Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa.
Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa.
J Thorac Cardiovasc Surg. 2022 Feb;163(2):739-745. doi: 10.1016/j.jtcvs.2020.09.122. Epub 2020 Oct 7.
Academic productivity during cardiothoracic surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac surgery.
A comprehensive protocol for cardiac surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared cardiothoracic surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national cardiothoracic surgery meetings, and textbook chapters.
Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P < .01). Abstract oral or poster presentations also increased, from 11 to 40 (0.61 vs 1.33 abstracts per resident; P = .01). Textbook chapters increased from 4 to 15 following the intervention (0.22 vs 0.5 chapters per resident; P = .01).
Implementation of a dedicated protocol to facilitate faculty mentoring of resident research and streamline the data access, analysis, and publication process substantially improved cardiothoracic surgery residents' academic productivity.
心胸外科住院医师培训期间的学术成果是一个重要的项目指标，但由于多种因素的影响，其差异很大。本研究评估了实施一项提高心脏外科住院医师学术成果的方案对其的影响。
在我们的机构中实施了一项心脏外科综合方案，包括积极将住院医师与在学术上富有成效的教员配对、定期进行研究会议、由生物统计学家核心团队集中存储和分析数据、制定分析请求的正式同行评审方案以及项目优先级排序和反馈。我们比较了方案实施前（2015 年 7 月至 2017 年 6 月）和实施后（2017 年 7 月至 2019 年 6 月）心胸外科住院医师的学术成果。学术成果通过同行评审文章、全国心胸外科会议的口头或海报摘要展示（口头或海报）以及教科书章节来衡量。
在研究期间，共有 34 名住院医师（来自传统和整合项目）在我们的机构接受培训。在整个研究过程中共发表了 122 篇同行评审文章：74 篇（60.7%）为心脏相关，48 篇（39.3%）为胸部相关。实施前，住院医师发表的心脏相关文章数量从 10 篇增加到 64 篇（0.61 篇/住院医师比 2.03 篇/住院医师；P < 0.01）。口头或海报摘要展示也从 11 项增加到 40 项（0.61 篇/住院医师比 1.33 篇/住院医师；P = 0.01）。干预后，教科书章节从 4 章增加到 15 章（0.22 篇/住院医师比 0.5 篇/住院医师；P = 0.01）。
实施一项专门的方案来促进教员对住院医师研究的指导，并简化数据访问、分析和发布过程，大大提高了心胸外科住院医师的学术成果。
