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Associations between resident physicians' publications and clinical performance during residency training
Luke A Seaburg1, Amy T Wang1, Colin P West1
1College of Medicine, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, Minnesota, 55905, USA.
BMC Medical Education
|January 21, 2016
Summary
Internal medicine residents who published more research articles demonstrated better clinical performance. Scholarly productivity in residency does not negatively impact patient care or medical knowledge acquisition.
Area of Science:
- Medical Education Research
- Internal Medicine Residency Training
- Scholarly Activity Impact
Background:
- Research and clinical medicine demand similar skills like teamwork and efficiency.
- Resident competitiveness for fellowships requires success in both scholarship and patient care.
- The relationship between resident research productivity and clinical achievement was previously unexamined.
Purpose of the Study:
- To investigate the association between the number of publications by internal medicine residents and validated measures of their clinical performance.
- To determine if research output correlates with knowledge, skills, and multi-source performance evaluations.
Main Methods:
- A longitudinal study of 308 internal medicine residents graduating from 2006-2012.
- Publication data was collected from Ovid MEDLINE; clinical outcomes included American Board of Internal Medicine (ABIM) certification scores, mini-clinical examinations (mini-CEX), and multi-source performance assessments.
- Multivariate linear regression was used to analyze associations between publication quantity and clinical performance measures.
Main Results:
- Residents published a total of 642 papers, with 69% being research articles and 59.2% first-authored.
- Adjusted analysis revealed a significant association between the number of research articles and overall publications with multi-source clinical performance evaluations.
- Specifically, each additional research article or overall publication correlated with improved clinical performance scores.
Conclusions:
- This study is the first to demonstrate a link between scholarly productivity (journal publications) and clinical performance in internal medicine residents.
- Findings suggest that engaging in research during residency does not hinder a resident's ability to learn medicine or provide patient care.
- Resident scholarly activity, measured by publications, is positively associated with overall clinical performance evaluations.
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