Meade Patrick J, Amin Sheena J, Stamm Michaela A, Mulcahey Mary K
Tulane University School of Medicine, New Orleans, Louisiana.
Department of Orthopaedic Surgery, University of Missouri-Kansas City, Kansas City, Missouri.
JB JS Open Access. 2023 Jan 6;8(1). doi: 10.2106/JBJS.OA.22.00081. eCollection 2023 Jan-Mar.
Doximity residency rankings are used to compare training programs. Reputation is a component of Doximity rankings and is based on physician surveys. Outcomes-based measures allow for objective program comparison and may be more appropriate when assessing programs. This study evaluated how Doximity rankings of orthopaedic surgery residency programs compare with an outcomes-based ranking of programs based on academic productivity. This study also evaluated whether program size and type were associated with academic productivity.
Orthopaedic program rankings, size, type, and research productivity were recorded from Doximity. An academic productivity score was calculated by averaging the mean percentage of alumni clinical trials and alumni publications. Analysis of variance and post hoc analyses were performed to determine whether academic productivity was associated with program reputation, size, and type.
One hundred seventy-five orthopaedic residency programs were included. Program rankings, size, and type had a statistically significant association with academic productivity (p < 0.0001). The 44 orthopaedic programs in the top quartile had an academic productivity score of 79.1 ± 13 in comparison with programs in the bottom quartile, who had a score of 38.3 ± 12.1 (p < 0.0001). Of the programs in the top quartile of reputation rankings, 32 (73%) were also in the top quartile for academic productivity. Programs with more residents demonstrated greater academic productivity than smaller programs. Twenty-three programs (13%) had more than 30 residents and a mean academic productivity of 76.2 ± 14.8. In comparison, 13 programs (7.5%) had 10 or fewer residents with an academic productivity score of 40.6 ± 16.3 (p < 0.0001). An academic productivity score differed significantly based on program type: university (63.9 ± 14.8), military (54.7 ± 16.9), university/community (46.3 ± 15.6), and community (38.7 ± 15) (p < 0.0001).
Academic productivity among orthopaedic residency programs is associated with Doximity ranking, program size, and type. This information can be used by medical students, residents, and physicians to understand the Doximity rankings and how they correlate with this objective measure.
III.
Doximity住院医师培训项目排名用于比较各培训项目。声誉是Doximity排名的一个组成部分，基于医生调查。基于结果的衡量标准有助于进行客观的项目比较，在评估项目时可能更为合适。本研究评估了骨科住院医师培训项目的Doximity排名与基于学术产出的项目排名相比情况如何。本研究还评估了项目规模和类型是否与学术产出相关。
从Doximity记录骨科项目排名、规模、类型和研究产出。通过计算校友临床试验平均百分比和校友发表文章平均百分比得出学术产出分数。进行方差分析和事后分析以确定学术产出是否与项目声誉、规模和类型相关。
纳入了175个骨科住院医师培训项目。项目排名、规模和类型与学术产出存在统计学显著关联（p < 0.0001）。排名前四分之一的44个骨科项目学术产出分数为79.1±13，而排名后四分之一的项目分数为38.3±12.1（p < 0.0001）。在声誉排名前四分之一的项目中，32个（73%）在学术产出方面也处于前四分之一。住院医师较多的项目比规模较小的项目学术产出更高。有23个项目（13%）住院医师超过30人，平均学术产出为76.2±14.8。相比之下，13个项目（7.5%）住院医师为10人或更少，学术产出分数为40.6±16.3（p < 0.0001）。学术产出分数因项目类型而异：大学项目（63.9±14.8）、军事项目（54.7±16.9）、大学/社区项目（46.3±15.6）和社区项目（38.7±15）（p < 0.0001）。
骨科住院医师培训项目的学术产出与Doximity排名、项目规模和类型相关。医学生、住院医师和医生可利用这些信息了解Doximity排名以及它们与这一客观衡量标准的关联。
III级。
