I Encontro Brasileiro dos Serviços de Residência Médica em Urologia
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O documento discute os benefícios da pesquisa para residentes de medicina, os obstáculos enfrentados e soluções propostas. Apresenta dados sobre taxas de publicação de artigos baseados em pesquisas realizadas durante a residência médica em diversos países. Defende que medidas de estímulo e apoio à pesquisa podem melhorar a produção científica dos residentes.
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I Encontro Brasileiro dos Serviços de Residência Médica em Urologia
- 1. Alberto Azoubel Antunes Membro da Comissão de Ensino e Treinamento (CET) - SBU Assitente-Doutor - Divisão de Urologia - HC- FMUSP I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. A Revista Eletrônica
- 2. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Os residentes de urologia devem publicar artigos científicos?
- 6. All accredited urology residency training programs should facilitate scholarly activities that “advance residents’ knowledge of the basic principles of research, including how research is conducted, evaluated, explained to patients, and applied to patient care.” Accreditation Council for Graduate Medical Education http://www.acgme.org. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Accreditation Council for Graduate Medical Education
- 8. Stewart RD. Arch Surg. 2000;135:439-44. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Razões para Pesquisar (69%) Programas grandes Programas pequenos Iniciar carreira acadêmica 90% 47% Ajudar a obter fellowship 86% 70% Dar um tempo na residência 68% 22% Ganhar dinheiro 33% 2% Obrigatório no programa 43% 60% Descobrir se gosta de pesquisa 61% 62% Atitude em Relação à Pesquisa
- 9. Stewart RD. Arch Surg. 2000;135:439-44. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Razões para não Pesquisar (31%) Programas grandes Programas pequenos Não disponível no programa 16% 38% Falta de interesse 58% 61% Já fez antes da residência 64% 50% Pretendem fazer no fellowship 50% 35% Falta de tempo 44% 45% Conflitos familiares 27% 42% Atitude em Relação à Pesquisa
- 10. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Destino da Pesquisa Congressos Simpósios Fóruns Jornadas Resumos Publicação ?
- 12. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Fatores Preditivos de Publicação Scherer RW. Cochrane Database Syst Rev. 2007 Apr 18;(2):MR000005. Apresentação x Publicação Variável RR Resultados positivos (significantes estatisticamente) 1.30 Resultados positivos (favorecendo o tratamento experimental) 1.17 Resultados positivos (ensaios controlados ou randomizados) 1.18 Apresentação oral 1.28
- 13. Weber EJ. JAMA. 1998;280(3):257-9. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. *492 abstracts submetidos para o encontro da SAEM - 55% publicados. Artigos não Submetidos para Publicação Motivos N (%) Falta de tempo 42% Pensaram que o jornal não iria aceitar 20% Resultados não importantes 12% Problemas com co-autores 9% Trabalho não valeria a pena 7% Outros artigos com resultados similares 6% Análise estatística negativa 4% Outros 22%
- 14. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Hellenthal NJ. J Urol. 2009;181:281-6 EUA Publicações dos Residentes de Urologia 83 programas (70%) 255 residentes chefes atuais (68%) ou recém graduados (32%) 127 respostas
- 15. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Hellenthal NJ. J Urol. 2009;181:281-6 Número de Artigos Submetidos 103 24 Publicações dos Residentes de Urologia 497 artigos submetidos por 103 residentes
- 16. Hellenthal NJ. J Urol. 2009;181:281-6 Status dos Artigos I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Publicações dos Residentes de Urologia
- 17. Número de Artigos por Residente I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Hellenthal NJ. J Urol. 2009;181:281-6 Publicações dos Residentes de Urologia 66% com pelo menos 1 artigo aceito 81% com pelo menos 1 artigo submetido
- 18. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Fatores Importantes Publicações Prévias Meses de Pesquisa 3 4 7 Hellenthal NJ. J Urol. 2009;181:281-6 Publicações dos Residentes de Urologia
- 19. Probabilidade de Entrar no Fellowship Hellenthal NJ. J Urol. 2009;181:281-6 I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Publicações dos Residentes de Urologia
- 22. Soluções?
