Mitchell Alex J, Crowfoot Daniel, Leaver James, Hughes Samantha
Leicester Partnership Trust, Leicester , UK.
JRSM Short Rep. 2011 Mar 23;2(3):21. doi: 10.1258/shorts.2011.011008.
Given the uncertainty about factors that influence receipt of Clinical Excellence Awards (CEA) and recent availability of advanced research metrics, we examined the factors that predict CEA success using a convenience sample of English psychiatrists.
Observational study examining region, subspecialty, H-index, M-index, number of publications, years since registration and years in specialty.
ACCEA Nominal Roll, cross-referenced with data from the GMC's list of registered medical practitioners and Thompson's Web of Science database.
A total of 494 psychiatrists including 245 with national levels awards and a random sample with local level awards.
Receipt of local or national CEA awards in 2008 and 2009.
Of those with national awards, 126 had university contracts and 119 NHS contracts. Across all staff, years since qualification in medicine and H-index were the dominant influences. For local awards we found that years worked in the specialty was the main predictor of a CEA award with a smaller contribution from H-index. For national awards to university staff (academics) years on the medical register and publication rate were significant predictors. For national awards to NHS staff (non-academics) H-index and total cites were predictive, but these were themselves related to age.
Progression in CEAs among psychiatrists is strongly influenced by age (years spent in specialty and years on the medical register) with an additional contribution from research productivity. Currently, research impact is crudely assessed in the CEA process. We suggest that CEA committees formally assess the impact of NHS-related research using standardized research metrics which are openly available. We also suggest that supporting organizations and local trusts adhere to the rules mandated by the ACCEA.
鉴于影响获得临床卓越奖（CEA）的因素存在不确定性，且近期有了先进的研究指标，我们使用英国精神科医生的便利样本，研究了预测CEA获奖成功的因素。
观察性研究，考察地区、亚专业、H指数、M指数、发表文章数量、注册年限和专业年限。
ACCEA提名名单，与英国医学总会注册医生名单和汤森路透科学网数据库的数据交叉引用。
共494名精神科医生，包括245名获得国家级奖项者和一个获得地方级奖项的随机样本。
2008年和2009年获得地方或国家级CEA奖项情况。
在获得国家级奖项者中，126人有大学合同，119人有国民保健服务（NHS）合同。在所有人员中，从医资格年限和H指数是主要影响因素。对于地方奖项，我们发现专业工作年限是CEA获奖的主要预测因素，H指数的影响较小。对于大学工作人员（学者）获得国家级奖项，医学注册年限和发表率是重要预测因素。对于NHS工作人员（非学者）获得国家级奖项，H指数和总被引次数具有预测性，但这些本身与年龄有关。
精神科医生CEA的进展受到年龄（专业工作年限和医学注册年限）的强烈影响，研究生产力也有额外作用。目前，在CEA评选过程中对研究影响力的评估较为粗略。我们建议CEA委员会使用公开可用的标准化研究指标，对与NHS相关的研究影响力进行正式评估。我们还建议支持组织和地方信托机构遵守ACCEA规定的规则。
