1Department of Neurosurgery, Pamukkale University School of Medicine, Denizli.
2Department of Neurosurgery, Health Sciences University Diskapi Yildirim Beyazit Training and Research Hospital, Ankara.
Neurosurg Focus. 2020 Mar 1;48(3):E8. doi: 10.3171/2019.12.FOCUS19825.
Neurosurgery training programs aim to train specialists. In addition, they are expected to equip the residents with necessary knowledge and skills for academic development. This study aims to gain insights into academic productivity after neurosurgeons graduated from residency training in Turkey.
An electronic survey was sent to all Turkish Neurosurgical Society members (n = 1662 neurosurgeons) between September and November 2019. The number of participants was 289 (17.4%). Participants were divided into subgroups based on three main factors: training institution type (university hospital [UH] vs training and research hospital [TRH]), training institution annual case volume (low [< 1000 or inadequate cranial/spinal case numbers] vs high [> 1000 and adequate cranial/spinal case numbers]), and training program accreditation status (accredited vs nonaccredited).
The majority of the participants (64.7%) graduated from the UHs. Those trained at UHs (vs TRHs) and high- (vs low-) volume centers had their dissertations more frequently published in Science Citation Index/Science Citation Index-Expanded journals, gave more oral presentations after residency, had higher h-indices, had higher rates of reviewership for academic journals, and had greater participation in projects with grant support. In addition, graduates of accredited programs reported more PhD degrees than those of nonaccredited programs.
Neurosurgeons trained in higher-case-volume, accredited programs, mostly in the UHs, performed better in terms of scientific activities and productivity in Turkey. Strong research emphasis and supportive measures should be instituted to increase academic performance during and after residency training.
神经外科培训计划旨在培养专业人员。此外，还期望为住院医师提供学术发展所需的必要知识和技能。本研究旨在了解土耳其神经外科住院医师培训后医生的学术成果。
2019 年 9 月至 11 月，向所有土耳其神经外科学会成员（n = 1662 名神经外科医生）发送了电子调查。参与者共有 289 人（17.4%）。根据三个主要因素，将参与者分为亚组：培训机构类型（大学医院 [UH] 与培训和研究医院 [TRH]）、培训机构年手术量（低 [<1000 或颅脊柱病例数不足] 与高 [>1000 且颅脊柱病例数充足]）和培训计划认证状态（认证与非认证）。
大多数参与者（64.7%）毕业于 UH。与 TRH 相比，在 UH 接受培训的医生（与在 TRH 接受培训的医生相比）和在高手术量中心（与在低手术量中心相比）的论文更频繁地发表在《科学引文索引》/《科学引文索引扩展》期刊上，在住院后发表更多的口头报告，拥有更高的 h 指数，担任学术期刊审稿人的比例更高，并且更多地参与有资助支持的项目。此外，获得认证项目的毕业生比非认证项目的毕业生获得更多的博士学位。
在土耳其，在高手术量、获得认证的项目中接受培训的神经外科医生在科学活动和生产力方面表现更好。应制定强有力的研究重点和支持措施，以提高住院医师培训期间和之后的学术表现。
