Department of Surgery, Washington University School of Medicine, St. Louis, MO.
Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Ann Surg. 2020 Mar;271(3):590-597. doi: 10.1097/SLA.0000000000003015.
We examined associations between participation in ≥1 year of research during general surgery residency and each of full-time academic-medicine faculty appointment and mentored-K and/or Research Project Grant (RPG, including R01 and other) awards.
Many surgeons participate in ≥1 year of research during residency; however, the relationship between such dedicated research during general surgery residency and surgeons' career paths has not been investigated in a national study.
We analyzed deidentified data through August 2014 from the Association of American Medical Colleges, American Board of Medical Specialties, and the National Institutes of Health Information for Management, Planning, Analysis, and Coordination II grants database for 1997 to 2004 US medical-school graduates who completed ≥5 years of general surgery graduate medical education (GME) and became board-certified surgeons. Using multivariable logistic regression models, we identified independent predictors of faculty appointment and K/RPG award, reporting adjusted odds ratios (AOR) and 95% confidence intervals (CI) significant at P < 0.05.
Of 5328 board-certified surgeons, there were 1848 (34.7%) GME-research participants, 1658 (31.1%) faculty appointees, and 58 (1.1%) K/RPG awardees. Controlling for sex, debt, MD/PhD graduation, and other variables, GME-research participants were more likely to have received faculty appointments (AOR 1.790; 95% CI 1.573-2.037) and federal K/RPG awards (AOR 4.596; 95% CI 2.355-8.969).
Nationally, general surgery GME-research participation was independently associated with faculty appointment and K/RPG award receipt. These findings serve as benchmarks for general surgery residency programs aiming to prepare trainees for careers as academicians and surgeon-scientists.
我们研究了普通外科住院医师培训期间参与≥1 年研究与全职学术医学教师职位任命和指导 K 和/或研究项目资助（包括 R01 和其他）的关系。
许多外科医生在住院医师期间参与≥1 年的研究；然而，在全国性研究中，普通外科住院医师期间的这种专门研究与外科医生的职业道路之间的关系尚未得到调查。
我们通过美国医学院协会、美国医学专科委员会和美国国立卫生研究院信息管理、规划、分析和协调 II 赠款数据库，对 1997 年至 2004 年完成≥5 年普通外科研究生医学教育（GME）并成为委员会认证外科医生的 1997 年至 2004 年美国医学院毕业生的匿名数据进行了分析。使用多变量逻辑回归模型，我们确定了教职任命和 K/RPG 奖的独立预测因素，报告了调整后的优势比（AOR）和 95%置信区间（CI），P < 0.05 为显著。
在 5328 名认证外科医生中，有 1848 名（34.7%）GME 研究参与者、1658 名（31.1%）教职人员和 58 名（1.1%）K/RPG 获奖者。控制性别、债务、MD/PhD 毕业和其他变量后，GME 研究参与者更有可能获得教职任命（AOR 1.790；95%CI 1.573-2.037）和联邦 K/RPG 奖项（AOR 4.596；95%CI 2.355-8.969）。
在全国范围内，普通外科 GME 研究参与与教职任命和 K/RPG 奖的获得独立相关。这些发现为旨在为学员准备学术和外科医生-科学家职业的普通外科住院医师培训项目提供了基准。
