Artikel
Plannable protected days associated with resident physician research activity
Suche in Medline nach
Autoren
Veröffentlicht: | 6. November 2018 |
---|
Gliederung
Text
Objectives: Motivating and enabling resident physicians to perform research during residency training is a challenge for program directors and department chairs. The aim of this study was to identify modifiable factors associated with the current research activity of resident physicians in orthopedic surgery and traumatology.
Methods: Using an online questionnaire, the residents' current research activities (hours per week), as well as data for 13 modifiable and 17 non-modifiable factors were obtained from March to Mai 2017. Invitations to the survey were send to all orthopedic surgery and traumatology programs with university-affiliation in Austria, Germany and Switzerland. A total of 146 data sets from residents <39 years were available for analysis. In a first step, univariate linear regression was used to determine the association of each individual factor with the current research activity. In a second step, multivariate linear regression was used to adjust for those non-modifiable factors that were significantly associated in the univariate analysis (selected based on unadjusted p-values). All other p-values were Bonferroni-adjusted to account for 30 performed tests. Associations with p-values <.05 were considered significant.
Results: The number of protected research days per year (coefficient (ß)=.16, p<.001), the percentage of protected days that were predictable the week before (ß=.22, p<.001) or the day before (ß=.18, p<0.001), the attending surgeons' research output (ß=1.93, p=.004) and quality (ß=1.80, p=.012), and the availability of research infrastructure (ß=1.78, p=.018) were significantly associated with the current research activity in the univariate analysis. Further, employment at a University hospital (ß=5.46, p<.001), the completion of a dedicated research year (ß=5.62, p=.007), employment in Switzerland (ß=-3.91, p=.012), female gender (ß=-3.37, p=.016), employment at an A-level hospital (ß=-3.78, p=.024) and the department size (ß=.08, p=.048) were significantly associated with the current research activity and subsequently included in the multivariate model. The number of protected research days per year (ß=.13, p<.029), as well as the percentage of protected days that were predictable the week before (ß=.21, p<.001) or the day before (ß=.16, p<0.001), remained significantly associated with the current research activity following adjustment for employment in a University hospital, A-level hospital, or Switzerland, as well as gender, completion of a research year and department size.
Conclusion: Protected days and their predictability were significantly associated with the current research activity of resident physicians in orthopedic surgery and traumatology.