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Updated: Jul 13, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
改变文化:增加和维持麻醉学住院医生出版率
William C Culp1, Riley J Hedin1, Daniel W Watkins1
1The authors are at the Department of Anesthesiology, Baylor Scott & White Medical Center, Temple, TX. The following authors are also at the Baylor College of Medicine-Temple, TX: , is Professor of Anesthesiology and Vice Chair of Academic Affairs; is Assistant Professor and Associate Program Director; is Clinical Associate Professor and Residency Program Director; is Chair of Anesthesiology and Professor of Anesthesiology. The following authors are also at Texas A&M University College of Medicine, Temple, TX: and are Cardiothoracic Anesthesiology Fellows; is Clinical Associate Professor; is Chair, Scott & White Board of Directors, Senior Vice President Baylor Scott & White Healthcare, and Associate Professor; and is Chair of Anesthesiology and Professor of Anesthesiology.
实施部门倡议显著提高了居民出版率,超过三倍. 这突显了领导力倡导,作者自主性和支持性的学术文化对学术成果的影响.
科学领域:
- 医学教育研究 医学教育研究
- 学术出版学术出版公司
- 研究生医学培训研究生医学培训
背景情况:
- 学术调查对于医学进步和居民培训至关重要,这是研究生医学教育认证委员会要求的.
- 以前提高出版率的努力没有确定有效的教育最佳实践.
- 该研究旨在通过对部门文化和价值观的可持续,负担得起和普遍实施的变化来提高居民出版率.
研究的目的:
- 通过培养一种重视学术生产力的文化,提高居民出版率.
- 实施和评估一项多方面的倡议,重点关注部门价值观的转变和促进科学出版.
主要方法:
- 一项回顾性队列研究比较了干预前 (2014-2018) 和干预后 (2018-2022) 四个学年出版率.
- 干预涉及领导层的一致信息,强调科学出版的价值,并给予居民选择学术活动的自由.
- 用描述性统计数据和未配对的学生t测试分析了居民作者和每居民每年的出版率.
主要成果:
- 居民撰写的出版物增加了343%,从干预前的7个增加到干预后的24个.
- 每位居民的出版物每年增加了357%,从0.183±0.16增加到0.654±0.11.
- 统计分析显示,每年出版物总数 (P = .002) 和作者率 (P = .003) 显著增加.
结论:
- 一个多方面的学术倡议成功地实现了居民出版率的三倍增长.
- 增加出版率的关键驱动因素包括领导力倡导,作者自治和支持性的部门文化.
- 研究结果表明,文化和以价值为基础的变化是提高学术生产力的有效和可持续的策略.
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