Yin Linda X, Catalano Dominic J, Bisco Susan E, Lohse Christine M, Carlson Matthew L, Stokken Janalee K
Department of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Department of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USA.
OTO Open. 2023 Feb 17;7(1):e34. doi: 10.1002/oto2.34. eCollection 2023 Jan-Mar.
Otolaryngology residency is highly competitive, and applicant academic metrics are scrutinized. The predictive value of preresidency academic metrics on applicants' future research productivity and career aspirations remains largely undefined.
Retrospective cohort study.
Academic otolaryngology department, 2014 to 2015.
Applicant demographics, publication history, and United States Medical Licensing Examination (USMLE) scores were downloaded from Electronic Residency Application Service archives. Publications during residency were tallied from all PubMed articles indexed between July 1, 2015 and June 30, 2020. Postresidency career paths were examined by 2 investigators (D.J.C. and L.X.Y.) using Google searches with an emphasis on program websites, Doximity, and LinkedIn profiles. Associations with publication potential and postresidency positions were evaluated with Spearman rank correlation coefficients and Kruskal-Wallis, Wilcoxon rank sum, and tests.
Of 321 applicants, 226 (70%) matched, and 205 (64%) completed residency by June 2020. Matched residents published a median of 4 (range: 0-41) manuscripts during residency. USMLE scores, Alpha Omega Alpha status, and the number of preresidency publications did not significantly correlate with publication potential during residency. The number of research experiences had a significant positive correlation with publications during residency ( < 0.001). Asian race ( = 0.002) and geographical region of residency ( < 0.001) also had significant associations with publication potential. Of the 205 graduates, 118 (58%) enrolled in fellowship. Age and female sex (74% vs 48%; = 0.002) were the only factors significantly associated with pursuing a fellowship.
In otolaryngology, not all preresidency academic metrics are associated with publication potential during residency or propensity for fellowship training. Programs should not use academic metrics alone to predict an applicant's future research productivity or career trajectory.
耳鼻喉科住院医师培训竞争激烈，申请人的学术指标会受到严格审查。住院前学术指标对申请人未来研究生产力和职业抱负的预测价值在很大程度上仍不明确。
回顾性队列研究。
学术性耳鼻喉科，2014年至2015年。
从电子住院医师申请服务档案中下载申请人的人口统计学信息、发表记录和美国医师执照考试（USMLE）成绩。住院期间的发表情况通过统计2015年7月1日至2020年6月30日期间所有编入PubMed的文章来确定。两名研究者（D.J.C.和L.X.Y.）通过谷歌搜索，重点查看项目网站、Doximity和领英资料，来研究住院医师培训后的职业发展路径。使用Spearman等级相关系数以及Kruskal-Wallis、Wilcoxon秩和检验来评估与发表潜力和住院医师培训后职位的关联。
在321名申请人中，226人（70%）成功匹配，205人（64%）在2020年6月前完成住院医师培训。成功匹配的住院医师在培训期间发表的论文中位数为4篇（范围：0 - 41篇）。USMLE成绩、美国医学生荣誉学会会员身份以及住院前发表的论文数量与住院期间的发表潜力无显著相关性。研究经历的数量与住院期间的发表情况呈显著正相关（P < 0.001）。亚洲种族（P = 0.002）和住院所在地理区域（P < 0.001）也与发表潜力有显著关联。在205名毕业生中，118人（58%）参加了专科培训。年龄和女性性别（74%对48%；P = 0.002）是与参加专科培训显著相关的唯一因素。
在耳鼻喉科领域，并非所有住院前学术指标都与住院期间的发表潜力或专科培训倾向相关。各项目不应仅使用学术指标来预测申请人未来的研究生产力或职业轨迹。
