety-seven responding residents (response rate of 41.5%) self-reported an average time spent on research of 9.7 ± 11.4 hours/week. In decreasing frequency, residents were working on retrospective cohort studies (27.5%), case reports (21.7%), case series (15.5%), prospective cohort studies (13.4%), and others (16.4%). The most commonly reported factors promoting interest in research were interaction with peers (76.3%), mentorship (70.1%), and conference exposure (52.6%). Reported strategies of program support were heterogeneous with a prevalence for established collaborative agreements (59.8%) and the presence of a study coordinator (37.1%). The most frequently cited limiting factors were regulatory paperwork (70.1%), call schedule (60.8%), and lack of participating students/residents (57.7%).
By describing the current status of Italian residents' participation in research, we provide additional insight into factors supporting research involvement and existing barriers. Strategies for improvement at national and departmental levels are suggested. We encourage further investigations in other countries, to provide useful information in a worldwide framework.
随着神经外科学的发展,报道称住院医师培训策略有所改进。越来越重视住院医师参与研究。以前的研究分析了神经外科住院医师对研究活动、投入研究的时间和结果的贡献。然而,文献中很少有研究调查美国以外的这些方面。
向意大利神经外科住院医师发送了一份三部分的调查,以确定他们在研究领域的当前意见、看法和经验。对相关文献进行了回顾。
97 名回复的住院医师(回复率为 41.5%)自我报告平均每周用于研究的时间为 9.7±11.4 小时。按频率递减的顺序,住院医师正在进行回顾性队列研究(27.5%)、病例报告(21.7%)、病例系列(15.5%)、前瞻性队列研究(13.4%)和其他研究(16.4%)。报告中促进研究兴趣的最常见因素是与同事的互动(76.3%)、指导(70.1%)和会议参与(52.6%)。报告的项目支持策略具有异质性,普遍存在既定的合作协议(59.8%)和研究协调员(37.1%)。最常被引用的限制因素是监管文件工作(70.1%)、值班时间表(60.8%)和缺乏参与的学生/住院医师(57.7%)。
通过描述意大利住院医师参与研究的现状,我们提供了更多关于支持研究参与的因素和现有障碍的信息。建议在国家和部门层面采取改进策略。我们鼓励在其他国家进行进一步的调查,以便在全球框架内提供有用的信息。