eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
Current issue Archive Manuscripts accepted About the journal Special issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
1/2019
vol. 15
 
Share:
Share:
more
 
 
abstract:
Systematic review/Meta-analysis

Interventions to increase research publications in graduate medical education trainees: a systematic review

Ryan Zimmerman, Richard Alweis, Alexandra Short, Tom Wasser, Anthony Donato

Arch Med Sci 2019; 15, 1: 1–11
Online publish date: 2018/12/30
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
Competency-based educational models recommend trainee exposure to research, but the best methods for Graduate Medical Education (GME) programs to accomplish this have not been clarified. The objective of this study was to quantify published interventions to generate resident research and compare effectiveness among those interventions.

Material and methods
A systematic review of English-language articles of studies of GME programs was performed, describing resident research interventions and quantifying the number of publications as an outcome.

Results
The search produced 13,688 potentially relevant articles, and included 47 articles in the final synthesis. Publication effectiveness was calculated as publications per year. The top ten programs for publication effectiveness were compared to others for interventions chosen. Interventions were characterized as research director, protected time, research requirement, research mentor, curricula, research assistant, biostatistician, information technology support, research fund, pay-for-performance plans, and celebration of accomplishments. Total number of different interventions was not significantly associated with primary outcome (r = 0.20, p = 0.18). When comparing the top ten programs to the others, appointment of a research director was statistically more prevalent in those programs (70% vs. 30%, p = 0.02), while presence of a defined curriculum was more common (90% vs. 57%, p = 0.052) but not statistically significantly.

Conclusions
Leadership interventions (directors, curricula) are associated with successful GME research efforts.

keywords:

