Resident research and scholarly activity in internal medicine residency training programs

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• 作者：Dr. Rachel B. Levine MD ; MPH (1)
  Randy S. Hebert MD ; MPH (2)
  Scott M. Wright MD (1)
  
• 关键词：ACGME ; resident research ; medical education ; national survey
• 刊名：Journal of General Internal Medicine
• 出版年：2005
• 出版时间：February 2005
• 年：2005
• 卷：20
• 期：2
• 页码：155-159
• 全文大小：108KB
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• 作者单位：Dr. Rachel B. Levine MD, MPH (1)
  Randy S. Hebert MD, MPH (2)
  Scott M. Wright MD (1)
  
  1. Division of General Internal Medicine, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Building B2N, Room 235, 21224, Baltimore, MD
  2. Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, USA
  

文摘

OBJECTIVES: 1) To describe how internal medicine residency programs fulfill the Accreditation Council for Graduate Medical Education (ACGME) scholarly activity training requirement including the current context of resident scholarly work, and 2) to compare findings between university and nonuniversity programs. DESIGN: Cross-sectional mailed survey. SETTING: ACGME-accredited internal medicine residency programs. PARTICIPANTS: Internal medicine residency program directors. MEASUREMENTS: Data were collected on 1) interpretation of the scholarly activity requirement, 2) support for resident scholarship, 3) scholarly activities of residents, 4) attitudes toward resident research, and 5) program characteristics. University and nonuniversity programs were compared. MAIN RESULTS: The response rate was 78%. Most residents completed a topic review with presentation (median, 100%) to fulfill the requirement. Residents at nonuniversity programs were more likely to complete case reports (median, 40% vs 25%; P=.04) and present at local or regional meetings (median, 25% vs 20%; P=.01), and were just as likely to conduct hypothesis-driven research (median, 20% vs 20%; P=.75) and present nationally (median, 10% vs 5%; P=.10) as residents at university programs. Nonuniversity programs were more likely to report lack of faculty mentors (61% vs 31%; P<.001) and resident interest (55% vs 40%; P=.01) as major barriers to resident scholarship. Programs support resident scholarship through research curricula (47%), funding (46%), and protected time (32%). CONCLUSIONS: Internal medicine residents complete a variety of projects to fulfill the scholarly activity requirement. Nonuniversity programs are doing as much as university programs in meeting the requirement and supporting resident scholarship despite reporting significant barriers.