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April 04, 2017; 88 (14) Contemporary Issues: Innovations in Education

A dedicated scholarly research program in an adult and pediatric neurology residency program

Matthew S. Robbins, Sheryl R. Haut, Richard B. Lipton, Mark J. Milstein, Lenore C. Ocava, Karen Ballaban-Gil, Solomon L. Moshé, Mark F. Mehler
First published February 22, 2017, DOI: https://doi.org/10.1212/WNL.0000000000003626
Matthew S. Robbins
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Sheryl R. Haut
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Richard B. Lipton
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Mark J. Milstein
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Lenore C. Ocava
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Karen Ballaban-Gil
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Solomon L. Moshé
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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Mark F. Mehler
From the Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.
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A dedicated scholarly research program in an adult and pediatric neurology residency program
Matthew S. Robbins, Sheryl R. Haut, Richard B. Lipton, Mark J. Milstein, Lenore C. Ocava, Karen Ballaban-Gil, Solomon L. Moshé, Mark F. Mehler
Neurology Apr 2017, 88 (14) 1366-1370; DOI: 10.1212/WNL.0000000000003626

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Abstract

Objective: To describe and assess the effectiveness of a formal scholarly activity program for a highly integrated adult and pediatric neurology residency program.

Methods: Starting in 2011, all graduating residents were required to complete at least one form of scholarly activity broadly defined to include peer-reviewed publications or presentations at scientific meetings of formally mentored projects. The scholarly activity program was administered by the associate residency training director and included an expanded journal club, guided mentorship, a required grand rounds platform presentation, and annual awards for the most scholarly and seminal research findings. We compared scholarly output and mentorship for residents graduating within a 5-year period following program initiation (2011–2015) and during the preceding 5-year preprogram baseline period (2005–2009).

Results: Participation in scholarship increased from the preprogram baseline (24 of 53 graduating residents, 45.3%) to the postprogram period (47 of 57 graduating residents, 82.1%, p < 0.0001). Total scholarly output more than doubled from 49 activities preprogram (0.92/resident) to 139 postprogram (2.44/resident, p = 0.0002). The proportions of resident participation increased for case reports (20.8% vs 66.7%, p < 0.0001) and clinical research (17.0% vs 38.6%, p = 0.012), but were similar for laboratory research and topical reviews. The mean activities per resident increased for published abstracts (0.15 ± 0.41 to 1.26 ± 1.41, p < 0.0001), manuscripts (0.75 ± 1.37 to 1.00 ± 1.40, p = 0.36), and book chapters (0.02 ± 0.14 to 0.18 ± 0.60, p = 0.07). Rates of resident participation as first authors increased from 30.2% to 71.9% (p < 0.0001). The number of individual faculty mentors increased from 36 (preprogram) to 44 (postprogram).

Conclusions: Our multifaceted program, designed to enhance resident and faculty engagement in scholarship, was associated with increased academic output and an expanded mentorship pool. The program was particularly effective at encouraging presentations at scientific meetings. Longitudinal analysis will determine whether such a program portfolio inspires an increase in academic careers involving neuroscience-oriented research.

GLOSSARY

ACGME=
Accreditation Council for Graduate Medical Education

Footnotes

  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Editorial, page 1302

  • Received August 17, 2016.
  • Accepted in final form November 28, 2016.
  • © 2017 American Academy of Neurology
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Letters: Rapid online correspondence

  • Advancing scholarly activity among neurology trainees
    • Rimas V. Lukas, Director of Medical Neuro-Oncology, University of Chicagorlukas@neurology.bsd.uchicago.edu
    • Dara V. Albert DO, Columbus, OH
    Submitted March 24, 2017
  • Author response: Improving the clinical research environment
    • Matthew S. Robbins, Associate Professor of Clinical Neurology, Montefiore Medical Center and Albert Einstein College of Medicinemarobbin@montefiore.org
    • Mark F. Mehler
    Submitted March 16, 2017
  • Improving the clinical research environment
    • Kimford J. Meador, Professor of Neurology & Neurological Sciences, Stanford Universitykmeador@stanford.edu
    Submitted March 09, 2017
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