Barghi Ameen, Gruenberger Eric, Gottlieb Rachel, Lunn Kiera, Paul Kyle D, Cannon Reily, Ponce Brent A, Dyer George S M, Herndon James
Orthopedics, Atrium Health Wake Forest Baptist Health, Winston-Salem, USA.
Orthopedics, Hughston Foundation, Columbus, USA.
Cureus. 2022 Dec 15;14(12):e32570. doi: 10.7759/cureus.32570. eCollection 2022 Dec.
Objective The Accreditation Council for Graduate Medical Education (ACGME) guidelines require scholarly activity but do not specify what research-related activity is necessary to meet this requirement. The current components and opinions regarding research and its implementation that qualify as scholarly activity are unknown among US orthopedic surgery programs. We aimed to survey program directors of orthopedic surgery programs to evaluate and better understand the current state of research during training. Design A survey was sent to the program directors of all ACGME-accredited orthopedic surgery between 2019 and 2020 with questions evaluating each program's research requirements and barriers to improvement. Results One-hundred eighteen (N=118) surveys were collected from 94 academic (79.6%) and 24 community (21.4%) programs. Although nearly all (97.5%) programs required research for graduation, only 45% of them allotted protected time: 52 academic programs (55.3%) allotted a median of nine weeks (interquartile range (IQR): 8-12 weeks) of dedicated time and 13 community programs (54.2%) allotted six weeks (IQR: 4-28 weeks) (p=0.595). We distinguished dedicated research as either consecutive weeks or a formal research track for a year. All programs indicated a desire for an increased focus on basic science compared to the current focus on outcomes-based research (p=0.04). The greatest identified obstacle to research improvement reported by community programs was faculty and resource commitment (p=0.003). The overall level of satisfaction with the current research experience among directors is 50.8%. Conclusion Despite differences between academic and community programs, directors agree on shifting the focus of research toward basic science. To improve preclinical research, additional time may be required, and individualized improvement plans should be undertaken at academic and community programs alike.
目的 毕业后医学教育认证委员会（ACGME）的指南要求开展学术活动，但未明确规定为满足这一要求需要进行哪些与研究相关的活动。在美国骨科手术项目中，目前关于符合学术活动资格的研究及其实施的组成部分和观点尚不清楚。我们旨在对骨科手术项目的项目主任进行调查，以评估并更好地了解培训期间研究的现状。
设计 2019年至2020年期间，向所有经ACGME认证的骨科手术项目主任发送了一份调查问卷，问题涉及评估每个项目的研究要求和改进障碍。
结果 共收集到118份来自94个学术项目（79.6%）和24个社区项目（21.4%）的调查问卷。尽管几乎所有（97.5%）项目都要求毕业前进行研究，但只有45%的项目分配了专门时间：52个学术项目（55.3%）分配的专门时间中位数为9周（四分位间距（IQR）：8 - 12周），13个社区项目（54.2%）分配了6周（IQR：4 - 28周）（p = 0.595）。我们将专门研究定义为连续几周或为期一年的正式研究轨道。与目前对基于结果的研究的关注相比，所有项目都表示希望更多地关注基础科学（p = 0.04）。社区项目报告的研究改进的最大障碍是教师和资源投入（p = 0.003）。主任们对当前研究经历的总体满意度为50.8%。
结论 尽管学术项目和社区项目存在差异，但主任们一致认为应将研究重点转向基础科学。为了改进临床前研究，可能需要额外的时间，学术项目和社区项目都应制定个性化的改进计划。
