Impact of a Dedicated Research Rotation during Ophthalmology Residency
29 August 2016
02 December 2016
16 May 2017 (online)
Background The Accreditation Council for Graduate Medical Education (ACGME) requires that ophthalmology residents participate in scholarly activity during residency. However, residents lack protected time for research.
Objective This article aims to determine the impact of a dedicated research rotation on scholarly productivity and research experience during residency.
Methods This cohort study compared two groups of ophthalmology residents. Residents who graduated between 2004 and 2009 did not have dedicated research time and served as control residents (CR), while residents who graduated between 2010 and 2015 had a dedicated research rotation and served as the intervention group (research residents, RR). Primary outcomes included publications and presentations recorded over a 4-year period, spanning the 3 years of residency and the first year after graduation. These were analyzed by linear regression and t-tests. Residents also took surveys regarding research experience and chi-squared tests and logistic regression were used to compare these results.
Results The RR had 0.97 more publications and 1.3 more presentations compared with the CR after adjusting for PhD status, pre-residency publications and presentations, age at graduation, gender, and race (p = 0.09 and p = 0.02, respectively). RR had higher odds of reporting adequate time to complete research (odds ratio [OR] = 13.11, 95% confidence interval [CI]: 3.58–48.03, p < 0.001) and satisfaction with their research experience (OR = 6.96, 95% CI = 2.104–23.053, p = 0.002).
Conclusion Residents with a research rotation had more time to complete research, were more satisfied with their research experience, and generated more publications and presentations compared with residents without the research rotation. A research rotation can help meet ACGME requirements and help residents achieve greater scholarly activity.
- 1 Weinreb RN, Goldberg JL. Clinician-scientists in ophthalmology revisited. Ophthalmology 2013; 120 (10) 1949-1950
- 2 Wyngaarden JB. The clinical investigator as an endangered species. N Engl J Med 1979; 301 (23) 1254-1259
- 3 Ley TJ, Rosenberg LE. The physician-scientist career pipeline in 2005: build it, and they will come. JAMA 2005; 294 (11) 1343-1351
- 4 Rosenberg LE. The physician-scientist: an essential—and fragile—link in the medical research chain. J Clin Invest 1999; 103 (12) 1621-1626
- 5 Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Ophthalmology. Available at: http://www.acgme.org/portals/0/pfassets/programrequirements/240_ophthalmology_2016.pdf . Accessed August 29, 2016
- 6 Gill S, Levin A, Djurdjev O, Yoshida EM. Obstacles to residents' conducting research and predictors of publication. Acad Med 2001; 76 (05) 477
- 7 Bammeke F, Liddy C, Hogel M, Archibald D, Chaar Z, MacLaren R. Family medicine residents' barriers to conducting scholarly work. Can Fam Physician 2015; 61 (09) 780-787
- 8 Rivera JA, Levine RB, Wright SM. Completing a scholarly project during residency training. Perspectives of residents who have been successful. J Gen Intern Med 2005; 20 (04) 366-369
- 9 Levine RB, Hebert RS, Wright SM. Factors associated with citation of internal medicine residency programs for lack of scholarly activity. Teach Learn Med 2005; 17 (04) 328-331
- 10 Silcox LC, Ashbury TL, VanDenKerkhof EG, Milne B. Residents' and program directors' attitudes toward research during anesthesiology training: a Canadian perspective. Anesth Analg 2006; 102 (03) 859-864
- 11 Vinci RJ, Bauchner H, Finkelstein J, Newby PK, Muret-Wagstaff S, Lovejoy Jr FH. Research during pediatric residency training: outcome of a senior resident block rotation. Pediatrics 2009; 124 (04) 1126-1134
- 12 Kanna B, Deng C, Erickson SN, Valerio JA, Dimitrov V, Soni A. The research rotation: competency-based structured and novel approach to research training of internal medicine residents. BMC Med Educ 2006; 6: 52
- 13 Hsieh H, Paquette F, Fraser SA. , et al. Formal research training during surgical residency: scaffolding for academic success. Am J Surg 2014; 207 (01) 141-145
- 14 Konstantakos EK, Laughlin RT, Markert RJ, Crosby LA. Assuring the research competence of orthopedic graduates. J Surg Educ 2010; 67 (03) 129-134
- 15 Ozuah PO. Residency research requirement as a predictor of future publication productivity. J Pediatr 2009; 155 (01) 1-2 , 2.e1
- 16 Alguire PC, Anderson WA, Henry RC. Teaching research skills: development and evaluation of a new research program for residents. Teach Learn Med 1993; 5 (01) 37-43 . Available at: http://www.tandfonline.com/doi/abs/10.1080/10401339309539586 . Accessed August 29, 2016
- 17 Cull WL, Yudkowsky BK, Schonfeld DJ, Berkowitz CD, Pan RJ. Research exposure during pediatric residency: influence on career expectations. J Pediatr 2003; 143 (05) 564-569
- 18 Chang CW, Mills JC. Effects of a reward system on resident research productivity. JAMA Otolaryngol Head Neck Surg 2013; 139 (12) 1285-1290
- 19 Byrnes AB, McCormack FX, Diers T, Jazieh AR. The resident scholar program: a research training opportunity for internal medicine house staff. J Cancer Educ 2007; 22 (01) 47-49
- 20 Thakur A, Thakur V, Fonkalsrud EW, Singh S, Buchmiller TL. The outcome of research training during surgical residency. J Surg Res 2000; 90 (01) 10-12
- 21 Ledley FD, Lovejoy Jr FH. Factors influencing the interests, career paths, and research activities of recent graduates from an academic, pediatric residency program. Pediatrics 1993; 92 (03) 436-441
- 22 Chan RK, Lockyer J, Hutchison C. Block to succeed: the Canadian orthopedic resident research experience. Can J Surg 2009; 52 (03) 187-195
- 23 Jayasundera T, Fisk M, McGhee CN. Attitudes to research and research training among ophthalmologists and ophthalmology trainees in New Zealand. Clin Experiment Ophthalmol 2003; 31 (04) 294-299
- 24 Neale AV. A national survey of research requirements for family practice residents and faculty. Fam Med 2002; 34 (04) 262-267
- 25 Rothberg MB, Kleppel R, Friderici JL, Hinchey K. Implementing a resident research program to overcome barriers to resident research. Acad Med 2014; 89 (08) 1133-1139
- 26 Tsai AC, Ordóñez AE, Reus VI, Mathews CA. Eleven-year outcomes from an integrated residency program to train research psychiatrists. Acad Med 2013; 88 (07) 983-988
- 27 DeHaven MJ, Wilson GR, O'Connor-Kettlestrings P. Creating a research culture: what we can learn from residencies that are successful in research. Fam Med 1998; 30 (07) 501-507
- 28 Fraker LD, Orsay EM, Sloan EP, Bunney EB, Holden JA, Hart RG. A novel curriculum for teaching research methodology. J Emerg Med 1996; 14 (04) 503-508
- 29 Rubio DM, Primack BA, Switzer GE, Bryce CL, Seltzer DL, Kapoor WN. A comprehensive career-success model for physician-scientists. Acad Med 2011; 86 (12) 1571-1576