San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Brooke Army Medical Center, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.
Mil Med. 2021 Feb 26;186(3-4):415-420. doi: 10.1093/milmed/usaa406.
Graduate medical education (GME) faculty and trainees have required scholarly activities to meet accreditation requirements. The impact of this contribution to the Military Health System, especially regarding innovations in military medicine, has not been previously examined. This study measured the contribution of GME in published manuscripts from a tertiary military medical center.
Utilizing the Scopus database, published manuscripts from the primary military GME institutions for the San Antonio Uniformed Services Health Education Consortium were identified from 2008 to 2018. Manuscripts were sorted based on the number of citations in Scopus and analyzed for their overall impact in medicine to include military unique topics.
A total of 3,700 manuscripts were identified through Scopus and based on a 10 citation minimum, 1,365 manuscripts were further analyzed; 1,152 (84.4%) included authors with GME affiliation and 554 (40.6%) had direct applicability to unique aspects of military medicine. The mean number of citations per manuscript was 39.2 ± 63.6; Mean Cite Score was 2.97 ± 2.14 and Field Weighted Citation Index of 2.22 ± 3.27. Analysis of number of citations (10-19; 20-39; or >40) did not show any significant differences in Cite Score or military relevance, whereas the percentage of military relevant articles remained consistent yearly.
These findings highlight the importance of military medical research and addressing specific medical needs of the warfighter. Graduate medical education in a tertiary Military Health System facility has enormous impact in scholarly activity, in particular the importance related to military medicine topics that emphasize combat casualty care and military readiness.
住院医师规范化培训（GME）的教师和学员需要进行学术活动以满足认证要求。然而，他们对军事卫生系统的贡献，特别是在军事医学创新方面的贡献，尚未得到先前的研究。本研究通过测量发表在一家三级军事医疗中心的出版物中 GME 的贡献来评估这一情况。
利用 Scopus 数据库，从 2008 年到 2018 年，确定了圣安东尼奥统一服务健康教育联盟的主要军事 GME 机构发表的出版物。根据 Scopus 中的引用数量对论文进行分类，并分析其在医学方面的整体影响，包括具有军事独特性的主题。
通过 Scopus 共确定了 3700 篇论文，根据最低引用量为 10 次的标准，进一步分析了 1365 篇论文；其中 1152 篇（84.4%）论文的作者有 GME 背景，554 篇（40.6%）论文直接适用于军事医学的独特方面。每篇论文的平均引用次数为 39.2±63.6；平均引用分值为 2.97±2.14，领域加权引文影响指数为 2.22±3.27。分析引用次数（10-19；20-39；或>40）发现，引用分值或军事相关性没有显著差异，而每年军事相关性文章的比例保持一致。
这些发现强调了军事医学研究的重要性，以及解决战斗人员特定医疗需求的重要性。在三级军事卫生系统机构进行的住院医师规范化培训在学术活动中具有巨大的影响力，特别是与强调作战伤员护理和军事准备的军事医学主题相关的重要性。
