口腔颌面外科住院医师学术活动快照:我们能做得更好吗?
A Snapshot on Oral and Maxillofacial Surgery Resident Scholarly Activity: Can We Do Better?
机构信息
DMD Candidate, University of Pennsylvania School of Dental Medicine, Philadelphia, PA.
Resident, Department of Surgery, Division of Oral and Maxillofacial Surgery, UT Southwestern/Parkland Memorial Hospital, Dallas, TX.
出版信息
J Oral Maxillofac Surg. 2023 Jun;81(6):790-794. doi: 10.1016/j.joms.2023.02.017. Epub 2023 Mar 7.
BACKGROUND
The Commission on Dental Accreditation (CODA) requires oral and maxillofacial surgery (OMS) residents to engage in scholarly activity. Currently, it is unknown how this mandate translates into research output.
PURPOSE
The purpose of this study was to quantify the research output of OMS residents. In addition, we sought to identify characteristics associated with resident productivity.
STUDY DESIGN
This was a cross-sectional study of all OMS residents during the 2021-2022 academic year. Attempts were made to obtain resident rosters from every CODA-accredited OMS program. Resident names were searched in PubMed (https://pubmed.ncbi.nlm.nih.gov/) to identify peer-reviewed publications. Postgraduate year (PGY), program name, and total publication count during residency were recorded for each resident. Academic status and fellowship affiliation of the residency program were also included.
PREDICTOR/EXPOSURE/INDEPENDENT VARIABLE: The primary predictor was PGY level of each resident.
MAIN OUTCOME VARIABLE
The main outcome variable was the publication count of each OMS resident during the 2021-2022 academic year.
COVARIATES
The covariates were the academic status and the fellowship affiliation of the residency program. A program was determined academic if they were associated with a dental or medical school. A program was determined fellowship associated if they had any CODA approved fellowship.
ANALYSES
Simple bivariate comparisons were performed using Wilcoxon signed-rank tests.
RESULTS
Complete resident rosters were identified for 87 residency programs. One thousand one hundred thirty two residents were queried and a total of 548 peer-reviewed publications were identified. There was a mean of 6.30 publications per program and 0.43 publications per resident. More than half of all residents had no identifiable publication. PGY5 residents averaged the most publications per resident (1.45) followed by PGY6 (1.04) and PGY4 (0.63). Academic programs had significantly more publications per resident than nonacademic programs (median of 3.00 vs 0.00, P = .02). Programs with a fellowship association also had more publications per resident (median of 5.00 vs 2.00, P < .01).
CONCLUSION
Current CODA research requirements do not translate into resident publications. Publication counts appeared to slightly increase with PGY level; however, OMS resident productivity still lags far behind that of other surgical subspecialties.
背景
牙科认证委员会(CODA)要求口腔颌面外科(OMS)住院医师从事学术活动。目前,尚不清楚这一要求如何转化为研究成果。
目的
本研究旨在量化 OMS 住院医师的研究成果。此外,我们还试图确定与住院医师生产力相关的特征。
研究设计
这是一项针对 2021-2022 学年所有 OMS 住院医师的横断面研究。我们试图从每个 CODA 认证的 OMS 项目中获取住院医师名单。在 PubMed(https://pubmed.ncbi.nlm.nih.gov/)中搜索住院医师的姓名,以确定同行评议的出版物。记录每位住院医师的研究生年级(PGY)、项目名称和住院期间的总出版物数量。还包括住院医师项目的学术地位和奖学金附属关系。
预测因子/暴露/自变量:主要预测因子是每位住院医师的 PGY 水平。
主要结果变量
OMS 住院医师在 2021-2022 学年的出版物数量。
协变量
协变量是住院医师项目的学术地位和奖学金附属关系。如果一个项目与牙科学院或医学院有关,则该项目被确定为学术项目。如果该项目有任何 CODA 批准的奖学金,则该项目被确定为奖学金附属项目。
分析
使用 Wilcoxon 符号秩检验进行简单的双变量比较。
结果
确定了 87 个住院医师项目的完整住院医师名单。对 1132 名住院医师进行了查询,并确定了 548 篇同行评议的出版物。每个项目的平均出版物数量为 6.30 篇,每位住院医师的平均出版物数量为 0.43 篇。超过一半的住院医师没有可识别的出版物。PGY5 住院医师的人均出版物数量(每位住院医师 1.45 篇)最高,其次是 PGY6(每位住院医师 1.04 篇)和 PGY4(每位住院医师 0.63 篇)。学术项目的每位住院医师出版物数量明显多于非学术项目(中位数分别为 3.00 与 0.00,P=0.02)。有奖学金附属关系的项目的每位住院医师出版物数量也更多(中位数分别为 5.00 与 2.00,P<.01)。
结论
目前 CODA 的研究要求并未转化为住院医师的出版物。出版物数量似乎随着 PGY 水平的提高而略有增加;然而,OMS 住院医师的生产力仍然远远落后于其他外科专业。