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参与临床学者职业发展计划的骨科医生的学术成就。

Scholarly Success of Orthopaedic Surgeons Participating in the Clinician Scholar Career Development Program.

机构信息

Department of Orthopaedic Surgery, University of Rochester, Rochester, New York.

Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri.

出版信息

J Bone Joint Surg Am. 2018 Sep 5;100(17):e115. doi: 10.2106/JBJS.17.01605.

Abstract

BACKGROUND

A concern exists about the decline in young orthopaedic surgeons pursuing careers as clinician-researchers. One program designed to address this concern is the American Academy of Orthopaedic Surgeons/Orthopaedic Research and Education Foundation/Orthopaedic Research Society (AAOS/OREF/ORS) Clinician Scholar Career Development Program (CSCDP). The aims of this study were to better understand the characteristics of CSCDP participants and how the experience effects involvement in career-impacting opportunities and scholarly activity.

METHODS

This study was a retrospective analysis. CSCDP participants from 2003 to 2014 were recorded, and demographic information was collected. An Internet search was utilized to determine each surgeon's current practice environment. The National Institutes of Health (NIH) Research Portfolio Online Reporting Tools Expenditures and Results (RePORTER) database was used to track NIH funding. The OREF and its web site were used to query OREF grant funding. American Orthopaedic Association (AOA) Traveling Fellowship awardees were recorded from the AOA web site. Specialty-specific traveling fellowship awardee information was collected via organization web sites, and direct-contact, scholarly activity, and impact were determined using the Scopus database Hirsch index (h-index).

RESULTS

Two hundred and thirty-two individuals (229 confirmed current orthopaedic surgeons) participated in the CSCDP. Fifteen (6.6%), 41 (17.9%), 20 (8.7%), and 17 (7.4%) former CSCDP participants have been awarded NIH funding, OREF grant support, AOA Traveling Fellowships, and/or specialty-specific traveling fellowships, respectively. Those involved in any of the career-impactful opportunities post-CSCDP have had higher scholarly activity and impact compared with those who were not involved in the career-impactful opportunities (h-index: 15.9 [standard deviation (SD), 8.1] versus 10.0 [SD, 5.7], p < 0.0001). No scholarly activity and impact differences existed between orthopaedic subspecialties (p = 0.077).

CONCLUSIONS

The CSCDP appears to play an important role in promoting clinician-researcher careers in orthopaedic surgery.

CLINICAL RELEVANCE

The CSCDP must continue to adapt to the surrounding health-care landscape to achieve an even better success rate in creating clinician-researchers who will further advance musculoskeletal health and discovery for the betterment of the patients and the profession.

摘要

背景

人们对从事临床研究的年轻骨科医生人数减少表示担忧。美国骨科医师学会/骨科研究与教育基金会/骨科研究学会(AAOS/OREF/ORS)临床学者职业发展计划(CSCDP)旨在解决这一问题。本研究旨在更好地了解 CSCDP 参与者的特征,以及该经历如何影响参与职业发展机会和学术活动。

方法

本研究为回顾性分析。记录了 2003 年至 2014 年的 CSCDP 参与者,并收集了人口统计学信息。利用互联网搜索确定每位外科医生的当前实践环境。利用美国国立卫生研究院(NIH)研究组合在线报告工具支出和结果(RePORTER)数据库追踪 NIH 资助情况。利用 OREF 及其网站查询 OREF 赠款资助情况。从 AOA 网站上记录了 AOA 巡回研究员奖学金获得者。通过组织网站收集了特定专业的巡回研究员奖学金获得者信息,并使用 Scopus 数据库 Hirsch 指数(h-index)确定了直接联系、学术活动和影响力。

结果

共有 232 人(229 名确认目前为骨科医生)参加了 CSCDP。15 人(6.6%)、41 人(17.9%)、20 人(8.7%)和 17 人(7.4%)曾参加 CSCDP 的人分别获得了 NIH 资助、OREF 赠款支持、AOA 巡回研究员奖学金和/或特定专业的巡回研究员奖学金。与未参与职业发展机会的人相比,参与任何职业发展机会的 CSCDP 后参与者的学术活动和影响力更高(h-index:15.9[标准差(SD),8.1]与 10.0[SD,5.7],p <0.0001)。骨科亚专业之间没有学术活动和影响力的差异(p = 0.077)。

结论

CSCDP 似乎在促进骨科临床研究人员的职业发展方面发挥了重要作用。

临床相关性

CSCDP 必须继续适应周围的医疗保健环境,以提高创造将进一步推进肌肉骨骼健康和发现的临床研究人员的成功率,从而造福患者和整个专业。

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