Rizk Emanuelle M, Wang Jiangxia, Zhao Xiyu, Tsou Brittany, Metiku Beruk E, Cho Katie, Samineni Pranav, Sridhar Jayanth, Woreta Fasika A
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
J Acad Ophthalmol (2017). 2023 Jul 31;15(2):e154-e161. doi: 10.1055/s-0043-1771377. eCollection 2023 Jul.
Throughout graduate and postgraduate education, trainees need to gauge the impact of training location on future institutions of practice. We assessed rates of internal hiring of ophthalmology faculty at academic institutions from their same institution of training. This was a cross-sectional study. We included 1,246 clinical ophthalmology faculty at the 13 top-ranked institutions listed in the 2021 U.S. News and World Report. Primary, emeritus, adjunct, and affiliate faculty were included. Publicly available information was collected from institutional websites and other online sources. Statistical analyses were conducted using -tests or Mann-Whitney tests, chi-squared or Fisher's exact tests, and multivariate logistic regression. The main outcome measured was internal hires, defined as faculty who had completed residency and/or fellowship training at their current institution. In total, 47.3% of faculty were internal hires who completed residency or fellowship at the same institution. Among externally trained faculty, 27.7% completed residency and 56.0% completed fellowship at another top 13 programs. Internal hires were more frequently fellowship-trained, had a greater number of publications, and practiced in smaller departments ( < 0.001, < 0.001, and = 0.002, respectively). A greater proportion of internal hires held leadership positions ( = 0.012). Faculty practicing in the Midwest or West and with more years since residency graduation were less likely (odds ratio [OR], 0.29, 95% confidence interval [CI], 0.18-0.48; OR, 0.49, 95% CI, 0.31-0.78; OR, 0.98, 95% CI, 0.97-0.99, respectively) to be internal hires. Faculty with non-R01 National Institutes of Health funding were more likely to be internal hires (OR, 1.82, 95% CI: 1.12-2.96). Training institution is key to determining the institution of practice. These results may be beneficial for trainees to consider when selecting a training program.
在研究生和研究生后教育阶段，学员需要评估培训地点对未来执业机构的影响。我们评估了学术机构眼科教员从其相同培训机构内部招聘的比例。这是一项横断面研究。我们纳入了2021年《美国新闻与世界报道》列出的13所排名靠前机构中的1246名临床眼科教员。包括初级、名誉、兼职和附属教员。从机构网站和其他在线来源收集公开可用信息。使用t检验或曼-惠特尼检验、卡方检验或费舍尔精确检验以及多变量逻辑回归进行统计分析。主要测量结果是内部招聘人员，定义为在其当前机构完成住院医师培训和/或 fellowship培训的教员。总体而言，47.3%的教员是在同一机构完成住院医师培训或fellowship培训的内部招聘人员。在外部培训的教员中，27.7%在其他排名前13的项目中完成了住院医师培训，56.0%完成了fellowship培训。内部招聘人员接受fellowship培训的频率更高，发表的论文数量更多，且在较小的科室执业（分别为P<0.001、P<0.001和P=0.002）。更大比例的内部招聘人员担任领导职务（P=0.012）。在中西部或西部执业且自住院医师毕业以来年限更长的教员成为内部招聘人员的可能性较小（优势比[OR]分别为0.29，95%置信区间[CI]为0.18 - 0.48；OR为0.49，95%CI为0.31 - 0.78；OR为0.98，95%CI为0.97 - 0.99）。获得非R01国立卫生研究院资助的教员更有可能成为内部招聘人员（OR为1.82，95%CI为1.12 - 2.96）。培训机构是决定执业机构的关键。这些结果可能有助于学员在选择培训项目时进行考虑。
