DeHaven M J, Wilson G R, O'Connor-Kettlestrings P
Department of Community Health and Family Medicine, University of Florida Health Science Center, Jacksonville, USA.
Fam Med. 1998 Jul-Aug;30(7):501-7.
Despite a growing need for family practice to contribute to the national primary care research agenda, the specialty is ill-equipped to assume a more active role. Information about residency programs that are successful in research is a valuable resource for increasing family medicine's research capacity.
A three-stage investigation was completed in May 1996, consisting of 1) a telephone survey of family practice residency program directors, 2) a mail survey of recent graduates from relatively successful programs identified in stage 1, and 3) in-depth interviews with the program directors or research directors identified by combining data from the first two stages.
Most residents in the programs included in stage 2 completed a research project (68.7%) and currently have an interest in practice-based research (57.2%). Residents from programs selected for the study's final stage were more likely to have published a research article (32% versus 20.3%) and to have completed a project while a resident (81% versus 60.1%) than those from the programs not selected. Virtually unanimous characteristics of successful programs include program director support of research, time for research, faculty involvement, a research curriculum, professional support, and opportunities for presenting research.
Individual family practice residencies can be considered to be at one of three levels with respect to their level of research activity: 1) relatively undeveloped, 2) developing, or 3) relatively developed. Programs can expect successful results if they make research a priority, and means are needed for communicating successful strategies between programs.
尽管家庭医疗越来越需要为国家初级医疗研究议程做出贡献，但该专业目前尚不具备发挥更积极作用的条件。了解在研究方面取得成功的住院医师培训项目的信息，对于提高家庭医学的研究能力是一种宝贵资源。
1996年5月完成了一项分三个阶段的调查，包括：1）对家庭医疗住院医师培训项目主任进行电话调查；2）对在第一阶段确定的相对成功项目的近期毕业生进行邮件调查；3）结合前两个阶段的数据，对项目主任或研究主任进行深入访谈。
第二阶段纳入项目中的大多数住院医师完成了研究项目（68.7%），目前对基于实践的研究感兴趣（57.2%）。与未被选入研究最终阶段的项目的住院医师相比，被选入最终阶段项目的住院医师更有可能发表过研究文章（32%对20.3%），并且在住院期间完成过项目（81%对60.1%）。成功项目几乎一致的特点包括项目主任对研究的支持、研究时间、教员参与、研究课程安排、专业支持以及展示研究成果的机会。
就研究活动水平而言，各个家庭医疗住院医师培训项目可被视为处于以下三个层次之一：1）相对不发达；2）正在发展；3）相对发达。如果将研究作为优先事项，各项目有望取得成功，并且需要建立项目之间交流成功策略的途径。
