Cope Seth R, Holliday Emma B, Somerson Jeremy S
Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Division of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
J Surg Educ. 2017 Sep-Oct;74(5):883-888. doi: 10.1016/j.jsurg.2017.02.008. Epub 2017 Mar 1.
Quantitative metrics for comparing fellowship programs are lacking in orthopedic surgery. The purpose of this work was to determine the publication citation frequency at shoulder and elbow fellowships in the United States and to identify factors associated with increased productivity.
American shoulder and elbow fellowship program faculty members in 2015 were identified. Research productivity metrics such as academic career duration, total publications, publications between 2010 and 2014 and total citations were recorded for each faculty member. Citations from total unique publications for each program were recorded. Factors associated with increased citation frequency of publications were identified.
A total of 28 shoulder and elbow training programs with a total of 43 fellowship positions were included for analysis, and a total of 84 surgeons were identified as fellowship faculty. The median [interquartile range] number of citations for total publications from 2010 to 2014 was 1594 [708-4048] per program and 743 [331-1321] per faculty member. Medical school affiliation, number of fellowship faculty, and the fellowship faculty members׳ cumulative years of academic career duration were significantly associated with higher numbers of total program citations on univariate analysis. However, only cumulative faculty years of academic career duration remained significant on multivariate analysis (F = 10.4, p < 0.001).
Total years of experience of a faculty in a fellowship program and medical school affiliation appear to be the most significant factors associated with increased publication citation frequency among many others. These data may be useful for prospective applicants evaluating fellowships and program leadership seeking to improve their academic productivity.
骨科手术领域缺乏用于比较 fellowship 项目的量化指标。本研究旨在确定美国肩肘 fellowship 项目的出版物被引用频率，并找出与生产力提高相关的因素。
确定 2015 年美国肩肘 fellowship 项目的教员。记录每位教员的研究生产力指标，如学术生涯时长、总出版物数量、2010 年至 2014 年期间的出版物数量以及总被引用次数。记录每个项目所有独特出版物的被引用次数。确定与出版物被引用频率增加相关的因素。
共纳入 28 个肩肘培训项目，总计 43 个 fellowship 职位进行分析，共识别出 84 名外科医生作为 fellowship 教员。2010 年至 2014 年期间，每个项目总出版物的被引用次数中位数[四分位间距]为 1594[708 - 4048]，每位教员为 743[331 - 1321]。在单因素分析中，医学院校附属关系、fellowship 教员数量以及 fellowship 教员的学术生涯累计时长与项目总被引用次数较多显著相关。然而，在多因素分析中，只有教员学术生涯累计时长仍然显著(F = 10.4，p < 0.001)。
教员在 fellowship 项目中的总经验年限和医学院校附属关系似乎是众多因素中与出版物被引用频率增加最相关的因素。这些数据可能有助于 prospective 申请人评估 fellowship 项目以及项目负责人提高其学术生产力。
