EFFECT OF STRUCTURED ROADMAP, INDIVIDUAL ACCOUNTABILITY, AND MEASUREMENT OF OUTCOMES: ENRICHMENT OF CULTURE OF SCHOLARSHIP IN A FAMILY MEDICINE RESIDENCY PROGRAM

ABSTRACT

Objectives

To determine the effect of a curriculum on the culture of scholarship by grounding in a structured roadmap, individual accountability, and measurement of outcomes.  To determine the number of scholarly activities per resident before and after full implementation of the curriculum and process of structured and individual accountability and to determine individual factors associated with high scholarly activity such as type of medical school training, the pursuit of fellowship, and practice setting after graduation.

Methods

This is a quasi-experimental study with a retrospective review of variables of interest in pre and post-intervention periods. The resident physician who completed their training in the preintervention period had only partial exposure and implementation of the curriculum as compared to those in 5 years post-intervention period. SAS 9.4 was used to analyze the data. The number of all scholarly activities and types of scholarly activities along with the demographic data were collected from residency records. Chi-square, Fisher’s exact, Mann Whitney U, and Kruskal Wallis H tests were utilized to detect significant differences between the pre and post-intervention groups. The hypotheses were tested at an alpha of 0.05.

Results

Overall, the number of scholarly activities per resident showed an increasing trend over time. The number of total scholarly activities increased significantly in the post-intervention period after adjusting for other factors. The number of overall presentations and the number of presentations at the regional and national levels also increased in the post-intervention period. Similarly, when compared with the pre-intervention period, the number of all manuscripts and the types of manuscripts (original articles, reviews, and book chapters) also increased significantly in the postintervention period. The pre or post intervention period (post-intervention more than the preintervention), the type of medical school from where resident graduated before residency, gender (female more than the males), and the type of practice the residents joined (academic more than the non-academic) were independent predictors of increase in overall scholarly activity, number of presentations and publications.

Conclusion

The implementation of a comprehensive curriculum based on a clear expectation, availability of resources including teaching, and accountability on a structured roadmap increases the likelihood of more scholarly activities by the residents leading to the establishment and enrichment of a culture of scholarship in a residency program.  

EFFECT OF STRUCTURED ROADMAP, INDIVIDUAL ACCOUNTABILITY, AND MEASUREMENT OF OUTCOMES: ENRICHMENT OF CULTURE OF SCHOLARSHIP IN A FAMILY MEDICINE RESIDENCY PROGRAM

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