Department of Orthopaedics, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106-5043, USA.
Clin Orthop Relat Res. 2014 Jan;472(1):370-6. doi: 10.1007/s11999-013-3233-y. Epub 2013 Aug 23.
The American Board of Orthopaedic Surgery requirements state that an orthopaedic residency must offer at least 5 years of clinical education and some exposure to research. To expose residents to basic research, some programs, including ours, have a research track that allows for 1 year of basic science research. The degree to which research productivity during residency-which may be something that can perhaps be influenced by interventions like research tracks during residency-affects residency graduates' future research contributions is unknown.
QUESTIONS/PURPOSES: Our research goals were to determine whether (1) residents who published in a peer-reviewed journal during residency were more likely to publish in their careers after graduation; (2) residents who participated in an elective research year were more likely to publish at least one paper in a peer-reviewed journal during residency; and (3) residents who participated in the research year were more likely to choose academic careers.
Using questionnaires, online PubMed searches, and office contact, the career paths (academic versus private practice) and publications in peer-reviewed journals of all 122 Case Western Reserve University orthopaedics residents who completed training from 1987 to 2006 were analyzed.
Seventy-five percent of residents who published peer-reviewed research during residency continued with peer-reviewed publications in their careers versus 55% of residents who did not publish during residency (p = 0.02). No difference in career paths was observed between the Case Western Reserve University research and traditional track-trained surgeons. During residency, however, research track-trained surgeons were more likely to publish in peer-reviewed journals (71% versus 41% of traditional track-trained surgeons, p < 0.01).
Residents who publish in a peer-reviewed journal during residency are more likely to continue publishing in their future careers as orthopaedic surgeons. Future studies are needed to elucidate the causative factors in the association between publishing in a peer-reviewed journal during training and further contributions later in an orthopaedic surgeon's career.
美国骨科外科学委员会的要求规定，骨科住院医师培训必须提供至少 5 年的临床教育和一些研究机会。为了让住院医师接触基础研究，包括我们在内的一些项目设有研究轨道，允许进行为期 1 年的基础科学研究。在住院医师培训期间的研究成果（可能会受到住院医师培训期间的研究轨道等干预措施的影响）对住院医师培训后未来的研究贡献程度的影响尚不清楚。
问题/目的：我们的研究目的是确定以下问题：（1）在住院医师培训期间在同行评议期刊上发表文章的住院医师是否更有可能在毕业后的职业生涯中发表文章；（2）参加选修研究年的住院医师是否更有可能在住院医师培训期间至少发表一篇同行评议期刊论文；以及（3）参加研究年的住院医师是否更有可能选择学术职业。
使用问卷、在线 PubMed 搜索和办公室联系，分析了 1987 年至 2006 年期间在凯斯西储大学骨科完成培训的 122 名住院医师的职业轨迹（学术与私人执业）和在同行评议期刊上发表的论文。
在住院医师培训期间发表过同行评议研究的住院医师中有 75%在职业生涯中继续发表同行评议论文，而在住院医师培训期间未发表论文的住院医师中有 55%（p = 0.02）。在职业轨迹方面，凯斯西储大学研究型和传统轨道培训的外科医生之间没有差异。然而，在住院医师培训期间，研究型轨道培训的外科医生更有可能在同行评议期刊上发表论文（分别为 71%和 41%的传统轨道培训外科医生，p < 0.01）。
在住院医师培训期间在同行评议期刊上发表论文的住院医师更有可能在以后的骨科医生职业生涯中继续发表论文。需要进一步研究阐明培训期间在同行评议期刊上发表论文与骨科医生职业生涯后期进一步贡献之间的关联的因果因素。
