Cuoco Joshua A, Busch Christopher M, Rogers Cara M, Guilliams Evin L, Klein Brendan J, Howes Gregory A, Marvin Eric A
Neurosurgery, Carilion Clinic - Virginia Tech Carilion School of Medicine, Roanoke, USA.
Neurosurgery, Carilion Clinic - Virginia Tech Carilion School of Medicine, Roanoke , USA.
Cureus. 2018 Aug 9;10(8):e3124. doi: 10.7759/cureus.3124.
Background The Accreditation Council for Graduate Medical Education and the American Osteopathic Association recently agreed to establish a single graduate medical education system for the United States allopathic and osteopathic resident physicians by 2020. Consequential to this merger, new standards will be implemented for academic and research requirements within medical schools as well as residency programs. In the United States, osteopathic medicine is considered to be a parallel profession to allopathic medicine. However, recent studies have revealed that the percentages of United States osteopathic physicians currently in practice are not proportional to the percentages of editorial board member positions they hold in several high-profile medical journals as well as neurosurgical journals. To our knowledge, there is currently no published literature examining osteopathic physician author representation of any neurosurgical journal. In the present study, we analyze the number of osteopathic physicians and osteopathic neurosurgeons serving as authors in prominent neurosurgical journals. Methods American neurosurgical journals with the highest number of citations plus an affiliation with a neurosurgical society open to osteopathic neurosurgeons were used as criteria for journal selection. The Journal of Neurosurgery Publishing Group journals (, and ) fulfilled these criteria. The number of allopathic and osteopathic physicians who have published at least one manuscript in a Journal of Neurosurgery Publishing Group journal was counted. The specialty of each osteopathic author was examined. Results Our analysis found that allopathic physicians represented 105,157 (99.68%) and osteopathic physicians represented 335 (0.32%) of the 105,492 authorship positions held by these physicians in these journals since 1944. Statistical significance was found comparing the number of allopathic authors versus the number of osteopathic authors (p < 0.0001). The most common specialty represented by osteopathic authors in all journals was neurosurgery (45%). Osteopathic neurosurgeons represented 153 (0.15%) of the total number of allopathic and osteopathic authors. Conclusions These data establish that the percentages of the United States osteopathic physicians and osteopathic neurosurgeons currently in practice are not proportional to the percentages of authorship positions they hold in Journal of Neurosurgery Publishing Group journals. We postulate that this apparent disproportionality may originate from significant differences between allopathic and osteopathic medical school research funding, research opportunities, scholarly activities, and dual-degree programs.
背景 毕业后医学教育认证委员会和美国骨科协会最近达成一致，到2020年为美国的西医和骨科住院医师建立一个统一的毕业后医学教育系统。此次合并的结果是，医学院校以及住院医师培训项目将实施新的学术和研究要求标准。在美国，骨科医学被认为是与西医并行的专业。然而，最近的研究表明，目前从业的美国骨科医生的比例与他们在几本知名医学期刊以及神经外科期刊中担任编辑委员会成员职位的比例并不相称。据我们所知，目前尚无已发表的文献研究任何神经外科期刊中骨科医生作者的代表性情况。在本研究中，我们分析了在著名神经外科期刊上作为作者的骨科医生和骨科神经外科医生的数量。
方法 以被引用次数最多且隶属于对骨科神经外科医生开放的神经外科学会的美国神经外科期刊作为期刊选择标准。神经外科出版集团的期刊（《神经外科杂志》《小儿神经外科杂志》和《脊柱》）符合这些标准。统计在神经外科出版集团期刊上发表过至少一篇稿件的西医和骨科医生的数量。对每位骨科作者的专业进行审查。
结果 我们的分析发现，自1944年以来，在这些期刊上，西医作者占105157名（99.68%），骨科医生占335名（0.32%），共105492个作者职位。比较西医作者数量和骨科作者数量，发现具有统计学意义（p<0.0001）。在所有期刊中，骨科作者最常见的专业是神经外科（45%）。骨科神经外科医生占西医和骨科作者总数的153名（0.15%）。
结论 这些数据表明，目前从业的美国骨科医生和骨科神经外科医生的比例与他们在神经外科出版集团期刊中担任作者职位的比例并不相称。我们推测，这种明显的不相称可能源于西医和骨科医学院校在研究资金、研究机会、学术活动以及双学位项目方面的显著差异。
