Smith Jesse Joshua, Patel Ravi K, Chen Xi, Tarpley Margaret J, Terhune Kyla P
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Division of Cancer Biostatistics, Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.
J Surg Educ. 2014 Jul-Aug;71(4):486-91. doi: 10.1016/j.jsurg.2014.01.018. Epub 2014 May 1.
Many residents supplement general surgery training with years of dedicated research, and an increasing number at our institution pursue additional degrees. We sought to determine whether it was worth the financial cost for residency programs to support degrees.
We reviewed graduating chief residents (n = 69) in general surgery at Vanderbilt University from 2001 to 2010 and collected the data including research time and additional degrees obtained. We then compared this information with the following parameters: (1) total papers, (2) first-author papers, (3) Journal Citation Reports impact factors of journals in which papers were published, and (4) first job after residency or fellowship training.
The general surgery resident training program at Vanderbilt University is an academic program, approved to finish training 7 chief residents yearly during the time period studied.
Chief residents in general surgery at Vanderbilt who finished their training 2001 through 2010.
We found that completion of a degree during residency was significantly associated with more total and first-author publications as compared with those by residents with only dedicated research time (p = 0.001 and p = 0.017). Residents completing a degree also produced publications of a higher caliber and level of authorship as determined by an adjusted resident impact factor score as compared with those by residents with laboratory research time only (p = 0.005). Degree completion also was significantly correlated with a first job in academia if compared to those with dedicated research time only (p = 0.046).
Our data support the utility of degree completion when economically feasible and use of dedicated research time as an effective way to significantly increase research productivity and retain graduates in academic surgery. Aggregating data from other academic surgery programs would allow us to further determine association of funding of additional degrees as a means to encourage academic productivity and retention.
许多住院医师通过多年的专注研究来补充普通外科培训，而且在我们机构，越来越多的人攻读更高学位。我们试图确定住院医师培训项目支持攻读学位在经济成本上是否值得。
我们回顾了2001年至2010年在范德堡大学毕业的普通外科总住院医师（n = 69），并收集了包括研究时间和获得的额外学位等数据。然后我们将这些信息与以下参数进行比较：（1）论文总数，（2）第一作者论文，（3）论文发表期刊的《期刊引证报告》影响因子，以及（4）住院医师或研究员培训结束后的第一份工作。
范德堡大学的普通外科住院医师培训项目是一个学术项目，在所研究期间每年批准培训7名总住院医师。
2001年至2010年在范德堡大学完成培训的普通外科总住院医师。
我们发现，与仅进行专注研究的住院医师相比，在住院期间获得学位与更多的论文总数和第一作者论文显著相关（p = 0.001和p = 0.017）。与仅进行实验室研究的住院医师相比，通过调整后的住院医师影响因子得分确定，获得学位的住院医师还发表了更高质量和作者级别更高的论文（p = 0.005）。与仅进行专注研究的住院医师相比，获得学位也与在学术界的第一份工作显著相关（p = 0.046）。
我们的数据支持在经济可行时完成学位的作用，并支持将专注研究时间作为显著提高研究生产力和留住学术外科毕业生的有效方法。汇总其他学术外科项目的数据将使我们能够进一步确定资助额外学位作为鼓励学术生产力和留住人才手段之间的关联。
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