Roberson Jeffrey L, Passman Jesse E, Lee Major Kenneth, Singhal Sunil, Kelz Rachel, Morris Jon B, Maguire Lillias H
Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
J Surg Educ. 2024 Dec;81(12):103280. doi: 10.1016/j.jsurg.2024.08.030. Epub 2024 Oct 7.
Extramural funding is critical to career success and advancement in academic surgery, and surgical residents can apply for both societal and federal funding. Many federal funding mechanisms require proposals to be submitted before residents' formal research years.
To better understand the resident experience with grantsmanship, we distributed a validated grantsmanship self-efficacy assessment inventory for voluntary completion at our academic general surgery training program with 2 years of dedicated research. The survey covers 3 domains: conceptualizing, designing and analyzing, and funding a study. All questions are scored 0 to 10 with 0 indicating no confidence and 10 indicating complete confidence. Median scores for the 3 domains were calculated for all respondents and compared between training years using Kruskal-Wallis with post-hoc Dunn testing.
Forty-four surveys were completed with a response rate of 84%. Resident self-efficacy in grantsmanship improved throughout the training years with the greatest changes being in their comfort with conceptualizing and funding a study. Dunn testing identified specific differences between PGY2 and PGY7 comfort with conceptualizing studies (median 5 vs. 7.5, p = 0.003) and understanding of funding mechanisms (median 2.0 vs. 7, p = 0.003).
While comfort with conceptualizing and funding studies does increase throughout the training years, this often develops after critical funding deadlines have already passed and can disadvantage surgical residents interested in academic careers. A curriculum that emphasizes familiarity with the grant writing and funding processes may better facilitate long term career success.
外部资金对于学术外科领域的职业成功和晋升至关重要，外科住院医师可以申请社会和联邦资金。许多联邦资金机制要求在住院医师正式的研究年之前提交提案。
为了更好地了解住院医师在科研资助申请方面的经历，我们在我们的学术普通外科培训项目中分发了一份经过验证的科研资助申请自我效能评估量表，供自愿填写，该项目有两年的专门研究时间。该调查涵盖三个领域：研究概念化、设计与分析以及研究资金筹集。所有问题的评分范围为0至10分，0分表示没有信心，10分表示完全有信心。计算所有受访者在这三个领域的中位数得分，并使用Kruskal-Wallis检验及事后Dunn检验比较不同培训年份之间的得分。
共完成44份调查问卷，回复率为84%。住院医师在科研资助申请方面的自我效能在整个培训期间有所提高，最大的变化在于他们在研究概念化和资金筹集方面的舒适度。Dunn检验确定了PGY2和PGY7在研究概念化舒适度方面的具体差异（中位数分别为5和7.5，p = 0.003）以及对资金机制的理解方面的差异（中位数分别为2.0和7，p = 0.003）。
虽然在整个培训期间，对研究概念化和资金筹集的舒适度确实有所提高，但这往往是在关键的资金申请截止日期已经过去之后才发展起来的，这可能会对有志于学术生涯的外科住院医师不利。强调熟悉科研基金申请和资金筹集流程的课程可能会更好地促进长期职业成功。