- 24. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Dengel LT. J Surg Educ. 2009;66:146-51. Tipos de Estudo * 99 projetos submetidos por 47 residentes Resident Research Day
- 25. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Pontos Positivos (76% satisfeitos) Dengel LT. J Surg Educ. 2009;66:146-51. Resident Research Day
- 26. Pontos Negativos (24% Insatisfeitos) I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Dengel LT. J Surg Educ. 2009;66:146-51. Resident Research Day
- 27. Dengel LT. J Surg Educ. 2009;66:146-51. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Motivos Para Participar Resident Research Day
- 28. I Encontro Brasileiro dos Serviços de Residência Médica em Urologia. Lohr J. Curr Surg. 2006;63(6):426-34. “ Times de Pesquisa” Antes Após Apresentações 69 92 Publicações 60 77
Notas do Editor
- O objetivo inicial da aula é propor o desenvolvimento de um projeto que ajude/facilite a pesquisa e publicação dos residentes de urologia no Brasil. Ou seja, dar condições para que os residentes publiquem. O que falar em 20 minutos sobre um projeto que ainda não está no papel?
- Decidí discutir sobre a necessidade de pesquisa/ publicação durante a residência de urologia.. Já que residência médica não é uma pós-graduação sensu-stritu , os residentes devem publicar? Ou devem guardar esforços para se dedicar ao aprendizado da técnica cirúrgica e cuidados com os pacientes?
- Restrições de tempo e outras prioridades como os cuidados assistenciais, a maioria dos residentes acha difícil estar engajado em projetos de pesquisa se não estiverem dentro de um rodízio específico. Em muitos serviços (a maioria) os residentes representam a verdadeira mão de obra.. Nem todos os estados possuem uma FAPESP. E a maioria desconhece as fontes de fomento. Falar da BIREME.
- During this time, residents learn and gain experience in the generation of research ideas, the development of hypotheses, and the use of scientific methods, as well as honing verbal and written communication skills—all requisite skills for a successful career. At the same time, they develop critical thinking skills and enhance their ability to evaluate the scientific literature (não adotar algumas verdades como absolutas) , as well as learning the difficulties of carrying out a successful research project. They also develop a broader perspective on clinical questions. In our experience, residents return to surgical training after a research period with notably greater maturity as surgeons.
- To report the findings of a questionnaire survey among consultant urologists in the United Kingdom (UK) designed to examine their personal experience of research and their opinion of its contribution in urological training. Among the 154 consultant urologists who replied. 130 (84%) had undertaken research during their training, for a period varying from 6 months to more than 2 years. Among the 130, 99 (76%) considered this to have been well spent; 76 (58%) obtained a higher degree, 86 (66%) achieved at least three publications in peer-reviewed journals and 90 (69%) had given at least five presentations to learned societies. Inadequate supervision in particular was cited as contributing to underachievement and motivation was also considered important to success.
- The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the Accreditation of post-MD medical training programs within the United States. Accreditation is accomplished through a peer review process and is based upon established standards and guidelines. The mission of the ACGME is to improve the quality of health in the United States by ensuring and improving the quality of graduate medical education experience for the physicians in training. The ACGME establishes national standards for graduate medical education by which it approves and continually assesses educational programs under its aegis. It uses the most effective methods available to evaluate the quality of graduate medical education programs. It strives to develop evaluation methods and processes that are valid, fair, open and ethical.
- This study sought to determine the attitudes of general surgery residents in New England toward research and the factors that affect their research participation and productivity. Setting: Eighteen of the 20 general surgery residency programs in New England. Overall, 459 (79%) of the 584 surgical residents taking the ABSITE in New England responded.
- It is not clear from these results how to interpret the finding that taking a break from residency is more important to residents from large programs. It may well be that the residents in large programs feel more isolated or anonymous, with less support than that in a smaller, more tightly knit, resident cohort. Itmayalso be that resident work hours, not addressed in this survey, may be more taxing in large programs. Program directors should be aware of this rationale among residents and should counsel residents not to select a research elective solely for this purpose.
- Among those residents not planning research work, lack of interest was the most common rationale. More than half had engaged in research prior to residency, suggesting that their prior research experience was sufficient for career goals, or possibly that it was an unsatisfactory experience.