Graduate Medical Education, medical research, publishing

references:
ACGME Common Program Requirements. [cited 2016 May 28]; Available from: https://www.acgme.org/What-We-Do/Accreditation/Common-Program-Requirements.
Takahashi O, Ohde S, Jacobs JL, Tokuda Y, Omata F, Fukui T. Residents’ experience of scholarly activities is associated with higher satisfaction with residency training. J Gen Intern Med 2009; 24: 716-20.
Hayward RA, Taweel F. Data and the internal medicine houseofficer: alumni’s views of the educational value of a residency program’s research requirement. J Gen Intern Med 1993; 8: 140-2.
Rosenberg LE. Young physician-scientists: internal Medicine’s challenge. Ann Intern Med 2000; 133: 831-2.
Hebert RS, Levine RB, Smith CG, Wright SM. A systematic review of resident research curricula. Acad Med 2003; 78: 61-8.
Abramson M. Improving resident education: what does resident research really have to offer? Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol 1977; 84: 984-5.
Burkhardt J, Kowalenko T, Meurer W. Academic career selection in American emergency medicine residents. Acad Emerg Med 2011; 18 Suppl 2: S48-53.
Neacy K, Stern SA, Kim HM, Dronen SC. Resident perception of academic skills training and impact on academic career choice. Acad Emerg Med 2000; 7: 1408-15.
Sanders AB, Fulginiti JV, Witzke DB. Factors influencing resident career choices in emergency medicine. Ann Emerg Med 1992; 21: 47-52.
Milewicz DM, Lorenz RG, Dermody TS, Brass LF; National Association of MD-PhD Programs Executive Committee. Rescuing the physician-scientist workforce: the time for action is now. J Clin Invest 2015; 125: 3742-7.
Rothberg MB, Kleppel R, Friderici JL, Hinchey K. Implementing a resident research program to overcome barriers to resident research. Acad Med 2014; 89: 1133-9.
Hellenthal NJ, Ramírez ML, Yap SA, Kurzrock EA. Manuscript publication by urology residents and predictive factors. J Urol 2009; 181: 281-6.
Kanna B, Deng C, Erickson SN, Valerio JA, Dimitrov V, Soni A. The research rotation: competency-based structured and novel approach to research training of internal medicine residents. BMC Med Educ 2006; 6: 52.
Rivera JA, Levine RB, Wright SM. Completing a scholarly project during residency training. Perspectives of residents who have been successful. J Gen Intern Med 2005; 20: 366-9.
Alguire PC, Anderson WA, Albrecht RR, Poland GA. Resident research in internal medicine training programs. Ann Intern Med 1996; 124: 321-8.
Young RA, Dehaven MJ, Passmore C, Baumer JG. Research participation, protected time, and research output by family physicians in family medicine residencies. Fam Med 2006; 38: 341-8.
Ledford CJ, Seehusen DA, Villagran MM, Cafferty LA, Childress MA. Resident scholarship expectations and experiences: sources of uncertainty as barriers to success. J Grad Med Educ 2013; 5: 564-9.
Foraker AG. Research training of residents in a community hospital. N Engl J Med 1963; 268: 1235-6.
Philibert I, Lieh-Lai M, Miller R, Potts JR 3rd, Brigham T, Nasca TJ. Scholarly activity in the next accreditation system: moving from structure and process to outcomes. J Grad Med Educ 2013; 5: 714-7.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151: 264-9, w64.
Sterne JAC, H.J.R.B.o.b.o.t.d.g.f.A.-N., A Cochrane Risk of Bias Tool for Non-Randomized Studies of Interventions (ACROBAT-NRSI), Version 1.0.0 Available from: htp:/www.riskofbias.info [accessed 3/29/16]. 2014.
DeHaven MJ, Wilson GR, Murphree DD. Developing a research program in a community-based department of family medicine: one department’s experience. Fam Med 1994; 26: 303-8.
Lampman RM, Wolk SW, Fowler J, et al. Resident research training conducted in a community hospital general surgery residency program. Curr Surg 2003; 60: 304-9.
Liese BS, Johnson CA, Govaker DA, O’Dell ML. Increasing research productivity in a university-based residency program: a case study. Kans Med 1988; 89: 143-7.
Manring MM, Panzo JA, Mayerson JL. A framework for improving resident research participation and scholarly output. J Surg Educ 2014; 71: 8-13.
Penrose LL, Yeomans ER, Praderio C, Prien SD. An incremental approach to improving scholarly activity. J Grad Med Educ 2012; 4: 496-9.
Ruiz J, Wallace EL, Miller DP, et al. A comprehensive 3-year internal medicine residency research curriculum. Am J Med 2011; 124: 469-73.
Hoedebecke K, Rerucha C, Runser L. Increase in residency scholarly activity as a result of resident-led initiative. Fam Med 2014; 46: 288-90.
Alweis R, Wenderoth S, Donato A. Effectiveness of iterative interventions to increase research productivity in one residency program. J Community Hosp Intern Med Perspect 2015; 5: 29203.
Chang CW, Mills JC. Effects of a reward system on resident research productivity. JAMA Otolaryngol Head Neck Surg 2013; 139: 1285-90.
Hepburn MJ, Battafarano DF, Enzenauer RJ, et al. Increasing resident research in a military internal medicine program. Mil Med 2003; 168: 341-5.
Lovejoy FH Jr. Creating an academic culture during residency training. J Pediatr 2008; 152: 599-600, 600e1.
