Department of Obstetrics and Gynecology of Port-Royal, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris University, Paris, France.
Department of Obstetrics and Gynecology of Port-Royal, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris University, Paris, France; Obstetrical Perinatal and Pediatric Epidemiology (Epopé) Research Team, Center for Epidemiology and Statistics (CRESS), INSERM U1153, Paris, France.
Eur J Obstet Gynecol Reprod Biol. 2023 Aug;287:161-165. doi: 10.1016/j.ejogrb.2023.06.013. Epub 2023 Jun 16.
To determine the publication rate of mandatory research projects conducted by obstetrics residents and to evaluate the publication-associated factors and reported obstacles.
This retrospective cohort study included all consecutive residents in an academic obstetrics-gynecology department in Paris, France, between 2010 and 2020. All residents were required to conduct a research project. Information about publication was collected by searching PubMed. A closed-ended questions questionnaire was sent to former residents about their characteristics, subsequent professional development, and research project characteristics. Factors associated with publication were identified by univariable and multivariable analysis with logistic regression.
During the study period, 156 residents trained in our obstetrics-gynecology department. The overall publication rate was 30.8% (48/156) and the median time to publication 27 months (IQR, 18-37). The resident was first author in 36 (75.0%) publications. Among the 130 (83.3%) residents who completed the questionnaire, 43 (33%) had published their research project. Overall, 74/130 (60.8%) residents used their project for their mandatory medical thesis. Factors associated with publication in univariable analysis were younger age (median), completion of a PhD, planned career in academic medicine, prospective study design, presentation at a conference or congress and use their project for their medical thesis. The only factors associated with publication in the multivariable analysis were planned career in academic medicine (aOR 5.62 95 %CI[1.84-17.19]) and the prospective study design of the research project (aOR 6.1 95 %CI[1.24-29.56]). The main reasons for nonpublication reported by resident were lack of time and failure to complete the project.
Among the mandatory clinical research projects conducted by obstetrics residents over a decade in our department, 30.8% were published. The main factors associated with publication were planned career in academic medicine and a prospective design of the research project.
确定妇产科住院医师进行强制性研究项目的发表率，并评估发表相关因素和报告的障碍。
本回顾性队列研究纳入了 2010 年至 2020 年期间法国巴黎某学术妇产科部门的所有连续住院医师。所有住院医师都被要求进行一项研究项目。通过搜索 PubMed 收集有关发表情况的信息。向以前的住院医师发送一份封闭式问题调查问卷，了解他们的特征、后续的专业发展和研究项目特征。使用逻辑回归进行单变量和多变量分析确定与发表相关的因素。
在研究期间，我们妇产科部门培训了 156 名住院医师。总的发表率为 30.8%（48/156），发表中位数时间为 27 个月（IQR，18-37）。住院医师是 36 篇（75.0%）出版物的第一作者。在完成问卷的 130 名（83.3%）住院医师中，有 43 名（33%）发表了他们的研究项目。总的来说，74/130（60.8%）名住院医师将其项目用于强制性医学论文。单变量分析中与发表相关的因素是年龄较小（中位数）、完成博士学位、计划从事学术医学、前瞻性研究设计、在会议或大会上展示以及将项目用于医学论文。多变量分析中唯一与发表相关的因素是计划从事学术医学（优势比 5.62，95%CI[1.84-17.19]）和研究项目的前瞻性研究设计（优势比 6.1，95%CI[1.24-29.56]）。住院医师报告的未发表的主要原因是缺乏时间和未能完成项目。
在我们部门 10 多年来妇产科住院医师进行的强制性临床研究项目中，有 30.8%发表了论文。与发表相关的主要因素是计划从事学术医学和研究项目的前瞻性设计。
