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Updated: Jul 20, 2025

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Cultural Influences Catalyzing Resident Scholarly Productivity.

David Garcia1, Roselyn W Clemente Fuentes2, Steven Hyer3

  • 196th Medical Group, Family Medicine Residency Program, Eglin Air Force Base Hospital, Eglin Air Force Base, Eglin, FL.

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Implementing multiple interventions simultaneously, not in isolation, significantly boosted resident scholarly activity. This synergistic approach fostered a culture of research, leading to increased quality and quantity of scholarship.

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Area of Science:

  • Medical Education Research
  • Qualitative Health Research

Background:

  • Accreditation Council for Graduate Medical Education (ACGME) mandates scholarly activity for residencies.
  • A prior study showed a 302% increase in scholarly activity at Eglin Family Medicine Residency (2016-2019).
  • The underlying reasons for the effectiveness of interventions to increase scholarly activity remain underexplored.

Purpose of the Study:

  • To qualitatively explore the cultural factors and specific interventions that increased resident scholarship.
  • To develop a multilevel model explaining the observed increases in scholarly productivity.

Main Methods:

  • Grounded theory qualitative approach utilizing semistructured interviews.
  • Interviews conducted with 12 residents and 5 faculty members.
  • Iterative data analysis and interview guide refinement until code saturation.

Main Results:

  • Key factors identified: mentorship availability, interest/opportunity alignment, research mechanics demystification, leadership support, and 'scholarship begets scholarship'.
  • These factors collectively reinforced each other, driving cultural change.
  • No single intervention was solely responsible for the increase in scholarship.

Conclusions:

  • A multilevel model highlights the synergy of combined elements in driving scholarly productivity.
  • Residencies should foster these interconnected elements rather than focusing on isolated interventions.
  • This approach can enhance resident scholarship quality and quantity.