Deleon Michael A, Lakhotia Simren, Gelfond Jonathan, Peebles Courtney, Lathrop Kate, Botros-Brey Sylvia
Office of Research, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Population Health Sciences, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Cureus. 2024 May 21;16(5):e60809. doi: 10.7759/cureus.60809. eCollection 2024 May.
Introduction The purpose of this study was to identify student-reported institutional facilitators and barriers to successful research experiences at a single United States allopathic institution. Residency applications have increasingly become more competitive, and with the United States Medical Licensing Examination (USMLE) Step 1 exam's transition to pass/fail, factors such as research experience and outcomes may become more important to increase residency application competitiveness. This study sought to explore factors that impact successful research experiences leading to tangible outcomes for medical students at our medical school, the Joe R. & Teresa Lozano Long School of Medicine. Methods A cross-sectional survey was developed and administered via REDCap to 853 students in May 2022. Survey question domains included demographics, past and present research participation, perceived barriers/facilitators to research, tangible outcomes (e.g., publications and posters), and overall satisfaction with research comparing subjectively "best" and "worst" experiences. The Institutional Review Board (IRB) deemed this project as non-regulated research. Results We had a 24% (n = 204/853) response rate. The responses were distributed equally among the four classes. A big portion of the participants (71%, n = 59/83) identified a tangible outcome as the most important measure of success. Regarding facilitators, students identified having a mentor (89%, n = 165/184) and departmental connections (85%, n = 156/184) as the most important when looking for a project. Barriers included SMART goals (Specific, Measurable, Achievable, Relevant, and Time-Bound) lacking in 31% (n = 24/75) of worst projects, followed by a clear timeline in 29% (n = 22/76) and hours of commitment in 27% (n = 21/78). The best projects were more likely to have resulted in a publication (61% (27/44) vs. 32% (14/44)) or have a poster (64% (28/44) vs. 36% (16/44)). Conclusions Medical students are interested in participating in research, with important facilitators including mentorship and departmental connections. Modifiable variables include lack of clear timelines, well-defined roles and responsibilities, and time commitments. This information may be useful for faculty who mentor medical students or medical schools interested in designing medical student research programs.
引言 本研究的目的是确定美国一所单一的全科医学机构中,学生报告的有助于成功开展研究经历的机构因素和阻碍因素。住院医师申请竞争日益激烈,随着美国医师执照考试(USMLE)第一步考试改为通过/失败制,研究经历和成果等因素对于提高住院医师申请竞争力可能变得更加重要。本研究旨在探索影响我校乔·R·和特蕾莎·洛萨诺·朗医学院医学生成功开展研究并取得切实成果的因素。
方法 2022年5月,通过REDCap开发并实施了一项横断面调查,对象为853名学生。调查问题领域包括人口统计学、过去和现在的研究参与情况、对研究的感知障碍/促进因素、切实成果(如出版物和海报),以及对研究的总体满意度,比较主观认为的“最佳”和“最差”经历。机构审查委员会(IRB)将该项目视为非监管研究。
结果 我们的回复率为24%(n = 204/853)。回复在四个班级中平均分布。很大一部分参与者(71%,n = 59/83)将切实成果视为成功的最重要衡量标准。关于促进因素,学生们在寻找项目时,认为有导师(89%,n = 165/184)和部门联系(85%,n = 156/184)是最重要的。阻碍因素包括31%(n = 24/75)的最差项目缺乏SMART目标(具体、可衡量、可实现、相关和有时限),其次是29%(n = 22/76)的项目缺乏明确的时间表,以及27%(n = 21/78)的项目缺乏投入时间。最佳项目更有可能发表论文(61%(27/44)对32%(14/44))或有海报展示(64%(28/44)对36%(16/44))。
结论 医学生对参与研究感兴趣,重要的促进因素包括导师指导和部门联系。可改变的变量包括缺乏明确的时间表、明确的角色和职责以及时间投入。这些信息可能对指导医学生的教师或有兴趣设计医学生研究项目的医学院校有用。