The Cost of Resident Scholarly Activity and Its Effect on Resident Clinical Experience

Schott, Nicholas J; Emerick, Trent; Metro, David G.; Sakai, Tetsuro

doi:10.1213/ane.0b013e3182a44d5d

Cited by 24 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In other words, our findings would suggest that research does not detract from clinical training, which is the main goal of residency training [ 25 , 38 , 39 ]. These findings support a study of residents who, despite logging fewer clinical cases than their colleagues who did not do research, performed better on oral examinations at graduation [ 23 ]. Additionally, these findings underscore a previously-untested assumption that providing education in research during residency training likely improves residents’ skills across all of the ACGME core competencies [ 40 ].…”

Section: Discussionsupporting

confidence: 83%

“…Another study revealed that residents with research experience are more likely to pursue academic careers [ 9 ]. One study demonstrated a correlation between research experience and clinical achievement during residency [ 23 ]. However, the variables in that study were research elective and performance on an oral examination.…”

Section: Discussionmentioning

confidence: 99%

“…It remains unknown whether research productivity among resident physicians is related to broad measures of their clinical performance during residency training. Substantial time investment is required to be successful at research [ 18 – 22 ], which suggests that residents who excel in scholarship might suffer in their abilities to care for patients [ 23 – 25 ]. However, both research and clinical medicine require similar traits like efficiency, diligence, and effective teamwork, and residents must be successful at both scholarship and patient care to compete for fellowship training.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Associations between resident physicians’ publications and clinical performance during residency training

et al. 2016

View full text Add to dashboard Cite

BackgroundBoth research and clinical medicine requires similar attributes of efficiency, diligence and effective teamwork. Furthermore, residents must succeed at scholarship and patient care to be competitive for fellowship training. It is unknown whether research productivity among residents is related to broad measures of clinical achievement. Our goal was to examine associations between the quantity of internal medicine residents’ publications and validated measures of their knowledge, skills and multi-source evaluations of performance.MethodsThis was a longitudinal study of 308 residents graduating from Mayo Clinic from 2006 to 2012. We identified peer-reviewed articles in Ovid MEDLINE between July of each resident’s match year and the end of their graduation. Outcomes included American Board of Internal Medicine (ABIM) certification examination scores, mini clinical examination (mini-CEX) scores, and validated assessments of clinical performance by resident-peers, faculty and non-physicians. Performance assessments were averaged to form an overall score ranging from 1 to 5. Associations between quantity of resident publications – and ABIM, mini-CEX and performance assessment scores – were determined using multivariate linear regression.ResultsThe residents published 642 papers, of which 443 (69.0 %) were research papers, 198 (30.8 %) were case reports, and 380 (59.2 %) were first-authored. On adjusted analysis, multi-source clinical performance evaluations were significantly associated (beta; 99 % CI; p-value) with the numbers of research articles (0.012; 0.001–0.024; 0.007), and overall publications (0.012; 0.002–0.022; 0.002).ConclusionsTo our knowledge, this is the first study to demonstrate that scholarly productivity based on journal publication is associated with clinical performance during residency training. Our findings suggest that residents who invest substantial efforts in research are not compromised in their abilities to learn medicine and care for patients.

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations between resident physicians’ publications and clinical performance during residency training

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The literature suggests that early and appropriate exposure appear as central tenets in inspiring interest in research among residents. 20 While allocating research time in residency will come at the expense of resource provisions and reduced clinical exposure, 21 the benefits are suggested by the results of our logistic regression model, which show that resident research activity is associated with the desire to pursue research after graduation.…”

Section: Future Practice Locationmentioning

confidence: 90%

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location

Khan

Gilbert

Sharma

et al. 2015

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose We conducted this study to determine the preferences of anesthesia residents training in Canada for fellowship training, research, and future practice location and to identify the factors that influence those preferences. Methods Using a cross-sectional study design, a survey was sent to all anesthesia residents enrolled at an accredited Canadian anesthesiology residency program (N = 629). Data were collected on demographics and preferences for fellowship training, research, and future practice location. A multivariable logistic regression model was used to determine significant associations. Results Two hundred forty-four residents (39%) responded to the survey. Seventy percent of residents intended to pursue fellowship training. The top three fellowships they favoured were regional anesthesia, intensive care, and cardiac anesthesia. Male sex was positively associated with the decision to pursue fellowship training, whereas having an additional graduate degree was negatively associated with this choice. Among those pursuing fellowship training, the most influential factors were personal interest, enhancing employability, and an interest in an academic career. Fiftyseven percent of residents preferred to work at an academic hospital. Thirty-four percent of residents intended to incorporate research into their future practice, and personal interest, employability, and colleagues were most influential in their decision. Research activity and publishing in residency were associated with the desire to pursue future research initiatives. Conclusion The majority of anesthesia residents training in Canada choose to pursue fellowship training and work

show abstract

“…Training programme directors and department chairs/vice chairs must explicitly acknowledge that promoting and implementing an active research and scholarship culture during residency is resource-intensive. Schott et al [ 21 ] have recently shown that residents’ dedicated research electives and tracks required significant departmental financial support. Moreover, residents who elected to spend dedicated months conducting research did complete significantly more scholarly projects than their peers but experienced fewer clinical cases, which may impact the accomplishment of other clinical competencies [ 21 ].…”

mentioning

confidence: 99%

Competency-based medical education and scholarship: Creating an active academic culture during residency

Bourgeois

Hategan

Azzam³

2015

Perspect Med Educ

View full text Add to dashboard Cite

The competency-based medical education movement has been adopted in several medical education systems across the world. This has the potential to result in a more active involvement of residents in the educational process, inasmuch as scholarship is regarded as a major area of competency. Substantial scholarly activities are well within the reach of motivated residents, especially when faculty members provide sufficient mentoring. These academically empowered residents have the advantage of early experience in the areas of scholarly discovery, integration, application, and teaching. Herein, the authors review the importance of instituting the germinal stages of scholarly productivity in the creation of an active scholarly culture during residency. Clear and consistent institutional and departmental strategies to promote scholarly development during residency are highly encouraged.

show abstract

The Cost of Resident Scholarly Activity and Its Effect on Resident Clinical Experience

Abstract: Residents' scholarly activities require significant departmental financial support. Residents who elected to spend months conducting research completed significantly more scholarly projects but experienced fewer clinical cases.

Cited by 24 publications

References 13 publications

Associations between resident physicians’ publications and clinical performance during residency training

Associations between resident physicians’ publications and clinical performance during residency training

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location

Competency-based medical education and scholarship: Creating an active academic culture during residency

Contact Info

Product

Resources

About