Sheppard John P, Lagman Carlito, Nguyen Thien, Yokoi Hana, Jeong Stacy H, Luong Peter, Chen Cheng Hao Jacky, Ong Vera, French Alexis, Franks Alyssa M, Kwan Isabelle, Mekonnen Mahlet, Ng Edwin, Evans Audree, Preet Komal, Udawatta Methma, Yang Isaac
Departments of Neurosurgery, David Geffen School of Medicine of the University of California, Los Angeles, (UCLA), Los Angeles, CA, United States.
Department of Neurosurgery, Case Western Reserve University, Cleveland, OH, United States.
J Neurol Sci. 2021 Jan 15;420:117186. doi: 10.1016/j.jns.2020.117186. Epub 2020 Oct 22.
Research productivity is a key criterion for applicant selection reported by residency program directors. Research volume reported on neurosurgery residency applications has risen steadily over the past decade.
Perform retrospective bibliographic searches of successful applicants who matched into U.S. neurosurgery residency programs from 2011 to 2018, and assess the relationship between academic publishing and residency placement.
Gender, MD/PhD status, U.S. News research ranking of medical school, and international medical graduate status (IMG) were determined for 1634 successful applicants from 2011 to 2018. Indexed publications before and after the start of residency were tabulated by Scopus®. Publication counts were stratified by first author, basic/clinical science, case reports, reviews, or other research. We then compared publishing trends across demographic variables and match cohorts.
Average pre-residency publications increased from 2.6 [1.7, 3.4] in 2011 to 6.5 [5.1, 7.9] in 2018. Men, PhD-holders, Top 20 and Top 40 U.S. medical school graduates, and IMGs had higher pre-residency publication counts overall. After stratifying by match cohort, however, there was no significant effect of gender on pre-residency publications. Applicants matching into residency programs with highly ranked affiliated hospitals had significantly higher pre-residency publications.
Publishing volume of successful neurosurgery applicants in the U.S. has risen recently and is associated with the stature of matched residency programs. Given the gap between verifiable and claimed research on residency applications, attention is needed to objectively evaluate research credentials in the selection process. The impending phase out of USMLE step 1 scores may increase emphasis on academic productivity.
研究产出是住院医师培训项目主任报告的申请人选拔的关键标准。在过去十年中，神经外科住院医师申请中报告的研究量稳步上升。
对2011年至2018年成功匹配到美国神经外科住院医师项目的申请人进行回顾性文献检索，并评估学术发表与住院医师匹配情况之间的关系。
确定了2011年至2018年1634名成功申请人的性别、医学博士/哲学博士身份、医学院在美国新闻与世界报道中的研究排名以及国际医学毕业生身份（IMG）。Scopus®统计住院医师培训开始前后的索引出版物。出版物数量按第一作者、基础/临床科学、病例报告、综述或其他研究进行分层。然后，我们比较了不同人口统计学变量和匹配队列的发表趋势。
住院医师培训前的平均出版物数量从2011年的2.6[1.7,3.4]增加到2018年的6.5[5.1,7.9]。男性、博士学位持有者、美国排名前20和前40的医学院毕业生以及国际医学毕业生总体上住院医师培训前的出版物数量更高。然而，按匹配队列分层后，性别对住院医师培训前出版物数量没有显著影响。匹配到附属医院排名靠前的住院医师项目的申请人住院医师培训前的出版物数量显著更高。
美国成功的神经外科申请人的发表量最近有所上升，并且与匹配的住院医师项目的地位相关。鉴于住院医师申请中可核实的研究与声称的研究之间存在差距，在选拔过程中需要关注客观评估研究资质。即将淘汰的美国医师执照考试第一步成绩可能会增加对学术产出的重视。
