外科医生是否落后于科学：NIH K08 导师职业发展奖的延迟获得。
Are surgeons behind the scientific eight ball: Delayed acquisition of the NIH K08 mentored career development award.
机构信息
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
出版信息
Am J Surg. 2020 Feb;219(2):366-371. doi: 10.1016/j.amjsurg.2019.11.039. Epub 2019 Dec 31.
BACKGROUND
Surgery residents complete their research training early in residency. Non-surgical trainees typically have research incorporated toward the last two years of their fellowship, conferring an advantage to apply for grants with recent research experience and preliminary data.
METHODS
The NIH RePORTER database was queried for K08 awardees trained in medicine, pediatrics, and surgery from 2013 to 2017. 406 K08 recipients were identified and time from completion of clinical training to achieving a K08 award was measured. Data were compared using ANOVA and expressed as mean. P < 0.05 was considered significant.
RESULTS
Surgeons took longer to obtain a K08 than those trained in internal medicine (surgery = 3.7 years, internal medicine = 2.58 years p < 0.0001)). All K08 recipients without a PhD took longer to obtain a K08 than recipients with a PhD (MD = 3.50 years and MD/PhD = 2.42 years (p=<0.0001).
CONCLUSIONS
Surgeons take longer to achieve a K08 award than clinicians trained in internal medicine, possibly due to an inherent disadvantage in training structure.
背景
外科住院医师在住院医师培训早期完成研究培训。非外科受训者通常在其研究培训的最后两年进行研究，这使他们在申请具有近期研究经验和初步数据的资助方面具有优势。
方法
在 NIH RePORTER 数据库中，查询了 2013 年至 2017 年期间在医学、儿科学和外科学领域接受 K08 培训的人员。确定了 406 名 K08 获奖者，并测量了从完成临床培训到获得 K08 奖的时间。使用 ANOVA 进行数据分析，并表示为平均值。p<0.05 被认为具有统计学意义。
结果
外科医生获得 K08 奖的时间长于内科医生（外科医生为 3.7 年，内科医生为 2.58 年，p<0.0001）。所有没有博士学位的 K08 获奖者获得 K08 奖的时间都长于有博士学位的获奖者（MD=3.50 年，MD/PhD=2.42 年（p<0.0001）。
结论
外科医生获得 K08 奖的时间长于接受内科培训的临床医生，这可能是由于培训结构的固有劣势。
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