Lin John C, Lokhande Anagha, Chen Allison J, Scott Ingrid U, Greenberg Paul B
Program in Liberal Medical Education, Brown University, Providence, Rhode Island.
Division of Ophthalmology, Alpert Medical School, Brown University, Providence, Rhode Island.
J Acad Ophthalmol (2017). 2022 Jan 30;14(1):e7-e17. doi: 10.1055/s-0041-1735152. eCollection 2022 Jan.
The aim of the study is to investigate the characteristics of first-year residents associated with attending a top-ranked United States (U.S.) ophthalmology residency program over the past decade. First-year ophthalmology residents in 2009, 2013, 2016, and 2019 were identified from institutional websites, Doximity, LinkedIn and the Wayback Machine. Publications were obtained from Scopus and Google Scholar; research productivity was measured using the -index, and medical school region based on U.S. Census Bureau designations. Medical school and ophthalmology training program rankings were based on U.S. News & World Report (U.S. News) rankings and National Institutes of Health (NIH) funding. One-way ANOVA, Wilcoxon rank sum, , and -tests were used to analyze trends, and odds ratios (ORs) were calculated using logistic regression. Data were obtained on 81% (1,496/1,850) of the residents; 43% were female; 5% were international medical graduates (IMGs); and 10% had other graduate degrees. Over the decade, the mean -index increased (0.87-1.26; <0.05) and the proportion of residents who attended a top 20 medical school decreased (28-18%; <0.05). In a multivariate logistic regression model, characteristics associated with being a first-year resident in a top 20 program ranked by U.S. News were female gender [OR: 1.32, 95% CI: 1.02-1.72], having a Master's degree [OR: 2.28, 95% CI: 1.29-4.01] or PhD [OR: 2.23, 95% CI: 1.32-3.79], attending a top 20 [OR: 5.26, 95% CI: 3.66-7.55] or a top 40 medical school by NIH funding [OR: 2.45, 95% CI: 1.70-3.54], attending a medical school with a mean USMLE Step 2 score above 243 [OR: 1.64, 95% CI: 1.01-2.67] or located in the Northeast [OR: 2.00, 95% CI: 1.38-2.89] and having an -index of one or more [OR: 1.92, 95% CI: 1.47-2.51]. Except for gender, these characteristics were also significantly associated with matching to a top 20 ophthalmology program by NIH funding. Female gender, graduate degrees, research productivity, and attending a medical school with high research productivity, high mean USMLE Step 2 score or in the Northeast were key characteristics of first-year residents in top-ranked U.S. ophthalmology residency programs.
本研究的目的是调查过去十年中与进入美国顶级眼科住院医师培训项目相关的一年级住院医师的特征。2009年、2013年、2016年和2019年的一年级眼科住院医师通过机构网站、Doximity、领英和时光机被识别出来。出版物从Scopus和谷歌学术搜索中获取；研究生产力使用h指数衡量，医学院地区根据美国人口普查局的指定划分。医学院和眼科培训项目排名基于《美国新闻与世界报道》（《美国新闻》）排名和美国国立卫生研究院（NIH）的资金。单因素方差分析、威尔科克森秩和检验、卡方检验和t检验用于分析趋势，比值比（OR）使用逻辑回归计算。获得了81%（1496/1850）住院医师的数据；43%为女性；5%为国际医学毕业生（IMGs）；10%拥有其他研究生学位。在这十年中，平均h指数增加（0.87 - 1.26；P<0.05），进入排名前20的医学院的住院医师比例下降（28% - 18%；P<0.05）。在多变量逻辑回归模型中，与在《美国新闻》排名前20的项目中担任一年级住院医师相关的特征为女性[OR：1.32，95%CI：1.02 - 1.72]、拥有硕士学位[OR：2.28，95%CI：1.29 - 4.01]或博士学位[OR：2.23，95%CI：1.32 - 3.79]、进入排名前20的[OR：5.26，95%CI：3.66 - 7.55]或由NIH资助排名前40的医学院[OR：2.45，95%CI：1.70 - 3.54]、进入平均美国医师执照考试第二步（USMLE Step 2）成绩高于243分的医学院[OR：1.64，95%CI：1.01 - 2.67]或位于东北部地区[OR：2.00，95%CI：1.38 - 2.89]以及h指数为1或更高[OR：1.92，95%CI：1.47 - 2.51]。除性别外，这些特征也与通过NIH资助匹配到排名前20的眼科项目显著相关。女性性别、研究生学位、研究生产力以及进入研究生产力高、平均USMLE Step 2成绩高或位于东北部地区的医学院是美国顶级眼科住院医师培训项目中一年级住院医师的关键特征。
