Baufreton Christophe, Chrétien Jean-Marie, Moreau-Cordier Florence, Moreau François, Portefaix Hadrien, Branchereau Héloïse, Huez Jean-François, Richard Isabelle, Saint-André Jean-Paul
Université Lunam, université d'Angers, faculté de médecine, 49045 Angers cedex 01, France.
Presse Med. 2012 May;41(5):e213-9. doi: 10.1016/j.lpm.2011.11.026. Epub 2012 Feb 13.
The activity of scientific publication after initial medical education is unclear. The purpose of this study was to evaluate the proportion of MD theses and Board certification manuscripts resulting in a publication, their impact in terms of SIGAPS points and the main difficulties in the publication of this work.
MD theses sustained from 2002 to 2008 at the Faculty of Medicine of Angers have been identified from the "Système universitaire de documentation" (SUDOC), catalog, and specialty certification manuscripts (Board and Complementary Board) directly to diplomates. Publications were searched in Medline via Pubmed, ISI Web of Knowledge and in the three SIGAPS reports from 2002 to 2008. A survey aimed at determining the barriers to publication and the way to suppress them was launched to all MD directors and specialty mentors.
Five hundred and ninety-eight theses were sustained, 311 (52%) in general medicine and 287 (48%) in specialties. One hundred and sixty-five theses have resulted in publication (28%) of which 97 (16%) indexed in Medline via Pubmed (11% in general medicine and 22% in specialty). Thirty-three of these 97 articles (35%) were published in journals of high quality classes A, B or C of SIGAPS classification. These articles from theses represented 4.17% of the SIGAPS scoring of the hospital calculated on a total of 2088 articles over this period. Two hundred and four specialty certification manuscripts resulted in 69 articles (33.8%), 50 (24.5%) indexed in Medline. The rate of publication of these specialty manuscripts, Board and Complementary Board, were respectively 31% (45/145) and 40.7% (24/59). They represented 1.9% (432 points) total SIGAPS score. The main barriers to publication were lack of time of directors, remote students after the promotion and the lack of logistic resources.
Scientific publications issued from initial medical education at the Faculty of Medicine of Angers was of good quality but quantitatively insufficient, and contributed poorly to the University Hospital funding despite a significant number of diplomates. Logistical support should be considered in order to promote scientific production after initial medical education.
医学初始教育后的科研发表活动尚不明确。本研究旨在评估医学博士论文和委员会认证稿件的发表比例、其在SIGAPS积分方面的影响以及这项工作发表过程中的主要困难。
从“大学文献系统”（SUDOC）目录中识别出2002年至2008年在昂热医学院完成的医学博士论文，并直接向获得专科认证的医生索要专科认证稿件（委员会认证和补充委员会认证）。通过PubMed在Medline、ISI科学网以及2002年至2008年的三份SIGAPS报告中检索发表情况。针对所有医学博士导师和专科导师开展了一项调查，旨在确定发表的障碍以及消除这些障碍的方法。
共完成598篇论文，其中311篇（52%）为普通医学论文，287篇（48%）为专科论文。165篇论文得以发表（28%），其中97篇（16%）通过PubMed被Medline收录（普通医学领域为11%，专科领域为22%）。这97篇文章中有33篇（35%）发表在SIGAPS分类的A、B或C类高质量期刊上。这些来自论文的文章占该时期医院SIGAPS评分的4.17%，医院在此期间共发表2088篇文章。204篇专科认证稿件发表了69篇文章（33.8%），其中50篇（24.5%）被Medline收录。这些专科稿件（委员会认证和补充委员会认证）的发表率分别为31%（45/145）和40.7%（24/59）。它们占SIGAPS总积分的1.9%（432分）。发表的主要障碍是导师时间不足、毕业后学生联系不便以及后勤资源匮乏。
昂热医学院医学初始教育产生的科研发表质量良好，但数量不足，尽管有大量获得认证的医生，对大学医院的资金贡献却很少。应考虑提供后勤支持，以促进医学初始教育后的科研产出。
