DeHaven M J, Wilson G R, Murphree D D, Grundig J P
Department of Community Health and Family Medicine, University of Florida, Jacksonville, USA.
Fam Med. 1997 Jan;29(1):33-7.
The culture of family practice training programs does little to convince residents that research is a worthwhile and important activity. The traditional dichotomy between research and clinical medicine persists today, despite an identified clinical mission for research.
As part of an effort to build the research capacity of family practice training programs, a telephone survey was administered in August 1995 to the program directors of all residency programs listed in the American Academy of Family Physicians 1995 Directory of Family Practice Residency Programs. The directors were asked about their program's research environment, features designed to promote research activity, and the level of resident research productivity.
More than half (53.6%) of the program directors felt that their training program actively promotes research. Three out of four indicated that involving residents in research is a goal of their program. However, only four of 10 (40.8%) programs provide specific time for research, and family practice residents appear to be relatively inactive by conventional measures of research productivity.
Research appears to be developing a limited role in family practice training programs. Resident research productivity remains relatively low and may be a result of residency programs not providing specific time for participating in research. However, the program directors' supportive attitudes may contribute to research and scholarly activity becoming an integral part of a family physician's training.
家庭医学培训项目的文化氛围很难让住院医师相信研究是一项有价值且重要的活动。尽管研究有明确的临床使命,但研究与临床医学之间的传统二分法至今仍然存在。
作为提升家庭医学培训项目研究能力工作的一部分,1995年8月对美国家庭医师学会1995年家庭医学住院医师培训项目名录中列出的所有住院医师培训项目的项目主任进行了电话调查。询问项目主任有关其项目的研究环境、旨在促进研究活动的特点以及住院医师的研究产出水平。
超过半数(53.6%)的项目主任认为他们的培训项目积极促进研究。四分之三的人表示让住院医师参与研究是他们项目的一个目标。然而,十分之四(40.8%)的项目只为研究提供特定时间,而且按照传统的研究产出衡量标准,家庭医学住院医师似乎相对不活跃。
研究在家庭医学培训项目中的作用似乎有限。住院医师的研究产出仍然相对较低,这可能是由于住院医师培训项目没有为参与研究提供特定时间。然而,项目主任的支持态度可能有助于研究和学术活动成为家庭医生培训的一个组成部分。