Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, 48073, USA.
Division of Gastroenterology & Hepatology, William Beaumont Hospital at Royal Oak, MOB #602, 3535 W. Thirteen Mile Rd, Royal Oak, MI, 48073, USA.
BMC Med Educ. 2019 Nov 4;19(1):402. doi: 10.1186/s12909-019-1841-2.
Gastroenterology fellowship candidates may strive to improve their qualifications for this extremely competitive fellowship.
To analyze whether extreme competitiveness of gastroenterology fellowship positions has affected fellowship interview selection by statistically analyzing 13 parameters of interviewees to identify statistically significant time changes during last 10 years.
Retrospective time-trend-analyses (performed 2018) on thirteen prospectively-obtained-parameters of 47 interviewees (2009-2011) vs. 53 interviewees (2016-2018) for gastroenterology fellowship.
William-Beaumont-Hospital, Royal-Oak: academic fully-accredited gastroenterology fellowship, teaching hospital of Oakland-University-William-Beaumont-School-of-Medicine, tertiary-care hospital, GI fellowship since 1973.
Statistically significant increases occurred from 2009 to 2011 vs. 2016-2018 in number of publications, including mean number of: abstracts (1.69 ± 0.37 vs. 7.54 ± 1.16, p < 0.0001); peer-reviewed articles (1.48 ± 0.30 vs. 6.13 ± 1.29, p < 0.0001); and total publications (3.17 ± 0.48 vs. 12.76 ± 1.99, p < 0.0001). Increased publications were associated with graduating from foreign medical schools (correlation coefficient = 0.26, p = .03), and were, surprisingly, correlated with lower letters-of-recommendation-scores (Kruskal-Wallis-statistic = 5.82, p = .002). USMLE-Step-1 scores significantly increased from 2009 to 2011 to 2016-2018 (235 ± 14.1 vs. 244.9 ± 13.5, p = 0.001) (previously reported finding). Nine other parameters did not significantly change with time.
Current report of >four-fold-increase in publications by gastroenterology fellowship interviewees at one academic-medical-center is novel. Increased focus on scholarship by applicants may be explained by their having only three parameters to improve their credentials during residency: publications, letters-of-recommendation, and honors awarded during residency (other parameters determined before residency and immutable). Current findings may benefit medical residents/medical-residency-program-directors by focusing more on publications for applications. Association between research productivity and medical promotions likely strongly motivates medical research of residents and may motivate academic faculty. Increased exposure to research/publications may improve the clinical acumen of GI fellowship applicants by enhancing their skills in critically reading the medical literature.
胃肠病学奖学金候选人可能会努力提高他们在这个极具竞争力的奖学金中的资格。
通过对 13 名受访者的 13 个参数进行统计分析，分析胃肠病学奖学金职位的极度竞争是否影响了奖学金面试选拔，以确定过去 10 年中是否存在统计学上显著的时间变化。
对 2009-2011 年的 47 名受访者（2009-2011 年）和 2016-2018 年的 53 名受访者（2016-2018 年）进行前瞻性时间趋势分析（2018 年进行）。
William-Beaumont-Hospital，Royal-Oak：学术性完全认可的胃肠病学奖学金，奥克兰大学威廉·博蒙特医学院的教学医院，三级保健医院，胃肠病学奖学金自 1973 年以来一直在进行。
2009 年至 2011 年与 2016 年至 2018 年相比，出版物数量呈统计学显著增加，包括平均数量：摘要（1.69±0.37 与 7.54±1.16，p<0.0001）；同行评议文章（1.48±0.30 与 6.13±1.29，p<0.0001）；和总出版物（3.17±0.48 与 12.76±1.99，p<0.0001）。出版物的增加与从国外医学院毕业有关（相关系数=0.26，p=0.03），令人惊讶的是，出版物与推荐信评分较低有关（克鲁斯卡尔-沃利斯统计量=5.82，p=0.002）。USMLE 第 1 步分数从 2009 年至 2011 年至 2016-2018 年呈统计学显著增加（235±14.1 与 244.9±13.5，p=0.001）（先前报道的发现）。其他九个参数随时间没有显著变化。
目前在一个学术医疗中心报告的胃肠病学奖学金面试者的出版物增加了四倍以上，这是一个新的发现。申请人对奖学金的关注增加可能是由于他们在住院期间只有三个参数可以提高他们的资格：出版物、推荐信和住院期间获得的荣誉（其他参数在住院前确定且不可改变）。目前的发现可能通过更多地关注出版物来为医疗居民/医疗住院医师项目主任提供帮助。研究成果与医学晋升之间的关联可能强烈激励住院医师进行医学研究，并可能激励学术教师。更多地接触研究/出版物可能会通过提高他们批判性阅读医学文献的技能来提高胃肠病学奖学金申请者的临床敏锐度。
