Table 2.
Time studied (years) | Protected time | Research requirement | Mentors | Curriculum | Research assistant | Research director | Biostatistician | IT support | Research fund available | Opportunities or awards | Funding: performance based | Funding: salary at risk | Specifics of interventions | Reported publication outcomes | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Interventions on faculty | ||||||||||||||||
Bertram et al. (27) | GIM faculty (n=13–39/year) | 16 | x | x | x | x | x | Director: 10–20% salary support; co-director: 5–10% support | 334 publications/16 years (0.83 pubs/fac/years) | |||||||
Cramer et al. (35) | Fam med faculty (n=38–49/year) | 3 | x | RVU-based incentive plan (2% of salary at risk) | Research points increased from 524 to 775 (48% increase) | |||||||||||
Filler et al. (40) | Staff Pediatricians (n=32) and administrators (n=5) | 3 | x | Productivity bonus (approximately 10%) for excellence in research, practice, education, administration | No difference in research scores; publications not reported | |||||||||||
Reich et al. (33) | Anesthesia faculty (n=?) | 1 | x | Productivity-based incentive; 70% of salary at risk | No change in publications | |||||||||||
Sakai et al. (30) | Clinical faculty (n=90–145/year) | 6 | x | Performance-based incentive, 30% of salary at risk | 161 publications/8 years (1.13 pubs/fac/years) | |||||||||||
Schweitzer et al. (32) | Medical school faculty (n=?) | 10 | x | x | x | x | x | x | x | Productivity-based incentive tied to tenure | Incr in funding $20–$90 M; publications not reported | |||||
Tarquinio et al. (41) | Physicians in 12 clinical divisions | 2 | x | Financial incentives | Incr growth of research per scientist growth from 9%/year to 23%/year | |||||||||||
Interventions on residents in training | ||||||||||||||||
Byrnes 2005 et al. (22) | IM residents (n=72/year) | 3 | x | x | x | x | 4 months approved elective time with mentor | Research from 6% to 29%; pubs not reported | ||||||||
Carek et al. (24) | Fam med residents (n=20/year) | 10 | x | x | x | x | x | Required curriculum for senior residents; protected time | 15 publications/1 year (0.05 pubs/res/years) | |||||||
Chang and Mills (31) | ENT residents (n=10.5/year) | 8 | x | Productivity-based incentive, for distribution of dept. discretionary funds | 41 publications/14 years (0.29 pubs/res/year) | |||||||||||
Durning et al. (28) | IM residents (n=30/year) | 5 | x | x | x | x | Residency research director spent 7 hours/week on projects | 17 publications/5 years (0.11 pubs/res/year) | ||||||||
Fancher et al. (25) | IM residents (n=87/year) | 4 | x | x | x | x | 4-week required course; funding to present if accepted | 2 publications/1 year (0.02 pubs/res/year) | ||||||||
Fischer and Cation (29) | IM residents (n=24/year) | 6 | x | x | x | x | x | RRD, elective time, mandatory requirement | No publications | |||||||
Hepburn et al. (23) | IM residents (n=30/year) | 5 | x | x | x | x | x | x | x | Mandatory res requirement, 2 months dedicated time | 21 publications/5 years (0.14 pubs/res/year) | |||||
Holmes et al. (26) | EM residents (n=24/year) | 10 | x | Required research | 36 publications/10 years (0.15 pub/res/year) | |||||||||||
Kanna et al. (13) | IM residents (n=84/year) | 2 | x | x | x | x | x | x | x | 2-week required rotation; assigned mentor; awards day | 49 publications/2 years (0.29 pubs/res/year) | |||||
Roane et al. (20) | Psych residents (n=48/year) | 5 | x | x | x | x | Required research, assigned mentors | 32 publications/5 years (0.13 pubs/res/year) | ||||||||
Rothberg et al. (11) | IM residents (n=54/year) | 6 | x | x | x | x | x | x | x | x | RRD with 0.25 FTE protected Time; biostats and research assist support |
58 publications/7 years (0.15 pubs/res/year) | ||||
Vinci et al. (21) | Peds residents (n=126/year) | 5 | x | x | x | x | x | Elective 3-month rotation, assigned mentors, 25 hours mandatory curriculum | 15 publications/5 years (0.02 pubs/res/year) | |||||||
Interventions in both faculty and residents | ||||||||||||||||
Alweis 2015 | IM residents, faculty (n=33–51/year) | 14 | x | x | x | x | x | x | x | x | x | Research electives, incentive plan for faculty and then residents | 176 resident publications/14 years (0.44 pubs/res/year); 21 faculty publications/14 years (0.20 pubs/fac/year) |