Alguire P C, Anderson W A, Albrecht R R, Poland G A
University of Florida, Gainesville, USA.
Ann Intern Med. 1996 Feb 1;124(3):321-8. doi: 10.7326/0003-4819-124-3-199602010-00007.
To determine how well medical residency programs are prepared to meet the new Accreditation Council of Graduate Medical Education (ACGME) accreditation guidelines for resident scholarly activity.
Cross-sectional study using a mailed survey.
Program directors of all ACGME-accredited internal medicine residency programs.
Program directors were asked to list the scholarly activities and products of their residents and their programs' minimal expectations for resident research; available academic, faculty, technical, and personnel support for resident research; perceived barriers to resident research; and the desired educational and skill outcomes of resident research. The responses of university-based training programs were compared with those of non-university-based programs.
271 program directors returned the survey, yielding a response rate of 65%. Ninety-seven percent of all programs have established scholarly guidelines consistent with accreditation requirements. Although only 37% of programs reported having an organized, comprehensive research curriculum, 70% taught skills important to research. Technical support and resources were generally available for resident research; the most frequently cited barrier to resident research was lack of resident time. University-based and non-university-based training programs differed in important ways. Generally, non-university-based programs had more research activity and structure, and they exceeded university-based programs in the number of oral and poster presentations given at local, state, and national professional meetings.
Most programs have in place the basic elements conducive to resident research. Program directors have identified and teach educational outcomes and skills that are likely to have lifelong benefits for most of their graduates.
确定医学住院医师培训项目在多大程度上做好了准备，以满足研究生医学教育认证委员会（ACGME）关于住院医师学术活动的新认证指南。
采用邮寄调查的横断面研究。
所有经ACGME认证的内科住院医师培训项目的项目主任。
要求项目主任列出其住院医师的学术活动和成果，以及项目对住院医师研究的最低期望；为住院医师研究提供的可用学术、师资、技术和人员支持；住院医师研究的感知障碍；以及住院医师研究期望达成的教育和技能成果。将基于大学的培训项目的回复与非基于大学的项目的回复进行比较。
271名项目主任回复了调查，回复率为65%。所有项目中有97%已制定了与认证要求一致的学术指南。尽管只有37%的项目报告有组织完善、全面的研究课程，但70%的项目教授了对研究很重要的技能。住院医师研究一般可获得技术支持和资源；最常被提及的住院医师研究障碍是住院医师时间不足。基于大学的培训项目和非基于大学的培训项目在重要方面存在差异。一般来说，非基于大学的项目有更多的研究活动和架构，在地方、州和全国专业会议上进行的口头报告和海报展示数量超过基于大学的项目。
大多数项目具备了有利于住院医师研究的基本要素。项目主任已确定并教授了对大多数毕业生可能有终身益处的教育成果和技能。
