Abstract
Introduction: The Accreditation Council of Graduate Medical Education (ACGME) mandates resident scholarship in all residency programs. Resident scholarship requirement continues to be one of the most common citations by the Residency Review Committee (RRC). This study evaluates the impact of a structured roadmap for resident scholarly activity in a single-family medicine residency program.Methods: This retrospective study compares resident scholarship before and after exposure to a structured roadmap for scholarly activity as well as characteristics associated with higher scholarship productivity. The data was analyzed using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) version 16.0. Student’s t-test was used to calculate the statistically significant difference.Results: There were a total of 16 residents who graduated in the first cohort whereas the second cohort consisted of 18 residents. There was a steady increase in resident scholarly activity over time. The number of publications by those who were exposed to a 13-step structured roadmap for scholarly activity was more than twice when compared with the first cohort. Those who pursued a fellowship after residency published three times more than those who did not.Conclusion: Exposure to a structured roadmap for scholarly activity may be associated with higher production of resident scholarly activity. Larger studies comparing national level data from isolated community hospitals and big academic centers are needed for a conclusive argument. Although the availability of resources may increase the likelihood of more scholarship, the establishment of a research culture is more important. Further studies are needed to determine the factors which lead to the establishment of research culture in a residency program.
Highlights
The Accreditation Council of Graduate Medical Education (ACGME) mandates resident scholarship in all residency programs
This is a retrospective study that analyzed the results of two cohorts of residents in a single-family medicine residency program that implemented a structured roadmap for scholarly activity
This study shows that the implementation of a structured roadmap for scholarly activity might be associated with higher production of resident scholarly activity and the development of a culture of scholarship in a program
Summary
The Accreditation Council of Graduate Medical Education (ACGME) mandates resident scholarship in all residency programs. Since 2006, it has been a hot topic of discussion with different authors suggesting various strategies to achieve a high level of resident scholarly activity in the residency program, including a point scoring system for scholarly activity to be introduced in the curricula [2,3,4,5]. It is an on-going challenge for the medical educators to get residents involved in scholarly activities [2,6]. Crawford and colleagues reported that in 2009 only 12.5% of the programs had greater than 25% of their residents publish, and only 25.9% of the programs had 25% or more of their residents present at a regional, national, or international forum/medical conference [7]
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