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Implementing a resident research program to overcome barriers to resident research.

Michael B Rothberg1, Reva Kleppel, Jennifer L Friderici

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Summary

Implementing a structured resident research program significantly boosted scholarly output and fellowshipMatch rates for internal medicine residents. This initiative successfully addressed common research barriers, enhancing resident academic productivity and program reputation.

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Area of Science:

  • Medical Education
  • Internal Medicine
  • Research Methodology

Background:

  • Internal medicine residents face challenges conducting original research due to time constraints, lack of interest, and insufficient support.
  • A specific residency program experienced a poor Match, prompting the implementation of a novel resident research initiative.
  • Existing barriers to resident research include limited time, mentorship, technical assistance, and research interest.

Purpose of the Study:

  • To implement and evaluate a multifaceted resident research program designed to overcome identified barriers.
  • To increase the number of resident research presentations and publications in peer-reviewed journals.
  • To improve the success rate of residents accepted into fellowships.

Main Methods:

  • The program incorporated evidence-based medicine training to foster research interest.
  • Structural changes included protected research time, dedicated research staff (assistant, nurse), biostatistical support, and a research director for mentorship.
  • The program was implemented in the fall of 2005, with outcomes analyzed before and after this period.

Main Results:

  • Resident publications increased significantly from 3 (2001-2006) to 39 (2006-2012) post-implementation (P<.001).
  • Original research publications rose to 29, with 12 featuring resident first authors.
  • Fellowship Match rates improved from 33% to 49% (P=.04).

Conclusions:

  • A comprehensive resident research program effectively addresses barriers and significantly enhances scholarly productivity.
  • The program led to a notable increase in Medline publications and improved the residency program's reputation.
  • This model demonstrates a successful strategy for fostering research engagement and career advancement among internal medicine residents.