McCabe BF. Resident research in otolaryngology at the University of Iowa. Can J Otolaryngol 1975; 4: 846-8.
Potti A, Mariani P, Saeed M, Smego RA Jr. Residents as researchers: expectations, requirements, and productivity. Am J Med 2003; 115: 510-4.
Robbins L, Bostrom M, Marx R, Roberts T, Sculco TP. Restructuring the orthopedic resident research curriculum to increase scholarly activity. J Grad Med Educ 2013; 5: 646-51.
Segal LS, Black KP, Schwentker EP, Pellegrini VD. An elective research year in orthopaedic residency: how does one measure its outcome and define its success? Clin Orthop Relat Res 2006; 449: 89-94.
Thomas JB, Cofer JB, Lewis PL, Burns RP. Clinical research during surgery residency: the Chattanooga approach. Curr Surg 2000; 57: 135-9.
West CP, Halvorsen AJ, McDonald FS. Scholarship during residency training: a controlled comparison study. Am J Med 2011; 124: 983-7e1.
Eckert J, Vaida SJ, Bezinover D, McCloskey DE, Mets B. The Resident Academic Project Program: A Structured Approach to Inspiring Academic Development During Residency Training. A & A Case Reports, 2016; 6: 95-9.
Mayo MJ, Rockey DC. Development of a successful scholarly activity and research program for subspecialty trainees. Am J Med Sci 2015; 350: 222-7.
Carek PJ, Dickerson LM, Diaz VA, Steyer TE. Addressing the scholarly activity requirements for residents: one program’s solution. J Grad Med Educ 2011; 3: 379-82.
Kohlwes RJ, Shunk RL, Avins A, Garber J, Bent S, Shlipak MG. The PRIME curriculum. Clinical research training during residency. J Gen Intern Med 2006; 21: 506-9.
Housestaff team research in the ambulatory setting: it can be done. Internal Medicine Clinic Research Consortium Faculty. J Gen Intern Med 1995; 10: 219-22.
Mezzacappa E, Hamoda HM, DeMaso DR. Promoting scholarship during child and adolescent psychiatry residency. Acad Psychiatry 2012; 36: 443-7.
Millis SR, Campagnolo DI, Kirshblum S, Elovic E, Jain SS, DeLisa JA. Improving resident research in physical medicine and rehabilitation: impact of a structured training program. J Spinal Cord Med 2004; 27: 428-33.
Tsai AC, Ordóñez AE, Reus VI, Mathews CA. Eleven-year outcomes from an integrated residency program to train research psychiatrists. Acad Med 2013; 88: 983-8.
Alguire PC, Anderson WA, Henry RC. Teaching research skills: development and evaluation of a new research program for residents. Teach Learn Med 1993; 5: 37-43.
Fancher TL, Wun T, Hotz CS, Henderson MC. Jumpstarting academic careers with a novel intern research rotation: the AIMS rotation. Am J Med 2009; 122: 1061-6.
Kolade VO, Panda M. Evaluation of a points-based scholarly activity policy in internal medicine. South Med J 2014; 107: 24-6.
Roane DM, Inan E, Haeri S, Galynker II. Ensuring research competency in psychiatric residency training. Acad Psychiatry 2009; 33: 215-20.
Seehusen DA, Asplund CA, Friedman M. A point system for resident scholarly activity. Fam Med 2009; 41: 467-9.
Tintara H, Lumbiganon P, Preutthipan S, Tannirandorn Y; Research Subcommittee of the Royal Thai College of Obstetricians and Gynecologists. Research publication by the Royal Thai College of Obstetricians and Gynecologists residency training program, 1994-2003. J Med Assoc Thai 2007; 90: 870-5.
Kichler K, Kozol R, Buicko J, Lesnikoski B, Tamariz L, Palacio A. A structured step-by-step program to increase scholarly activity. J Surg Educ 2014; 71: e19-21.
Torres D, Gugala Z, Lindsey RW. A dedicated research program increases the quantity and quality of orthopaedic resident publications. Clin Orthop Relat Res 2015; 473: 1515-21.
Kurahara DK, Kogachi K, Yamane M, et al. A pediatric residency research requirement to improve collaborative resident and faculty publication productivity. Hawaii J Med Public Health 2012; 71: 224-8.
Tucker HM. Resident research program at Upstate Medical Center. Can J Otolaryngol 1975; 4: 857-64.
Panchal AR, Denninghoff KR, Munger B, Keim SM. Scholar quest: a residency research program aligned with faculty goals. West J Emerg Med 2014; 15: 299-305.
Desbiens NA. A departmental experience in promoting oral and poster presentations. Teach Learn Med 2008; 20: 254-60.
Papasavas P, Filippa D, Reilly P, Chandawarkar R, Kirton O. Effect of a mandatory research requirement on categorical resident academic productivity in a university-based general surgery residency. J Surg Educ 2013; 70: 715-9.
Ables AZ, Carek PJ, Dickerson LM, Abercrombie S, Hanlin RB. Promoting resident scholarship through a statewide symposium. Fam Med 2010; 42: 440-3.
Khurana D, Vishnu VY, Vinny PW, Rishi V. Influence of a publication rotation in a neurology residency program in a developing country. Neurology 2015; 84: 197-9.
Sakai T, Emerick TD, Metro DG, et al. Facilitation of resident scholarly activity: strategy and outcome analyses using historical resident cohorts and a rank-to-match population. Anesthesiology 2014; 120: 111-9.
Stevenson MD, Smigielski EM, Naifeh MM, Abramson EL, Todd C, Li ST. Increasing scholarly activity productivity during residency: a systematic review. Acad Med 2017; 92: 250-66.
FEATURED PRODUCTS
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe