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脊柱外科住院医师培训中的领导力趋势。

Trends in Leadership at Spine Surgery Fellowships.

机构信息

Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA.

Department of Education, University of Miami Leonard M. Miller School of Medicine, Miami, FL.

出版信息

Spine (Phila Pa 1976). 2020 May 15;45(10):E594-E599. doi: 10.1097/BRS.0000000000003350.

DOI:10.1097/BRS.0000000000003350
PMID:31770313
Abstract

STUDY DESIGN

Cross-sectional study.

OBJECTIVE

To illustrate demographic trends among spine fellowship leaders (FLs).

SUMMARY OF BACKGROUND DATA

No previous study in the orthopedic literature has analyzed the demographic characteristics or past surgical training of FL in an orthopedic sub-specialty. We attempt to illustrate demographic trends among spine fellowship leadership including fellowship directors (FDs) and co-fellowship directors (co-FDs). We also highlight the institutions that have trained these leaders at various levels.

METHODS

Our search for FDs was constructed from the 2018 to 2019 North American Spine Surgery (NASS) Fellowship Directory. Datapoints gathered included: age, sex, residency/fellowship training location, time since training completion until FD appointment, length in FD role, and personal research H-index.

RESULTS

We identified 103 FLs consisting of 67 FDs, 19 co-FDs, and another 16 individuals with a synonymous leadership title. 96.1% (99) of the leadership consisted of males while 3.9% (4) were female. The mean age was 52.9 years old and the mean h-index of the FLs was 23.8. FLs were trained in orthopedic surgery (n = 89), neurosurgery (n = 13), or combined orthopedic surgery and neurosurgery training (n = 1). The top fellowships programs producing future FLs were: Case Western Reserve University, Cleveland (n = 10), Washington University, St. Louis (n = 9), and Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia (n = 7).

CONCLUSION

Spine surgery fellowship directors are more likely to have graduated from certain residency and fellowship programs. This finding could be a result of the training provided by these centers or the institution's predilection to select applicants that are more likely to later seek academic leadership roles post-training.

LEVEL OF EVIDENCE

摘要

研究设计

横断面研究。

目的

说明脊柱研究员(FL)的人口统计学趋势。

背景资料总结

骨科文献中以前没有研究分析过骨科亚专业中 FL 的人口统计学特征或过去的手术培训。我们试图说明脊柱研究员领导的人口统计学趋势,包括研究员主任(FD)和联合研究员主任(co-FD)。我们还强调了各个层次培训这些领导的机构。

方法

我们从 2018 年至 2019 年北美脊柱外科学会(NASS)研究员目录中搜索 FD。收集的数据点包括:年龄、性别、居住/研究员培训地点、从培训完成到 FD 任命的时间、FD 角色的任期长度和个人研究 H 指数。

结果

我们确定了 103 名 FL,其中包括 67 名 FD、19 名 co-FD 和另外 16 名具有同义领导头衔的人。96.1%(99 名)的领导是男性,而 3.9%(4 名)是女性。平均年龄为 52.9 岁,FL 的平均 h 指数为 23.8。FL 接受过骨科手术(n=89)、神经外科(n=13)或骨科手术和神经外科联合培训(n=1)。培养未来 FL 的顶级研究员计划包括:凯斯西储大学克利夫兰分校(n=10)、华盛顿大学圣路易斯分校(n=9)和罗斯曼骨科研究所托马斯杰斐逊大学费城分校(n=7)。

结论

脊柱研究员主任更有可能毕业于某些居住和研究员计划。这一发现可能是由于这些中心提供的培训,或者机构倾向于选择更有可能在培训后寻求学术领导角色的申请人。

证据水平

4 级。

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