Schreyer Kraftin E, Del Portal Daniel A, Blome Andrea, DeAngelis Michael, Ufberg Jacob W
Department of Emergency Medicine Temple University Hospital Philadelphia Pennsylvania USA.
Department of Emergency Medicine Ochsner Medical Center New Orleans Louisiana USA.
AEM Educ Train. 2022 Jun 1;6(3):e10758. doi: 10.1002/aet2.10758. eCollection 2022 Jun.
The Accreditation Council for Graduate Medical Education requires residents to participate in scholarship and requires residency programs to provide an environment within which residents can acquire skills related to scholarly activities. However, consensus on the definition of scholarship and structure of program environments does not yet exist. We designed and implemented a content expert program (CEP) in 2015, in which each resident worked with a faculty advisor to develop a longitudinal scholarly activity linked to a core area of practice and, in doing so, became the department's "content expert." We hypothesized that the CEP would significantly increase the number of scholarly outputs per resident.
The CEP was structured around an oversight committee composed of key faculty members, which guided development of CEP projects through regular meetings and formative feedback. Each resident generated one or more scholarly outputs from their content area. Outputs were categorized into educational, operational, research, and miscellaneous domains and further identified as intradepartmental, interdepartmental, or interdisciplinary collaborations. The number of outputs was compared to the baseline number of scholarly activities per resident at the study program using a Mann-Whitney U test.
A total of 187 scholarly outputs were generated by 76 residents, which equated to 31.2 outputs per year, or 2.5 outputs per resident. This was a significant increase compared to the program baseline of one output per resident ( = 0.003). Eighteen distinct types of outputs spanned four major categories. Of the outputs, 37 were interdepartmental, 42 were interdisciplinary, and 32 were intradepartmental.
The CEP proved to be a sustainable way to significantly increase scholarly activity and additionally improved collaborative efforts. With the appropriate structure and willing faculty in place, such a program can enhance the practical education provided by residency programs.
毕业后医学教育认证委员会要求住院医师参与学术活动,并要求住院医师培训项目提供一个环境,使住院医师能够获得与学术活动相关的技能。然而,对于学术活动的定义和项目环境的结构尚未达成共识。我们在2015年设计并实施了一个内容专家项目(CEP),在该项目中,每位住院医师与一名教员顾问合作,开展一项与核心实践领域相关的纵向学术活动,并由此成为该部门的“内容专家”。我们假设CEP将显著增加每位住院医师的学术成果数量。
CEP围绕一个由关键教员组成的监督委员会构建,该委员会通过定期会议和形成性反馈指导CEP项目的开展。每位住院医师从其内容领域产生一个或多个学术成果。成果分为教育、操作、研究和其他领域,并进一步确定为部门内、部门间或跨学科合作。使用曼-惠特尼U检验将成果数量与研究项目中每位住院医师学术活动的基线数量进行比较。
76名住院医师共产生了187项学术成果,相当于每年31.2项成果,或每位住院医师2.5项成果。与每位住院医师一项成果的项目基线相比,这是一个显著增加(P = 0.003)。18种不同类型的成果跨越四个主要类别。在这些成果中,37项是部门间的,42项是跨学科的,32项是部门内的。
CEP被证明是显著增加学术活动并额外改善合作努力的一种可持续方式。有了适当的结构和积极主动的教员,这样一个项目可以加强住院医师培训项目提供的实践教育。