gms | German Medical Science

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2018)

23.10. - 26.10.2018, Berlin

Plannable protected days associated with resident physician research activity

Meeting Abstract

  • presenting/speaker Andreas Voss - Department of Trauma Surgery, University Hospital Regensburg, Regensburg, Germany
  • Björn Andreß - Department of Orthopedic Surgery, Catholic Clinics Koblenz-Montabaur, Koblenz, Germany
  • Leo Pauzenberger - St. Vincent Shoulder & Sports Clinic, Vienna, Austria
  • Elmar Herbst - Department of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany
  • Jonas Pogorzelski - Department of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany
  • Dominik John - West German Knee & Shoulder Center, Cologne, Germany
  • Daniel Smolen - Etzelclinic, Pfäffikon, Switzerland
  • Jakob Sieker - Department of Orthopedic Surgery, Boston Children´s Hospital and Harvard Medical School, Boston, United States

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2018). Berlin, 23.-26.10.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. DocPT30-245

doi: 10.3205/18dkou864, urn:nbn:de:0183-18dkou8644

Veröffentlicht: 6. November 2018

© 2018 Voss et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


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.