ABSTRACT
BACKGROUND
The Ministry of Health, Labour and Welfare of Japan has been promoting participation in scholarly activities for physicians during residency training. However, there is debate regarding whether this is worthwhile for residents.
OBJECTIVE
To evaluate residents’ opinions of engaging in scholarly activities and identify factors associated with overall satisfaction with their training program.
DESIGN
Cross-sectional national survey.
PARTICIPANTS
1,124 second-year residents in teaching hospitals in Japan in 2007
MEASUREMENTS
Collected data included demographics, teaching hospital characteristics and resources, residents’ research experiences, including type of activities, barriers to performing scholarly activities, residents’ opinions of scholarly requirements, and resident satisfaction with their residency program.
RESULTS
1,124 residents/1,500 responded for a response rate of 74.9%. Our data showed that 60.2% of Japanese residents engaged in some type of scholarly activity. Barriers included: “No resident time”; “No mentor;” and “No resident interest.” Sixty-three percent of residents thought that research should be a residency requirement. In multivariate logistic analysis, residents’ overall satisfaction with their residency program was significantly associated with participation in research activity (odds ratio (OR), 1.5; 95% confidence interval (CI), 1.1–2.1); male gender (OR, 1.5; 95% CI: 1.1–2.2); satisfaction with residency compensation (OR, 3.8; 95% CI, 2.6–5.0), and satisfaction with the residency curriculum (OR, 19.5; 95% CI, 13.7–27.7).
CONCLUSIONS
The majority of residents surveyed thought that research activity was worthwhile. Residents’ participation in research activity was associated with higher levels of satisfaction with residency training. Implementing measures to overcome existing barriers may have educational benefits for residents.
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References
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; 204: 366–9.
Levine RB, Hebert RS, Wright SM. Resident research and scholarly activity in internal medicine residency training programs. J Gen Intern Med. 2005; 202: 155–9.
Accreditation Council for Graduate Medical Education. Program Requirements for Residency Education in Internal Medicine, 2009. Available at: http://www.acgme.org./acWebsite/downloads/RRC_progReq/140_internal_medicine_07012009.pdf Accessed March 2, 2009
The Ministry of Health, Labour and Welfare in Japan. Residency program training requirements, 2003 Available at: http://www.mhlw.go.jp/topics/bukyoku/isei/rinsyo/keii/030818/030818b.html Accessed March 2, 2009.
Alguire PC, Anderson WA, Albrecht RR, Poland GA. Resident research in internal medicine training programs. Ann Intern Med. 1996; 1243: 321–8.
Teo A. The current state of medical education in Japan: a system under reform. Med Educ. 2007; 413: 302–8.
Fukui T, Takahashi O, Tokuda Y, Ohde S, Nomura K, Yano E, et al. Effect of the new clinical training system. 1. Status of clinical training: results of a survey on university hospitals and hospitals participating in clinical training. Nippon Naika Gakkai Zasshi. 2007; 9612: 2681–94.
Nomura K, Yano E, Mizushima S, Endo H, Aoki M, Shinozaki H, et al. The shift of residents from university to non-university hospitals in Japan: a survey study. J Gen Intern Med. 2008; 237: 1105–9.
Weaver SP, Mills TL, Passmore C. Job satisfaction of family practice residents. Fam Med. 2001; 339: 678–82.
Daugherty SR, Baldwin DC Jr, Rowley BD. Learning, satisfaction, and mistreatment during medical internship: a national survey of working conditions. JAMA. 1998; 27915: 1194–9.
McMurray JE, Williams E, Schwartz MD, Douglas J, Van Kirk J, Konrad TR, et al. Physician job satisfaction: developing a model using qualitative data. SGIM Career Satisfaction Study Group. J Gen Intern Med. 1997; 1211: 711–4.
Bovier PA, Perneger TV. Predictors of work satisfaction among physicians. Eur J Public Health. 2003; 134: 299–305.
Hosmer DW, Lemeshow S. Applied Logistic Regression. New York, NY: Wiley; 2000: 147–56.
Fukui T, Rahman M, Sekimoto M, Hira K, Maeda K, Morimoto T, et al. Study design, statistical method, and level of evidence in Japanese and American clinical journals. J Epidemiol. 2002; 123: 266–70.
Fukui T, Rahman M. Contribution of research in basic and clinical sciences in Japan. Intern Med. 2002; 418: 626–8.
Lowe B, Hartmann M, Wild B, Nikendei C, Kroenke K, Niehoff D, et al. Effectiveness of a 1-year resident training program in clinical research: a controlled before-and-after study. J Gen Intern Med. 2008; 232: 122–8.
Simmonds AC 4th, Robbins JM, Brinker MR, Rice JC, Kerstein MD. Factors important to students in selecting a residency program. Acad Med. 1990; 6510: 640–3.
Collier VU, McCue JD, Markus A, Smith L. Stress in medical residency: status quo after a decade of reform? Ann Intern Med. 2002; 1365: 384–90.
The Ministry of Health, Labour and Welfare. Announcement of results of national examination for medical practitioners in Japan, 2007.
Acknowledgments
The authors thank Rafael Perera for help with statistical analysis, Shimbo Takuro and the reviewers and editor of JGIM for their helpful comments, and Kyoko Nomura, Shunsaku Mizushima, Makoto Aoki, Eiji Yano, and Hiroyoshi Endo for their support of developing the questionnaire.
Funding
This study was supported in part by grant H17-Iryo-015 from the Ministry of Health, Labour and Welfare of Japan.
Conflict of Interest
None disclosed.
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Takahashi, O., Ohde, S., Jacobs, J.L. et al. Residents’ Experience of Scholarly Activities is Associated with Higher Satisfaction with Residency Training. J GEN INTERN MED 24, 716–720 (2009). https://doi.org/10.1007/s11606-009-0970-4
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DOI: https://doi.org/10.1007/s11606-009-0970-4