Factors of engagement in research after graduation from EP fellowship: An HRS survey

IF 5.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Heart rhythm Pub Date : 2025-02-01 DOI:10.1016/j.hrthm.2024.07.093

Sunita J. Ferns MD, MRCPCH, FHRS , Marmar Vaseghi MD, FHRS , Matthew J. Singleton MD, FHRS , Duy T. Nguyen MD, FHRS , Sanjiv M. Narayan MD, FHRS , Kenneth C. Bilchick MD, FHRS

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Abstract

Background

The declining number of electrophysiologists pursuing academic research careers could have a negative impact on innovation for patients with heart rhythm disorders in the coming decades.

Objective

The objective of this study was to explore determinants of research engagement after graduation from electrophysiology (EP) fellowship programs and to evaluate associated barriers and opportunities.

Methods

A mixed methods survey of EP fellows and early-career electrophysiologists was conducted, drawing from Heart Rhythm Society members. The survey encompassed 20 questions on demographics, research involvement, perceived research barriers, and perspectives on research time and opportunities. Responses were analyzed with robust Poisson regression.

Results

Of 259 respondents, those with dedicated research blocks during their fellowship had a significantly higher interest in future research (relative risk, 1.15; P = .04). The number of peer-reviewed publications modestly influenced interest in continued research (relative risk, 1.0034 per publication; P < .0001), but there was no relationship to gender or race. Educational resources, networking opportunities, mentorship, funding, and protected time to enhance research engagement were important themes in the qualitative analysis, whereas key barriers to post-fellowship research were lack of mentorship, insufficient resources, and time constraints, in that order, particularly with respect to women in research. Notably, no significant differences in barriers were observed between community training programs and academic centers.

Conclusion

Research experience and mentorship during EP fellowship were key determinants of subsequent research success after training, with similar findings by sex and race. These findings explain how fellowship training influences a physician’s research practice after training and highlights opportunities to modify EP fellowships and to augment research retention.

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从 EP 研究金毕业后参与研究的因素：HRS 调查。

背景：从事学术研究的电生理学家人数不断减少，这可能会对未来几十年心律失常患者的创新产生负面影响：探讨电生理学家奖学金项目毕业后从事研究工作的决定因素，并评估相关障碍和机遇：方法：从心律协会会员中抽调人员，对 EP 研究员和早期职业电生理学家进行了一项混合方法调查。调查包括 20 个问题，涉及人口统计学、研究参与度、感知到的研究障碍以及对研究时间和机会的看法。调查采用稳健泊松回归法对回答进行分析：在 259 名受访者中，在研究期间有专门研究时间段的受访者对未来研究的兴趣明显更高（RR 1.15，P=0.04）。经同行评审的论文数量对继续研究的兴趣有一定影响（每篇论文的RR为1.0034，P<0.0001），但与性别或种族没有关系。在定性分析中，教育资源、交流机会、导师指导、资金和受保护的时间是提高研究参与度的重要主题，而研究员资格后研究的主要障碍依次是缺乏导师指导、资源不足和时间限制，尤其是对从事研究的女性而言。值得注意的是，社区培训计划与学术中心之间的障碍没有明显差异：EP 研究金期间的研究经验和导师指导是培训后研究成功的关键决定因素，不同性别和种族的研究结果相似。这些发现解释了研究金培训如何影响医生培训后的研究实践，并强调了修改急诊科研究金和提高研究保留率的机会。

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来源期刊

Heart rhythm 医学-心血管系统

CiteScore

10.50

自引率

5.50%

发文量

1465

审稿时长

24 days

期刊介绍： HeartRhythm, the official Journal of the Heart Rhythm Society and the Cardiac Electrophysiology Society, is a unique journal for fundamental discovery and clinical applicability. HeartRhythm integrates the entire cardiac electrophysiology (EP) community from basic and clinical academic researchers, private practitioners, engineers, allied professionals, industry, and trainees, all of whom are vital and interdependent members of our EP community. The Heart Rhythm Society is the international leader in science, education, and advocacy for cardiac arrhythmia professionals and patients, and the primary information resource on heart rhythm disorders. Its mission is to improve the care of patients by promoting research, education, and optimal health care policies and standards.