From the Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh.
Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Pediatr Emerg Care. 2023 Jan 1;39(1):e11-e14. doi: 10.1097/PEC.0000000000002715. Epub 2022 Apr 27.
Pediatric subspecialty fellows are required to complete a scholarly product during training; however, many do not bring the work to publication. To amplify our fellows' publication success, our pediatric emergency medicine fellowship program implemented a comprehensive research curriculum and established a milestone-based research timeline for each component of a project. Our objective was to assess whether these interventions increased the publication rate and enhanced the graduated fellows' perceived ability to perform independent research.
Our study was conducted at a tertiary children's hospital affiliated with an academic university, enrolling 3 fellows each year in its pediatric emergency medicine program. A comprehensive research curriculum and a milestone-based research timeline were implemented in 2011. We analyzed the publication rate of our graduating fellows before (2004-2011) and after (2012-2016) our intervention. In addition, in 2017 we surveyed our previous fellows who graduated from 2004 to 2016 and analyzed factors favoring manuscript publication and confidence with various research skills.
During the study period, 38 trainees completed the fellowship program. Publication rate increased from 26% ± 17% to 87% ± 30 % ( P < 0.05). When scoring the importance of various factors, fellows most valued mentorship (5 ± 0 vs 4.3 ± 1.0, P < 0.05, postintervention vs preintervention) for the completion of the fellowship study and manuscript. Fellows after the intervention reported greater confidence in performing an analysis of variance (89% vs 36%, odds ratio, 6.3; 95% confidence interval, 1.4-150.1).
Implementation of a comprehensive research curriculum and a milestone-based research timeline was associated with an increase in the publication rate within 3 years of graduation of our pediatric emergency medicine fellows. After implementation, fellows reported an increased importance of mentorship and greater confidence in performing an analysis of variance. We provide a comprehensive curriculum and a research timeline that may serve as a model for other fellowship programs.
儿科专科医师培训生在培训期间需要完成一项学术成果,但许多人未能将其发表。为了提高我们的学员的发表成功率,我们的儿科急诊医学 fellowship 项目实施了全面的研究课程,并为项目的每个组成部分建立了基于里程碑的研究时间表。我们的目标是评估这些干预措施是否提高了发表率,并增强了即将毕业的学员进行独立研究的能力。
我们的研究在一家附属学术大学的三级儿童医院进行,每年招收 3 名儿科急诊医学项目的学员。2011 年实施了全面的研究课程和基于里程碑的研究时间表。我们分析了我们干预前后(2004-2011 年和 2012-2016 年)毕业学员的发表率。此外,我们在 2017 年调查了 2004 年至 2016 年毕业的前一批学员,并分析了有利于手稿发表的因素以及对各种研究技能的信心。
在研究期间,38 名学员完成了该 fellowship 项目。发表率从 26%±17%增加到 87%±30%(P<0.05)。在对各种因素的重要性进行评分时,学员最看重导师指导(5±0 与 4.3±1.0,P<0.05,干预后与干预前)完成 fellowship研究和手稿。干预后,学员在进行方差分析方面的信心更大(89%对 36%,优势比 6.3;95%置信区间,1.4-150.1)。
实施全面的研究课程和基于里程碑的研究时间表与我们的儿科急诊医学学员在毕业 3 年内发表率的提高有关。实施后,学员报告导师指导的重要性增加,并且在进行方差分析方面的信心更大。我们提供了一个全面的课程和研究时间表,可为其他 fellowship 项目提供参考。