Bridging the Gap: Supporting Translational Research Careers Through an Integrated Research Track Within Residency Training

Melissa Arbuckle, MD, PhDCo-Director, Resident EducationTraining Director, Research TrackAssociate Professor of Clinical PsychiatryColumbia University Medical CenterDepartment of Psychiatry

May 28, 2015

AAMC/ROCC Research in Residency Meeting

Financial Disclosure

I receive research funding from the American Board of Psychiatry and Neurology and the National Institutes of Health. This work is supported by the NIH (5R25MH086466) and a grant from the Leon Levy Foundation.

Understand some of the challenges residents and residency training directors face in developing/supporting research efforts during residency training

Become familiar with potential approaches for addressing these challenges

By the end of this session, you will:

Learning Objectives

1

2

Arbuckle MR, Gordon JA, Pincus HA, Oquendo MA. Acad Med. 2013 Jun;88(6):759-65.

Program Overview

Year 1 Year 2 Year 3 Year 4

Research Integration in Clinical Training

Rotation through clinical research units (3 months total)

40% protected time for research

80% protected time for research

Year 1 Year 2 Year 3 Year 4

Research Integration in Clinical Training

Rotation through clinical research units (3 months total)

40% protected time for research

80% protected time for research

Mentorship Identify a mentor—monthly meetings

Weekly mentorship/supervision

Year 1 Year 2 Year 3 Year 4

Research Integration in Clinical Training

Rotation through clinical research units (3 months total)

40% protected time for research

80% protected time for research

Mentorship Identify a mentor—monthly meetings

Weekly mentorship/supervision

Development of Research Project

Develop a project proposal by the end of the second year

Work on project, prepare for T32 fellowship application

Year 1 Year 2 Year 3 Year 4

Research Integration in Clinical Training

Rotation through clinical research units (3 months total)

40% protected time for research

80% protected time for research

Mentorship Identify a mentor—monthly meetings

Weekly mentorship/supervision

Development of Research Project

Develop a project proposal by the end of the second year

Work on project, prepare for T32 fellowship application

Research Track-specific Coursework

Monthly Residents Interested in Research seminar (peer-mentorship program, residents present their work)

Year 1 Year 2 Year 3 Year 4

Research Integration in Clinical Training

Rotation through clinical research units (3 months total)

40% protected time for research

80% protected time for research

Mentorship Identify a mentor—monthly meetings

Weekly mentorship/supervision

Development of Research Project

Develop a project proposal by the end of the second year

Work on project, prepare for T32 fellowship application

Research Track-specific Coursework

Monthly Residents Interested in Research seminar (peer-mentorship program, residents present their work)

Funding –NIH R25 Direct salary support (freeing up departmental funds)Pilot funds for research, travel funds for research conferences

Private Foundation Grant* $20,000 annual stipend $15,000 annual stipend

*residents committed to research fellowship training after graduation are eligible to apply

Challenges Facing Trainees

Research Training

Limited…• Continuity in research development• Opportunities to build research portfolio• Research Mentorship• Integration with research colleagues• Integration with post-residency Fellowship Training

Clinical Training

• Competing Clinical Training Demands• Limited Integration with Residency

Colleagues

Personal Needs

• Financial Demands• Work-Life Balance

Challenges Facing Training Directors

• Complexity of balancing ACGME clinical training requirements and research training of residents

• Issues of elitism/favoritism among residents• Addressing needs for clinical coverage• Monetary support for program

Thank You

Maria Oquendo, MDHarold Pincus, MDJoshua Gordon, MD, PhD