Lam Adam, Heslin Martin J, Tzeng Ching-Wei D, Chen Herbert
Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
J Surg Res. 2018 Jul;227:67-71. doi: 10.1016/j.jss.2018.02.020. Epub 2018 Mar 12.
Studies investigating the impact of promotion and tenure on surgeon productivity are lacking. The aim of this study is to elucidate the relationship of promotion and tenure to surgeon productivity.
We reviewed data for the Department of Surgery at our institution. Relative value units (RVUs) billed per year, publications per year, and grant funding per year were used to assess productivity from 2010 to 2016. We analyzed tenure-track (TT) and non-tenure-track (NT) surgeons and compared the productivity within these groups by rank: assistant professor (ASST), associate professor (ASSOC), and full professor (FULL). Kruskal-Wallis and Mann-Whitney U tests were used to assess significance and relationships between the groups.
A TT faculty was promoted if they produced more research, with the highest publication rates in TT FULL. TT faculty publishing rates increased from ASST to ASSOC (1 versus 2, P = 0.006) and from ASSOC to FULL (2 versus 4, P < 0.001). There were no differences in the low publication rates among NT ranks. Grant funding was also highest at the TT FULL level. The clinical production (RVUs) was highest between TT ASSOC and NT FULL. TT faculty increased productivity between ASST and ASSOC (7023 versus 8384, P = 0.001) and decreased between ASSOC and FULL (8384 versus 6877, P < 0.001). Among NT faculty, RVUs were stagnant between ASST and ASSOC levels (4877 versus 6313, P = 0.312) and increased between ASSOC and FULL levels (6313 versus 8975, P < 0.001).
Tenure and nontenure pathways appear to appropriately incentivize surgical faculty over the course of their advancement. TT FULL has the highest research production and grant funding, whereas NT FULL has the highest clinical production.
缺乏关于晋升和终身教职对外科医生生产力影响的研究。本研究的目的是阐明晋升和终身教职与外科医生生产力之间的关系。
我们回顾了本机构外科系的数据。使用每年计费的相对价值单位（RVU）、每年发表的论文数量和每年获得的资助金额来评估2010年至2016年的生产力。我们分析了有终身教职轨道（TT）和无终身教职轨道（NT）的外科医生，并按职称（助理教授、副教授、正教授）比较了这些组内的生产力。使用Kruskal-Wallis和Mann-Whitney U检验来评估组间的显著性和关系。
如果TT教员产出更多研究成果，他们就会得到晋升，TT正教授的发表率最高。TT教员的发表率从助理教授到副教授有所增加（1篇对2篇，P = 0.006），从副教授到正教授也有所增加（2篇对4篇，P < 0.001）。NT各职称之间的低发表率没有差异。资助金额在TT正教授级别也最高。临床工作量（RVU）在TT副教授和NT正教授之间最高。TT教员在助理教授和副教授之间生产力增加（7023对8384，P = 0.001），在副教授和正教授之间生产力下降（8384对6877，P < 0.001）。在NT教员中，RVU在助理教授和副教授级别之间停滞不前（4877对6313，P = 0.312），在副教授和正教授级别之间增加（6313对8975，P < 0.001）。
终身教职和非终身教职途径似乎在外科教员的职业发展过程中给予了适当的激励。TT正教授的研究产出和资助金额最高，而NT正教授的临床工作量最高。
