Resident research and scholarly activity in internal medicine residency training programs.
OBJECTIVE
1) To describe how internal medicine residency programs fulfill the Accreditation Council for Graduate Medical Education (ACGME) scholarly activity training requirement including the current context of resident scholarly work, and 2) to compare findings between university and nonuniversity programs.


METHODS
Cross-sectional mailed survey.


METHODS
ACGME-accredited internal medicine residency programs.


METHODS
Internal medicine residency program directors.


METHODS
Data were collected on 1) interpretation of the scholarly activity requirement, 2) support for resident scholarship, 3) scholarly activities of residents, 4) attitudes toward resident research, and 5) program characteristics. University and nonuniversity programs were compared.


RESULTS
The response rate was 78%. Most residents completed a topic review with presentation (median, 100%) to fulfill the requirement. Residents at nonuniversity programs were more likely to complete case reports (median, 40% vs 25%; P=.04) and present at local or regional meetings (median, 25% vs 20%; P=.01), and were just as likely to conduct hypothesis-driven research (median, 20% vs 20%; P=.75) and present nationally (median, 10% vs 5%; P=.10) as residents at university programs. Nonuniversity programs were more likely to report lack of faculty mentors (61% vs 31%; P<.001) and resident interest (55% vs 40%; P=.01) as major barriers to resident scholarship. Programs support resident scholarship through research curricula (47%), funding (46%), and protected time (32%).


CONCLUSIONS
Internal medicine residents complete a variety of projects to fulfill the scholarly activity requirement. Nonuniversity programs are doing as much as university programs in meeting the requirement and supporting resident scholarship despite reporting significant barriers.
Levine
Rachel B
RB
Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. rlevine@jhmi.edu
Hebert
Randy S
RS
Wright
Scott M
SM
D000328:Adult; D035843:Biomedical Research / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000706:statistics & numerical data; D014481:United States