Powner D J, Thomas E A
Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh School of Medicine, PA, USA.
Crit Care Med. 1996 Jun;24(6):1079-82. doi: 10.1097/00003246-199606000-00032.
To determine curriculum requirements and educational methods used by Critical Care fellowship training programs in fulfilling Residency Review Committee requirements for a research experience during Critical Care subspecialty training.
Responses from 163 (67%) of the 245 directors of accredited Anesthesiology, Medicine, Pediatric, and Surgical Critical Care fellowship training programs listed in the American Medical Association Graduate Medical Education Directory.
Survey information accepted as valid for each program was tabulated to answer study questions.
Most (89%) Critical Care programs with 2- or 3-yr curricula meet Residency Review Committee requirements and provide nonclinical time for research. Only 63% of 1-yr curricula from Anesthesiology and Medicine provide a required research experience. Formal instruction in research topics is provided by lecture, journal club, or research conference in approximately 90% of fellowships. Academic productivity from fellowship programs is high, but not correlated with a program's requirement for research.
Compliance with current Residency Review Committee requirements for active participation in research is poor for 1-yr fellowship curricula. Reasons for this failure are discussed and a modified requirement is proposed.
确定重症医学专科培训项目在满足住院医师评审委员会关于重症医学亚专科培训期间研究经历要求时所采用的课程要求和教育方法。
对美国医学协会毕业后医学教育目录中列出的245个经认可的麻醉学、内科学、儿科学和外科学重症医学专科培训项目主任中的163位（67%）进行的调查回复。
将每个项目被认为有效的调查信息制成表格，以回答研究问题。
大多数（89%）有2年或3年课程的重症医学项目符合住院医师评审委员会的要求，并为研究提供非临床时间。麻醉学和内科学1年制课程中只有63%提供所需的研究经历。大约90%的专科培训通过讲座、期刊俱乐部或研究会议提供研究课题的正式指导。专科培训项目的学术产出很高，但与项目的研究要求无关。
1年制专科培训课程在满足住院医师评审委员会当前关于积极参与研究的要求方面较差。讨论了失败的原因并提出了修改后的要求。
