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Published on: January 12, 2018
Research support infrastructure and productivity in U.S. family practice residency programs
Jerry E Kruse1, John Bradley, Robert M Wesley
1Department of Family and Community Medicine, and director of the SIU Quincy Family Practice Residency Program, Southern Illinois University School of Medicine, Springfield, Illinois 62301, USA. jkruse@siumed.edu
Summary
Research infrastructure characteristics impact productivity in family practice residency programs. Employing research professionals was key for both small and large programs, with specific needs varying by size.
Area of Science:
- Medical Education Research
- Health Services Research
- Family Medicine Research
Background:
- Research productivity is crucial for academic advancement and program development in medical education.
- Understanding the link between research infrastructure and productivity can inform resource allocation and strategic planning.
- Family practice residency programs face unique challenges in fostering research despite its importance.
Purpose of the Study:
- To investigate the association between 11 research support infrastructural characteristics and research productivity in U.S. non-military family practice residency programs.
- To identify specific infrastructural elements that predict research productivity, considering program size.
Main Methods:
- A national survey was conducted using a questionnaire mailed to 462 family practice residency program directors.
- Data on 11 research support characteristics and 6 productivity measures were collected and analyzed.
- Logistic regression was used to identify predictors of top-quartile research productivity, with separate analyses for small (≤8 full-time faculty) and large (≥9 full-time faculty) programs.
Main Results:
- A response rate of 76.1% (351 programs) was achieved, with many programs reporting no research productivity in the prior year.
- Employment of full-time research professionals was the sole characteristic positively associated with research productivity for both small and large programs.
- Small programs showed a positive association between research productivity and faculty research requirements. Large programs benefited from fellowship programs and a written research strategic plan.
Conclusions:
- While certain research infrastructure elements correlate with increased research productivity, these are inconsistently implemented across programs.
- The existing infrastructure appears insufficient to cultivate a robust research culture and socialization within many family practice residency programs.
- Tailoring infrastructure support based on program size may be necessary to enhance research output effectively.
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