Croker Nicholas, Lobo Abhirup, Croker Anne, Balogh Zsolt J, Dewar David
Department of Orthopaedics, John Hunter Hospital, Newcastle, New South Wales, Australia.
Department of Rural Health, University of Newcastle, Newcastle, New South Wales, Australia.
ANZ J Surg. 2017 Dec;87(12):1044-1047. doi: 10.1111/ans.14177. Epub 2017 Aug 15.
Development of core research competency is a principle of orthopaedic surgical training in Australia. This paper aims to provide an objective snapshot of publications by Australian orthopaedic trainees and surgeons, to contribute to the discussion on how to identify and build on research capability in the Australian Orthopaedic Association (AOA).
By analysing journals with a journal impact factor >1 from 2009 to 2015, data were gathered to explore scientific journal publications by Australian orthopaedic surgeons and trainees in relation to who are the authors, what they are reporting and where they are publishing.
One thousand five hundred and thirty-nine articles were identified with 134 orthopaedic trainees and 519 surgeons as authors. The publication rate for both trainees and surgeons was just over two in five. The majority of studies were of level three or four evidence (Oxford's Centre for Evidence-Based Medicine guidelines). Only 5% of trainee papers were published without surgeons' co-authorship. Eighty-six percent of papers published by surgeons did not involve a trainee. The rates of trainees publishing with other trainees were low.
Only 5% of trainee papers were published without surgeons' co-authorship, highlighting the importance of surgeon mentorship in developing trainee research capability. The 86% of papers published by surgeons without trainee co-authorship raises the question of missed mentoring opportunities. Low rates of trainee co-authorship highlight potential for trainees to work together to support each other's research efforts. There is scope for more studies involving higher levels of evidence. This paper raises discussion points and areas for further exploration in relation to AOA trainee research capability.
核心研究能力的培养是澳大利亚骨科手术培训的一项原则。本文旨在客观呈现澳大利亚骨科实习医生和外科医生的发表情况，为澳大利亚骨科协会（AOA）如何识别和培养研究能力的讨论提供参考。
通过分析2009年至2015年期刊影响因子>1的期刊，收集数据以探究澳大利亚骨科外科医生和实习医生在科学期刊上的发表情况，包括作者是谁、他们报告的内容以及发表的地点。
共识别出1539篇文章，作者包括134名骨科实习医生和519名外科医生。实习医生和外科医生的发表率均略高于五分之二。大多数研究为三级或四级证据（牛津循证医学中心指南）。只有5%的实习医生论文是在没有外科医生共同署名的情况下发表的。外科医生发表的论文中，86%没有实习医生参与。实习医生之间共同发表论文的比例较低。
只有5%的实习医生论文是在没有外科医生共同署名的情况下发表的，这凸显了外科医生指导对培养实习医生研究能力的重要性。86%的外科医生发表的论文没有实习医生共同署名，这引发了关于错失指导机会的问题。实习医生共同署名比例低凸显了实习医生合作支持彼此研究工作的潜力。有更多涉及更高证据水平研究的空间。本文提出了与AOA实习医生研究能力相关的讨论要点和进一步探索的领域。
