Implementing a resident research program to overcome barriers to resident research

Acad Med. 2014 Aug;89(8):1133-9. doi: 10.1097/ACM.0000000000000281.

Abstract

Internal medicine residents are required to participate in scholarly activity, but conducting original research during residency is challenging. Following a poor Match at Baystate Medical Center, the authors implemented a resident research program to overcome known barriers to resident research. The multifaceted program addressed the following barriers: lack of interest, lack of time, insufficient technical support, and paucity of mentors. The program consisted of evidence-based medicine training to stimulate residents' interest in research and structural changes to support their conduct of research, including protected time for research during ambulatory blocks, a research assistant to help with tasks such as institutional review board applications and data entry, a research nurse to help with data collection, easily accessible biostatistical support, and a resident research director to provide mentorship. Following implementation in the fall of 2005, there was a steady rise in the number of resident presentations at national meetings, then in the number of resident publications. From 2001 to 2006, the department saw 3 resident publications. From 2006 to 2012, that number increased to 39 (P< .001). The department also saw more original research (29 publications) and resident first authors (12 publications) after program implementation. The percentage of residents accepted into fellowships rose from 33% before program implementation to 49% after (P = .04). This comprehensive resident research program, which focused on evidence-based medicine and was tailored to overcome specific barriers, led to a significant increase in the number of resident Medline publications and improved the reputation of the residency program.

Publication types

  • Evaluation Study

MeSH terms

  • Attitude of Health Personnel
  • Biomedical Research / education*
  • Biomedical Research / organization & administration
  • Education, Medical, Graduate / methods*
  • Education, Medical, Graduate / organization & administration
  • Evidence-Based Medicine
  • Humans
  • Internal Medicine / education*
  • Internship and Residency / methods*
  • Internship and Residency / organization & administration
  • Massachusetts
  • Mentors
  • Program Development / methods*
  • Program Evaluation
  • Time Factors