Pediatric Residency Program, Department of Woman and Child's Health, University of Padova, Via N.Giustiniani, 3, 35128, Padova, Italy.
Department of Pediatrics, Yale University, New Haven, CT, USA.
Eur J Pediatr. 2024 Apr;183(4):1567-1570. doi: 10.1007/s00431-023-05258-9. Epub 2023 Oct 18.
Less than 2% of physicians complete a research training (PhD) after the residency with a declining trend in those pursuing a clinical scientist pathway in pediatrics. The exposure to research methodology during the clinical training may play a role in engaging the next generations of pediatric physician scientist. Herein, we describe the experience of the Padova Physician Scientist Research Training (PPSRT) of the pediatric residency program at the University of Padova. The PPSRT was addressed to residents attending PGY2 to PGY4 of the pediatric program and consisted of two cores: a general one including in person or virtual lectures about research methodology in pediatrics including design of a clinical trial, writing of a scientific paper and statistical methods, and a subspecialties core for the discussion of research challenges in each area and the scientific writing activities. The perceived barriers to a research training and an evaluation of the program were assessed by an anonymized questionnaire. Sixty-four out 150 residents registered for the research training with 62/64 completing the two cores. The major perceived barrier to research during clinical training was the absence of protected time (89%) followed by the lack of specific funds (37%). The group activities lead to the publication of 24 papers. Conclusion: This is the first experience in the Italian pediatric training of a dedicated research program within the frame of postgraduate medical education. Our report highlights the need for protected time to promote research interest and nurture a new generation of physician scientists. What is Known: • Training to medical research is not part of residency program. • The declining trend of physician scientists might be reverted by early exposure to research methodology and challenges during residency. What is New: • An early exposure to research training during pediatric residency increases the research engagement of pediatric residents. • The lack of protected time for research is perceived as the major barrier to research training during residency.
不到 2%的医生在住院医师培训后完成研究培训(博士),而从事儿科临床科学家职业道路的人数呈下降趋势。临床培训中接触研究方法可能在吸引下一代儿科医生科学家方面发挥作用。在此,我们描述了帕多瓦医师科学家研究培训(PPSRT)在帕多瓦大学儿科住院医师培训计划中的经验。PPSRT 面向参加儿科计划 PGY2 至 PGY4 的住院医师,并包括两个核心:一个是一般核心,包括关于儿科研究方法的面对面或虚拟讲座,包括临床试验设计、科学论文写作和统计方法,以及一个专业核心,用于讨论每个领域的研究挑战和科学写作活动。通过匿名问卷评估对研究培训的感知障碍和对该计划的评估。在 150 名住院医师中有 64 名注册参加研究培训,其中 62/64 名完成了两个核心。临床培训中开展研究的主要感知障碍是缺乏保护时间(89%),其次是缺乏特定资金(37%)。小组活动促成了 24 篇论文的发表。结论:这是意大利儿科培训中首次在研究生医学教育框架内开展专门的研究计划。我们的报告强调了需要保护时间来促进研究兴趣和培养新一代医生科学家。已知:• 医学研究培训不是住院医师培训计划的一部分。• 通过在住院医师培训期间尽早接触研究方法和挑战,可能会扭转医生科学家数量下降的趋势。新发现:• 在儿科住院医师培训期间尽早接触研究培训会增加儿科住院医师的研究参与度。• 缺乏研究的保护时间被认为是住院医师培训期间研究培训的主要障碍。