Ryder Trauma Center, Jackson Memorial Hospital, University of Miami Miller School of Medicine.
University of Miami Calder Medical Library, Miami, FL.
J Am Coll Surg. 2021 Oct;233(4):545-553. doi: 10.1016/j.jamcollsurg.2021.07.002. Epub 2021 Aug 9.
Professionalism is a core competency that is difficult to assess. We examined the incidence of publication inaccuracies in Electronic Residency Application Service applications to our training program as potential indicators of unprofessional behavior.
We reviewed all 2019-2020 National Resident Matching Program applicants being considered for interview. Applicant demographic characteristics recorded included standardized examination scores, gender, medical school, and medical school ranking (2019 US News & World Report). Publication verification by a medical librarian was performed for peer-reviewed journal articles/abstracts, peer-reviewed book chapters, and peer-reviewed online publications. Inaccuracies were classified as "nonserious" (eg incorrect author order without author rank promotion) or "serious" (eg miscategorization, non-peer-reviewed journal, incorrect author order with author rank promotion, nonauthorship of cited existing publication, and unverifiable publication). Multivariate logistic regression analysis was performed for demographic characteristics to identify predictors of overall inaccuracy and serious inaccuracy.
Of 319 applicants, 48 (15%) had a total of 98 inaccuracies; after removing nonserious inaccuracies, 37 (12%) with serious inaccuracies remained. Seven publications were reported in predatory open access journals. In the regression model, none of the variables (US vs non-US medical school, gender, or medical school ranking) were significantly associated with overall inaccuracy or serious inaccuracy.
One in 8 applicants (12%) interviewing at a general surgery residency program were found to have a serious inaccuracy in publication reporting on their Electronic Residency Application Service application. These inaccuracies might represent inattention to detail or professionalism transgressions.
专业精神是一项难以评估的核心能力。我们检查了电子住院医师申请服务（Electronic Residency Application Service）申请中我们培训项目的出版物不准确情况，将其作为非专业行为的潜在指标。
我们审查了所有 2019-2020 年全国住院医师匹配计划（National Resident Matching Program）的申请人，这些申请人都在考虑面试。记录了申请人的人口统计学特征，包括标准化考试成绩、性别、医学院和医学院排名（2019 年《美国新闻与世界报道》）。由医学图书馆员对同行评议期刊文章/摘要、同行评议书籍章节和同行评议在线出版物进行出版物验证。不准确的情况分为“不严重”（例如作者顺序不正确但未晋升作者排名）或“严重”（例如错误分类、非同行评议期刊、作者顺序不正确且晋升了作者排名、引用现有出版物的非作者身份和无法核实的出版物）。进行多变量逻辑回归分析，以确定人口统计学特征与整体不准确和严重不准确的预测因素。
在 319 名申请人中，有 48 名（15%）共有 98 处不准确；去除不严重的不准确后，仍有 37 名（12%）有严重的不准确。有 7 篇出版物发表在掠夺性开放获取期刊上。在回归模型中，没有一个变量（美国医学院与非美国医学院、性别或医学院排名）与整体不准确或严重不准确有显著关联。
在参加普通外科住院医师培训项目的申请人中，有 12%的人在电子住院医师申请服务申请中发现出版物报告有严重不准确。这些不准确可能代表对细节的不关注或违反专业精神。
