From the Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Ann Plast Surg. 2020 Dec;85(6):672-676. doi: 10.1097/SAP.0000000000002514.
The impact of residency training on academic productivity and a career in academic plastic surgery remains uncertain. Previous literature has explored the influence of training institutions on academic careers in surgery. The aims of the study were to assess research productivity during plastic surgery residency training and to illustrate how differences in training programs impact resident research productivity.
Academic plastic surgery faculty that graduated in the past 10 years were identified through an Internet search of all Accreditation Council for Graduate Medical Education-accredited residency and fellowship training programs. Research productivity was compared based on h-index, number, and quality of peer-reviewed articles published during residency.
Three hundred seventy-five academic plastic surgeons were identified and produced 2487 publications during residency. The 10 most productive training institutions were Johns Hopkins, Georgetown, University of Michigan, Stanford, University of California Los Angeles, Northwestern, Harvard, New York University, University of Pennsylvania, and Baylor. Academic productivity was higher among integrated residents (integrated = 8.68 publications, independent = 5.49 publications, P < 0.0001). The number of publications positively correlated to faculty size (r = 0.167, P = 0.0013), National Institute of Health (NIH) funding (r = 0.249, P < 0.0001), residency graduation year (r = 0.211, P < 0.0001), and negatively correlated with Doximity ranking (r = -0.294, P < 0.0001). H-index was positively correlated with number of publications (r = 0.622, P < 0.0001), faculty size (r = 0.295, P < 0.0001), and NIH funding (r = 0.256, P < 0.0001) and negatively correlated with Doximity ranking (r = -0.405, P < 0.0001) and residency graduation year (r = -0.163, P < 0.0001).
Our study has found that there is an elite cohort of programs that are the most productive research institutions. Resident research productivity is higher among integrated residents, recent graduates, and programs that are larger in size, with a higher Doximity ranking and NIH funding. This study can guide medical students and future applicants who are interested in a career in academic plastic surgery in the selection of programs that match their career aspirations.
住院医师培训对学术产出和学术整形外科学事业的影响仍不确定。先前的文献探讨了培训机构对外科学术职业的影响。本研究的目的是评估整形外科学住院医师培训期间的研究生产力，并说明培训计划的差异如何影响住院医师的研究生产力。
通过互联网搜索所有经研究生医学教育认证委员会认证的住院医师和研究员培训计划，确定了过去 10 年毕业的学术整形外科学教师。根据住院医师期间发表的同行评审文章的 h 指数、数量和质量来比较研究生产力。
确定了 375 名学术整形医师，他们在住院医师期间发表了 2487 篇论文。10 个最具生产力的培训机构是约翰霍普金斯大学、乔治城大学、密歇根大学、斯坦福大学、加利福尼亚大学洛杉矶分校、西北大学、哈佛大学、纽约大学、宾夕法尼亚大学和贝勒大学。综合住院医师的学术生产力更高（综合=8.68 篇论文，独立=5.49 篇论文，P<0.0001）。出版物数量与教师规模呈正相关（r=0.167，P=0.0013）、美国国立卫生研究院（NIH）资助（r=0.249，P<0.0001）、住院医师毕业年份（r=0.211，P<0.0001），与 Doximity 排名呈负相关（r=-0.294，P<0.0001）。H 指数与出版物数量（r=0.622，P<0.0001）、教师规模（r=0.295，P<0.0001）和 NIH 资助（r=0.256，P<0.0001）呈正相关，与 Doximity 排名（r=-0.405，P<0.0001）和住院医师毕业年份（r=-0.163，P<0.0001）呈负相关。
我们的研究发现，有一个精英群体的项目是最具生产力的研究机构。综合住院医师、最近毕业的住院医师以及规模更大、Doximity 排名更高、NIH 资助更多的项目，其研究生产力更高。本研究可以指导对学术整形外科学职业感兴趣的医学生和未来的申请者选择符合其职业抱负的项目。
