Zarzaur Ben L, Valsangkar Nakul, Feliciano David F, Koniaris Leonidas G
From the Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
J Trauma Acute Care Surg. 2016 Jul;81(1):137-43. doi: 10.1097/TA.0000000000001066.
More than 75% of respondents to an Eastern Association for the Surgery of Trauma survey felt that barriers to research had increased and that acute care surgeon (ACS) academic productivity had decreased. Recent data confirm this impression and show lower academic productivity of junior ACS faculty compared with peers in other general surgical fields. The purpose of this study was to determine if early career acute care surgery research scholarships are associated with improved ACS academic productivity.
Faculty data at the Top 55 National Institutes of Health (NIH)-funded departments of surgery (Top 55) were obtained using SCOPUS, NIH, department, and professional society databases. Academic productivity was measured using total publications, citations, and the Hirsch index. Scholarship recipients from the American Association for the Surgery of Trauma and Eastern Association for the Surgery of Trauma were identified.
A total of 4,101 surgical faculty (8.3% ACS) who belong to the Top 55 NIH-funded departments of surgery and 85 scholarship recipients were identified. After merging, 34 scholarship recipients (40%) were current faculty at a Top 55 NIH-funded department of surgery, and 24 of those (71%) were ACS faculty. Scholarship recipients had higher median total publications compared with nonrecipients at assistant and associate ranks but not at full professor rank. For all ranks, scholarship recipients were more likely to have NIH funding compared with nonrecipients (33% vs. 11%, p < 0.05). On multivariable analysis, only NIH funding was associated with increased total publications, with an average of 89 more publications over a career (p < 0.05).
Research scholarships granted by acute care surgery professional organizations remain largely among ACS faculty in Top 55 NIH-funded departments of surgery. Among junior ACS faculty, recipients are associated with increased academic productivity and NIH funding. To fill the academic productivity gap among junior ACSs, professional organizations should consider increasing research funding scholarships for promising investigators.
在东部创伤外科学会的一项调查中，超过75%的受访者认为研究障碍增加，急性 care 外科医生（ACS）的学术产出有所下降。近期数据证实了这一印象，并显示与其他普通外科领域的同行相比，初级 ACS 教员的学术产出较低。本研究的目的是确定早期职业急性 care 外科研究奖学金是否与 ACS 学术产出的提高相关。
使用 SCOPUS、美国国立卫生研究院（NIH）、各部门和专业协会数据库，获取了 NIH 资助的排名前55的外科系（前55名）的教员数据。学术产出通过总出版物数量、引用次数和赫希指数来衡量。确定了美国创伤外科学会和东部创伤外科学会的奖学金获得者。
共确定了4101名属于 NIH 资助的排名前55的外科系的外科教员（8.3%为 ACS）和85名奖学金获得者。合并后，34名奖学金获得者（40%）是 NIH 资助的排名前55的外科系的现任教员，其中24名（71%）是 ACS 教员。在助理和副教授级别，奖学金获得者的总出版物中位数高于非获得者，但在正教授级别则不然。在所有级别中，与非获得者相比，奖学金获得者获得 NIH 资助的可能性更大（33%对11%，p<0.05）。多变量分析显示，只有 NIH 资助与总出版物数量增加相关，职业生涯中平均多89篇出版物（p<0.05）。
急性 care 外科专业组织授予的研究奖学金主要仍在 NIH 资助的排名前55的外科系的 ACS 教员中。在初级 ACS 教员中，获得者与学术产出增加和 NIH 资助相关。为了填补初级 ACS 之间的学术产出差距，专业组织应考虑为有前途的研究人员增加研究资助奖学金。
