Department of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Department of Colorectal Surgery, Mayo Clinic, Rochester, Minnesota.
J Surg Educ. 2021 Jul-Aug;78(4):1189-1196. doi: 10.1016/j.jsurg.2020.12.004. Epub 2020 Dec 19.
To determine whether attainment of an additional graduate-level degree during general surgery residency, such as an MSc, MPH, MBA, or PhD, is associated with increased research productivity beyond completion of training.
Observational cohort study comparing publication productivity of general surgery residency graduates who did and did not obtain a degree. PubMed queries and the Web of Science Core Collection were used to capture publication metrics. Graduate characteristics, including degree attainment, were obtained from an institutional database. Practice webpages were reviewed to designate an academic surgical practice, defined as an assistant, associate, or full professorship appointment.
Single academic general surgery residency program.
Categorical general surgery residency graduates who performed at least 1 year of dedicated research.
1768 total publications, representing 1500 unique publications, were authored by 54 residents, of which 18 (33.3%) residents attained an additional graduate-level degree during dedicated research. 1369 (91.3%) publications had identifiable Journal Impact Factors and citation data. Degree attainers were more likely to be female (55.6% vs. 25.0%, p = 0.03) and spend more time in dedicated research (mean 2.2 vs. 1.8 years, p = 0.02). Overall, degree attainers published more frequently during residency (median 4.4 vs. 2.1 publications/year, p < 0.001) and fellowship (median 2.0 vs. 1.0 publications/year, p = 0.046). Analysis of the first 4 post-training years demonstrated degree attainers produced 1.2 more publications per year among all graduates (2.3 vs. 1.1 publications/year, p = 0.02) and 1.6 more publications per year among graduates practicing academic surgery (3.3 vs. 1.7 publications/year, p = 0.02). There were no differences in the Journal Impact Factor or publication citations per year among degree and nondegree attaining graduates.
Attainment of an additional graduate-level degree was associated with increased research productivity that was sustained beyond surgical residency. Programs with the goal of training academic surgeons should support professional degrees during dedicated research years.
确定在普通外科住院医师培训期间获得额外的研究生学位(如理学硕士、公共卫生硕士、工商管理硕士或哲学博士学位)是否与培训完成后研究成果的增加有关。
比较发表论文情况的观察性队列研究,比较获得学位和未获得学位的普通外科住院医师毕业生的论文发表量。使用 PubMed 查询和 Web of Science Core Collection 捕获论文发表指标。研究生特征,包括学位获得情况,从机构数据库中获得。通过查看实践网页,将学术外科实践定义为助理教授、副教授或正教授职位来指定。
单一学术普通外科住院医师培训计划。
至少完成 1 年专职研究的分类普通外科住院医师毕业生。
54 名住院医师共发表了 1768 篇论文,其中 18 名(33.3%)住院医师在专职研究期间获得了额外的研究生学位。1369 篇(91.3%)论文具有可识别的期刊影响因子和引文数据。学位获得者更有可能是女性(55.6%对 25.0%,p=0.03),并且在专职研究中花费的时间更多(平均 2.2 年对 1.8 年,p=0.02)。总体而言,学位获得者在住院医师期间(中位数 4.4 篇对 2.1 篇/年,p<0.001)和住院医师培训后(中位数 2.0 篇对 1.0 篇/年,p=0.046)发表的频率更高。在对培训后前 4 年的分析中,学位获得者在所有毕业生中每年多发表 1.2 篇论文(2.3 篇对 1.1 篇/年,p=0.02),在从事学术外科的毕业生中每年多发表 1.6 篇论文(3.3 篇对 1.7 篇/年,p=0.02)。在研究生和非研究生学位获得者中,期刊影响因子或每年发表的论文引文数量没有差异。
获得额外的研究生学位与研究成果的增加有关,这种增加在普通外科住院医师培训后仍能持续。目标是培训学术外科医生的项目应在专职研究期间支持专业学位。