Effectiveness of a 1-Year Resident Training Program in Clinical Research: A Controlled Before-and-After Study

Abstract

BACKGROUND:To increase the number of clinician scientists and to improve research skills, a number of clinical research training programs have been recently established. However, controlled studies assessing their effectiveness are lacking. OBJECTIVE:To investigate the effectiveness of a 1-year resident training program in clinical research. DESIGN:Controlled before-and-after study. The training program included a weekly class in clinical research methods, completion of a research project, and mentorship.PARTICIPANTS: Intervention subjects were 15 residents participating in the 1-year training program in clinical research. Control subjects were 22 residents not participating in the training program. MEASUREMENTS AND MAIN RESULTS:Assessments were performed at the beginning and end of the program. Outcomes included methodological research knowledge (multiple-choice progress test), self-assessed research competence, progress on publications and grant applications, and evaluation of the program using quantitative and qualitative methods. RESULTS:Intervention subjects and controls were well matched with respect to research experience (5.1±2.2 vs 5.6±5.8 years; p=.69). Methodological knowledge improved significantly more in the intervention group compared to the control group (effect size=2.5; p<.001). Similarly, self-assessed research competence increased significantly more in the intervention group (effect size= 1.1; p=.01). At the end of the program, significantly more intervention subjects compared to controls were currently writing journal articles (87% vs 36%; p=.003). The intervention subjects evaluated the training program as highly valuable for becoming independent researchers. CONCLUSIONS: A 1-year training program in clinical research can substantially increase research knowledge and productivity. The program design makes it feasible to implement in other academic settings.

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