Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California.
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California; VA Palo Alto Health Care System, Palo Alto, California.
J Surg Educ. 2022 Mar-Apr;79(2):417-425. doi: 10.1016/j.jsurg.2021.09.003. Epub 2021 Oct 19.
Advanced clinical fellowship training has become a popular option for surgical trainees seeking to bolster their clinical training and expertise. However, the long-term academic impact of this additional training following a traditional thoracic surgery fellowship is unknown. This study aimed to delineate the impact of an advanced clinical fellowship on subsequent research productivity and advancement in academic career among general thoracic surgeons.
Using an internally constructed database of active, academic general thoracic surgeons who are current faculty at accredited cardiothoracic surgery training programs within the United States, surgeons were dichotomized according to whether an advanced clinical fellowship was completed or not. Academic career metrics measured by research productivity, scholarly impact (H-index), funding by the National Institutes of Health, and academic rank were compared.
Among 285 general thoracic surgeons, 89 (31.2%) underwent an advanced fellowship, whereas 196 (68.8%) did not complete an advanced fellowship. The most commonly pursued advanced fellowship was minimally invasive thoracic surgery (32.0%). There were no differences between the two groups in terms of gender, international medical training, or postgraduate education. Those who completed an advanced clinical fellowship were less likely to have completed a dedicated research fellowship compared to those who had not completed any additional clinical training (58.4% vs. 74.0%, p = 0.0124). Surgeons completing an advanced clinical fellowship demonstrated similar cumulative first-author publications (p = 0.4572), last-author publications (p = 0.7855), H-index (p = 0.9651), National Institutes of Health funding (p = 0.7540), and years needed to advance to associate professor (p = 0.3410) or full rank professor (p = 0.1545) compared to surgeons who did not complete an advanced fellowship. These findings persisted in sub-analyses controlling for surgeons completing a dedicated research fellowship.
Academic general thoracic surgeons completing an advanced clinical fellowship demonstrate similar research output and ascend the academic ladder at a similar pace as those not pursuing additional training.
高级临床进修培训已成为寻求加强临床培训和专业知识的外科受训者的热门选择。然而，传统胸外科 fellowship后这种额外培训的长期学术影响尚不清楚。本研究旨在阐明高级临床进修对普通胸外科医生后续研究成果和学术职业发展的影响。
使用美国胸心外科培训计划认证中心内部构建的活跃学术型普通胸外科医生数据库，根据是否完成高级临床进修将外科医生分为两组。通过研究生产力、学术影响力（H 指数）、美国国立卫生研究院的资助以及学术排名来比较学术职业指标。
在 285 名普通胸外科医生中，89 名（31.2%）完成了高级进修，而 196 名（68.8%）未完成高级进修。最常选择的高级进修是微创胸外科（32.0%）。两组在性别、国际医学培训或研究生教育方面没有差异。与未完成任何额外临床培训的外科医生相比，完成高级临床进修的外科医生完成专门研究进修的可能性较小（58.4%比 74.0%，p=0.0124）。完成高级临床进修的外科医生在累积第一作者出版物（p=0.4572）、最后作者出版物（p=0.7855）、H 指数（p=0.9651）、美国国立卫生研究院资助（p=0.7540）以及晋升副教授（p=0.3410）或教授（p=0.1545）所需的年限方面与未完成高级进修的外科医生相似。这些发现在前瞻性研究控制完成专门研究进修的外科医生的亚分析中仍然存在。
完成高级临床进修的普通胸外科医生的研究成果相似，并且晋升学术阶梯的速度与不追求额外培训的医生相似。
