Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
Ann Thorac Surg. 2021 Nov;112(5):1664-1671. doi: 10.1016/j.athoracsur.2020.10.013. Epub 2020 Nov 4.
Early engagement in cardiothoracic (CT) surgery research may help attract trainees to academic CT surgery, but whether this early exposure boosts career-long academic achievement remains unknown.
A database of all CT surgery faculty at accredited, academic CT surgery training programs in the United States during the year 2018 was established. Excluding international medical graduates, surgeons who started general surgery residency in the United States before 2004 and who published at least 1 manuscript before traditional CT fellowship training were included (n = 472). Each surgeon's educational background, work history, and research publications were recorded from publicly available online sources.
Before fellowship training, 370 surgeons (78.4%) coauthored a CT surgery manuscript, and 102 (21.6%) published only on subjects unrelated to CT surgery. Regardless of whether surgeons pursued dedicated research training or not, those who coauthored a CT surgery manuscript before fellowship training published more papers per year as an attending (P < .01), resulting in more total publications (P < .01) and a higher H-index (P < .01) over comparably long careers. Among CT surgeons who did not publish CT surgery research before fellowship training, those who coauthored a CT surgery manuscript during fellowship also exhibited enhanced future academic productivity.
Academic CT surgeons who published CT surgery research before fellowship training ultimately exhibited more prolific and impactful research profiles compared with those who published only on subjects unrelated to CT surgery during training. Efforts to increase early engagement in CT surgery research among trainees should be fully endorsed.
早期参与心胸外科（CT）手术研究可能有助于吸引学员从事学术 CT 手术，但这种早期接触是否能提高终身学术成就尚不清楚。
建立了 2018 年美国认证的学术 CT 外科培训项目中所有 CT 外科教员的数据库。排除国际医学毕业生后，纳入在美国开始普通外科住院医师培训前于 2004 年之前且在传统 CT 专科培训前至少发表过 1 篇手稿的外科医生（n=472）。从公开的在线来源记录每位外科医生的教育背景、工作经历和研究出版物。
在专科培训之前，有 370 名外科医生（78.4%）合著了一篇 CT 外科手稿，102 名外科医生（21.6%）仅发表与 CT 外科无关的主题。无论外科医生是否接受过专门的研究培训，在专科培训之前合著 CT 外科手稿的外科医生在担任主治医生时每年发表的论文数量更多（P<.01），导致发表的总论文数量更多（P<.01），且 H 指数更高（P<.01）。在没有在专科培训前发表 CT 外科研究的 CT 外科医生中，在专科培训期间合著 CT 外科手稿的外科医生也表现出了更高的未来学术生产力。
与在培训期间仅发表与 CT 手术无关主题的外科医生相比，在专科培训前发表 CT 手术研究的学术 CT 外科医生最终表现出更丰富、更有影响力的研究概况。应该充分支持努力增加学员对 CT 手术研究的早期参与。