- UNDERREPORTING OF research is a well-recognized problem with serious implications for clinical practice. Most unpublished research is never submitted to a journal for consideration. Previous investigations suggest researchers are more likely to attempt to publish studies with positive outcomes (publication bias). Much of the research submitted to scientific meetings is never published, yet it is not known whether acceptance or rejection of the abstract for a meeting influences subsequent efforts to publish a full manuscript. Lembrar realidade do HC.
- Johns Hopkins University, Center for Clinical Trials
- The purpose of this study was to determine what factors influence an investigator's attempts to publish research that was submitted to a scientific meeting. We hypothesized that authors of abstracts rejected by the meeting were less likely to pursue publication than those whose abstracts had been accepted, regardless of the study quality. We obtained copies of all abstracts submitted to the 21st annual meeting of the Society for Academic Emergency Medicine (SAEM) held in 1991. Of the 492 studies submitted to SAEM in 1991, 266 (55%) were never published
- From the Department of Urology, University of California at Davis, Sacramento, California We sent e-mail requests to the program directors of 118 accredited urological surgery resident training programs in the United States and Canada, specifically asking for the e-mail addresses of current and recently graduated chief residents (2007 to 2008).
- Interestingly we found that the average number of manuscripts submitted after 3 months of research (3) does not differ greatly from the average number after 6 months (4) (fig. 3, B). However, manuscript submission does increase to an average of 7 after 12 months of research. If a program goal is manuscript production these data suggest that increasing dedicated research time from 3 to 6 months is of low yield.
- Our surgery residency at the University of Virginia has a strong tradition of resident research productivity. In line with this culture, in 2001, we started an annual Resident Research Day (RRD) to provide a public forum for the display and discussion of resident research efforts and with the aim of supporting , encouraging , and rewarding resident research productivity. We present results from a survey that measured research productivity and resident satisfaction with RRD over the last 8 years. We also present results from a survey to residency directors across the country assessing efforts to promote resident research.
- Overall satisfaction with RRD was high, with 76% reporting that they were either very satisfied or satisfied with their RRD experience. Residents and alumni reported mentorship and the awards banquet as the top 2 areas done well, and the attendance by faculty and residents as the 2 areas that need the greatest improvement.
- The most common reason cited for participation is that it is mandatory (60%). Other common reasons were the opportunity to investigate a question of interest (43%) and receiving prestige and recognition by the department (36%). Award money (4%) was selected least often as a reason
- Each team is supported by a research specialist who provides assistance with project design, data evaluation, statistical analysis, manuscript editing, and preparation of research presentations. Every resident is assigned to a research team that meets monthly. The teams consist of a 4th- or 5thyear resident, 2nd- or 3rd-year resident, surgical intern, research team mentor, and research specialist. The resident is required tobe an active contributing co-investigator on 1 team project per year, contributing to the development and performance of the study, participating in writing the manuscript, and must be able to defend the study. By the end of the third year, the resident is required to complete 1 individual project that is submitted to the postgraduate competition for residents. In addition, a completed manuscript must be ready to submit to a peer-reviewed journal. Promotion can be denied if the appropriate time has not been devoted to research. Minimum completion requirements include a case report and a presentation at a national or regional meeting. The research registry was reviewed for all presentations and publications given by the surgical residents during the 8 years before the teams were established and the 8 years after the teams were formed. The research teams resulted in a 33% increase in presentations and a 13% increase in publications.
- Although resident research is a key component of the surgical education process, the specific components of training residents to perform research are not defined. Limited literature addresses surgical resident research curricula. Development of resident research teams in a community surgery program increased publications by 13% and presentations by 33%. Os residentes não devem ser obrigados a publicar, mas deve-se criar condições que facilitem a pesquisa e publicação. No mínimo, deve-se esperar que os residentes de urologia compreendam literatura científica e acessem criticamente dados para a prática futura da medicina beseada em evidências. Resident research day e Times de pesquisa; Não existe um currículo de pesquisa bem definido. Os rodízios de pesquisa são importantes no nosso meio? Ou é melhor os residentes treinarem técnicas cirúrgicas? Pesquisas que avaliem a atitude dos residente perante a pesquisa devem ser realizadas. Não tenho dúvidas que a pesquisa representa um componente significativo para o crescimento e desenvolvimento do cirurgião prático, e que pode ajudar a melhorar a prática clínica. Research is considered a significant component for the growth and development of the practicing surgeon and can help develop scientific methodology and enhance surgical practice.