Granger Caroline J, Rothy Alexander, Nigh Evan, Hernandez Victor H, Baraga Michael, Conway Sheila Ann
Leonard M. Miller School of Medicine, University of Miami, Miami, Florida.
Department of Orthopaedic Surgery, University of Miami, Miami, Florida.
JB JS Open Access. 2020 Oct 28;5(4). doi: 10.2106/JBJS.OA.20.00012. eCollection 2020 Oct-Dec.
Contribution toward clinical research is paramount to the education of physician trainees and is required by the Accreditation Council for Graduate Medical Education. From 1987 through 2015, our single institution orthopaedic surgery residency research experience included 2 dedicated research rotations. Because few resident projects were pursued to completion, feedback was used to restructure the curriculum, including the appointment of 2 clinical orthopaedic faculty to serve as codirectors, development of a revised curriculum, use of research teams, and a centralized research database. Our group previously displayed increased resident productivity within 2 years after the 2015 implementation. The aim of this study was to investigate the impact of orthopaedic residency curricular changes on scholarly activity of orthopaedic teaching faculty.
The curriculum vitae (CVs) of a single institution's orthopaedic teaching faculty were collected and retrospectively reviewed from 2014 through 2018 to determine academic productivity of clinical faculty. Indicators of academic productivity included peer-reviewed publications (including journal impact factors) and podium or poster presentations.
Twenty-three of 27 faculty members responded to our request for CVs. One hundred three CVs were reviewed on 23 faculty. All academic indicators increased over 5 years. Multivariate analysis of variance (MANOVA) using a multivariate repeated measures analysis was completed. A sphericity χ test was violated for all measures, precluding us from using unadjusted univariate analysis. Univariate MANOVA with repeated measures displays significance regarding impact factor (f < 0.02, p < 0.05) and journal publications (f < 0.004, p < 0.05). Subsequent multivariate analysis shows similar results regarding impact factor (f < 0.0008), journal publications (0.0005), and poster presentations (f < 0.016).
Improved structure of an established resident research rotation combined with enhanced faculty mentorship resulted in a significant increase in academic productivity for clinical teaching faculty of the department of orthopaedic surgery. This increase parallels that seen in orthopaedic resident research productivity; indicating a positive impact on teaching faculty scholarly activity.
III.
对临床研究做出贡献对医师培训生的教育至关重要，也是研究生医学教育认证委员会的要求。从1987年到2015年，我们单一机构的骨科住院医师研究经历包括2次专门的研究轮转。由于很少有住院医师项目能完成，因此利用反馈对课程进行了重组，包括任命2名临床骨科教员担任联合主任、制定修订后的课程、使用研究团队以及建立一个集中的研究数据库。我们的团队此前显示，在2015年实施后的2年内，住院医师的产出有所增加。本研究的目的是调查骨科住院医师课程变化对骨科教学教员学术活动的影响。
收集并回顾了单一机构骨科教学教员从2014年到2018年的简历，以确定临床教员的学术产出。学术产出指标包括同行评审出版物（包括期刊影响因子）以及讲台或海报展示。
27名教员中有23名回应了我们索要简历的请求。对23名教员的103份简历进行了审查。所有学术指标在5年内都有所增加。使用多变量重复测量分析完成了多变量方差分析（MANOVA）。所有测量均违反了球形χ检验，这使我们无法使用未经调整的单变量分析。具有重复测量的单变量MANOVA显示，在影响因子（F<0.02，P<0.05）和期刊出版物（F<0.004，P<0.05）方面具有显著性。随后的多变量分析在影响因子（F<0.0008）、期刊出版物（F<0.0005）和海报展示（F<0.016）方面显示了类似结果。
既定住院医师研究轮转结构的改善，再加上教员指导的加强，导致骨科手术科室临床教学教员的学术产出显著增加。这种增加与骨科住院医师研究产出的增加相似；表明对教学教员的学术活动有积极影响。
III级。
