Brian Tess, Adams Brandon
Plastic and Reconstructive Surgery, Waikato Hospital, Hamilton.
N Z Med J. 2017 May 12;130(1455):45-50.
The New Zealand Medical Association commits the New Zealand doctor to evidence-based medicine, scholarship, teaching, collaboration and communication. To assess this commitment, one measure, contribution to the peer-reviewed literature, was examined for one group of New Zealand doctors: plastic surgeons.
Plastic surgeons with a current practising certificate were identified on the New Zealand medical register (April 2016). Scopus database was searched for publications by each.
Sixty-five surgeons authored 541 unique items in 134 journals, generating 8,047 citations. Between medical graduation and specialty qualification, a mean 1.8 items were published per practitioner (range 0-11). Twenty-three practitioners (35.4%) did not publish during this time. Between specialty qualification and the end of 2015, mean number of items published per surgeon was 7.3 (range 0-97). Thirteen (20.0%) surgeons had not published since specialist qualification. The general trend was for surgeons to become less productive with increasing time in practice. Mean surgeon h-index was 4.4 (range 0-26). Four surgeons (6.2%) had not published at any time.
As a group, but with exceptions and less so in later practice, New Zealand plastic surgeons would seem to demonstrate commitment to evidence-based medicine, scholarship, teaching, collaboration and communication expected of a New Zealand doctor, as evidenced by peer-review publication.
新西兰医学协会要求新西兰医生致力于循证医学、学术研究、教学、合作与交流。为评估这一承诺,我们对一组新西兰医生——整形外科医生,考察了其中一项衡量标准,即对同行评议文献的贡献。
在新西兰医学注册名录(2016年4月)中确定持有现行执业证书的整形外科医生。通过Scopus数据库搜索每位医生的出版物。
65位外科医生在134种期刊上发表了541篇独立文章,共获得8047次引用。从医学毕业到获得专科资格期间,每位从业者平均发表1.8篇文章(范围为0 - 11篇)。在此期间,有23位从业者(35.4%)未发表文章。从获得专科资格到2015年底,每位外科医生发表文章的平均数量为7.3篇(范围为0 - 97篇)。自获得专科资格以来,有13位(20.0%)外科医生未发表文章。总体趋势是,随着从业时间增加,外科医生的产出减少。外科医生的平均h指数为4.4(范围为0 - 26)。有4位外科医生(6.2%)从未发表过文章。
总体而言,新西兰整形外科医生似乎展现出了新西兰医生所应具备的对循证医学、学术研究、教学、合作与交流的承诺,尽管存在个别例外情况,且后期这种情况有所减少,同行评议出版物即为明证。