Aix-Marseille University, Faculty of Medicine, 27, boulevard Jean-Moulin, 13005 Marseille, France.
Department of Epidemiology and Health Economics, AP-HM/EA 3279 CEReSS (Centre d'Études et de Recherche sur les Services de Santé et la Qualité de vie), Aix-Marseille University, Faculty of Medicine, 27, boulevard Jean-Moulin, 13005 Marseille, France.
Arch Pediatr. 2020 Nov;27(8):408-415. doi: 10.1016/j.arcped.2020.09.007. Epub 2020 Oct 17.
In many countries, as in France, medical training is not complete until the defense of a thesis, based on a research project; however, the publication of research work is not mandatory. This study investigated the evolution of the publication pattern of pediatric residents and identified the possible factors associated with an increased productivity, by investigating both thesis and non-thesis-related publications.
We conducted a retrospective cohort study of pediatric residents who graduated from the Medical University of Marseille in France over a 20-year period (1996-2015). Their theses were retrieved from the French database of university theses (SUDOC). Their publications were collated by scanning the PubMed and Google Scholar databases. Non-thesis-related publications were included up to 1 year after the medical thesis defense and medical thesis publications were included without date limits. For each thesis or publication, the resident's characteristics, the supervisor's characteristics, the thesis characteristics, and bibliometric features were retrieved.
Out of the 148 graduated residents, 110 (74%) published articles (thesis-related article with no publication deadline and non-thesis-related articles with a publication deadline of up to 1 year postgraduation): 76 residents (51%) published their medical thesis and 88 residents (60%) published at least one non-thesis-related article. In multivariate analysis, publishing the thesis was significantly associated with a shorter dissertation length (43 vs. 84 pages [median]; p=0.009**) and with a thesis supervisor more experienced in supervising theses (P=0.01**). The thesis publication rate increased significantly over the years (P=0.005**), with the number of theses published tripling. Dissertation length significantly decreased over the years (linear slope=-4.13 pages/year; P<0.0001***). In multivariate analysis, the number of publications per resident was significantly higher when the resident had also completed a scientific thesis (β=1.62; P=0.007**), when he or she had published more papers during the post-residency period (β=0.40; P<0.0001***) and when he or she graduated at an older age (β=0.24; P=0.04*).
The thesis publication rate of pediatric residents has improved significantly in 20 years; however, these results are from a single-center study. Publishing the thesis was significantly associated with shorter dissertation length and a more experienced thesis supervisor.
在许多国家，与法国一样，完成医学论文答辩，即基于研究项目的论文，才算完成医学培训；然而，发表研究工作并非强制性的。本研究调查了儿科住院医师论文发表模式的演变，并通过调查论文和非论文相关出版物，确定了与更高生产力相关的可能因素。
我们对在法国马赛医科大学完成 20 年培训（1996-2015 年）的儿科住院医师进行了回顾性队列研究。他们的论文从法国大学论文数据库（SUDOC）中检索。通过扫描 PubMed 和 Google Scholar 数据库来整理他们的出版物。非论文相关出版物在医学论文答辩后 1 年内纳入，医学论文出版物无日期限制。对于每篇论文或出版物，都检索住院医师的特征、导师的特征、论文的特征和文献计量学特征。
在 148 名毕业的住院医师中，有 110 名（74%）发表了文章（无出版期限的论文和毕业 1 年后有出版期限的非论文）：76 名住院医师（51%）发表了他们的医学论文，88 名住院医师（60%）发表了至少一篇非论文相关文章。在多变量分析中，发表论文与论文篇幅较短（43 页与 84 页[中位数]；p=0.009**）和导师在指导论文方面经验更丰富（P=0.01**）显著相关。论文发表率随着时间的推移显著增加（P=0.005**），发表的论文数量增加了两倍。论文篇幅随着时间的推移显著减少（线性斜率=-4.13 页/年；P<0.0001***）。在多变量分析中，当住院医师还完成了一篇科学论文时（β=1.62；P=0.007**）、当住院医师在住院医师后发表的论文数量更多时（β=0.40；P<0.0001**）以及当住院医师年龄较大时（β=0.24；P=0.04*），每位住院医师的出版物数量显著增加。
儿科住院医师的论文发表率在 20 年内显著提高；然而，这些结果是来自一个单中心的研究。发表论文与论文篇幅较短和导师经验更丰富显著相关。
