Egro Francesco M, Williams Abraham A, Roy Eva, Smith Brandon T, Goldstein Jesse A, Losee Joseph E, Nguyen Vu T
Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Cleft Palate Craniofac J. 2021 Oct;58(10):1209-1216. doi: 10.1177/1055665620982783. Epub 2020 Dec 30.
The characteristics that predispose plastic surgeons to a career in pediatric plastic surgery remain unclear. Therefore, the aim of this study is to analyze the characteristics of current pediatric plastic surgeons and to determine their academic productivity.
Pediatric plastic surgeons were identified through an internet search of all academic children's hospitals affiliated with an Accreditation Council for Graduate Medical Education-accredited integrated or independent plastic surgery program. Demographics, training background, institutional and leadership positions, and academic productivity were determined.
A total of 304 pediatric plastic surgeons were identified. The majority of pediatric plastic surgeons were white (n = 217, 71.8%) males (n = 235, 77.6%). Clinical fellowships were completed by 86.8% (n = 263) of the cohort, with craniofacial (n = 181, 59.7%) being the most common followed by hand (n = 54, 17.8%); 41.1% had clinical fellowship training at 10 institutions, with the top 3 most represented programs being University of Pennsylvania (n = 19, 6.2%), University of California-Los Angeles (n = 16, 5.3%), and Harvard University (n = 15, 4.9%); 25.7% (n = 78) held leadership positions within their institutions. A significant higher academic productivity was found among research fellowship-trained surgeons, chiefs of pediatric plastic surgery, fellowship directors, and members of departments of plastic surgery. Those who completed an independent residency had a significant higher H-index and number of citations.
Pediatric plastic surgery is represented by surgeons of diverse training background. An elite cohort of programs has trained the most pediatric plastic surgeons. Lastly, high academic productivity was found to be correlated with certain demographic and leadership variables highlighting its impact on career advancement.
促使整形外科医生投身小儿整形外科事业的特质仍不明确。因此，本研究旨在分析当前小儿整形外科医生的特征，并确定他们的学术产出。
通过互联网搜索所有隶属于毕业后医学教育认证委员会认可的综合或独立整形外科项目的学术儿童医院，确定小儿整形外科医生。确定其人口统计学特征、培训背景、机构和领导职位以及学术产出。
共确定了304名小儿整形外科医生。大多数小儿整形外科医生是白人（n = 217，71.8%）男性（n = 235，77.6%）。86.8%（n = 263）的队列完成了临床 fellowship，其中颅面外科（n = 181，59.7%）最为常见，其次是手外科（n = 54，17.8%）；41.1%在10所机构接受了临床 fellowship 培训，排名前三的项目是宾夕法尼亚大学（n = 19，6.2%）、加利福尼亚大学洛杉矶分校（n = 16，5.3%）和哈佛大学（n = 15，4.9%）；25.7%（n = 78）在其机构内担任领导职位。在接受研究 fellowship 培训的外科医生、小儿整形外科主任、fellowship 主任和整形外科系成员中发现了显著更高的学术产出。完成独立住院医师培训的人具有显著更高的H指数和引用次数。
小儿整形外科由具有不同培训背景的外科医生代表。一批精英项目培养了最多的小儿整形外科医生。最后，发现高学术产出与某些人口统计学和领导变量相关，突出了其对职业发展的影响。
