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医学院排名对眼科住院医师学术奖学金的预测价值。

Predictive value of medical school ranking in the academic scholarship of ophthalmology residents.

作者信息

Choudhry Hassaam S, Patel Aman M, Choudhry Hannaan S, Gumina Kyrie, Cui Danielle, Sequeira Lionel, Patel Keya, Sangani Roshun, Seery Christopher W, Khouri Albert S

机构信息

Rutgers New Jersey Medical School, 185 S Orange Avenue, Newark, NJ 07103, United States of America.

出版信息

Surg Open Sci. 2023 Jul 20;14:103-108. doi: 10.1016/j.sopen.2023.07.013. eCollection 2023 Aug.

Abstract

OBJECTIVE

To determine whether a resident's medical school ranking predicts their scholarship during residency.

DESIGN

The authors stratified ophthalmology residents in ACGME accredited programs into tiers based off their medical school background's US News & World Report ranking: T1 (schools 1-20), T2 (21-50), and T3 (51-90). Investigators queried PubMed and Scopus for number of total publications, first/second author publications, publications in the top 10 impact factor journals in ophthalmology, and publications with the senior author affiliated with the resident's residency program/medical school. Authors collected data from start of ophthalmology residency to December 5th, 2021, and performed Pearson chi squared, ANOVA, Eta squared, Tukey, and multivariable logistic regression tests.

RESULTS

1054 residents were included for analysis, with 370 from T1 schools, 296 from T2 schools, and 388 from T3 schools. T3 residents had a significantly decreased likelihood of publishing at least one (OR = 0.659;95%CI = 0.481,0.905;p = .010), two (OR = 0.643;95%CI = 0.436,0.949;p = .026), or five (OR = 0.407;95%CI = 0.187,0.886;p = .024) total publications compared to T1 residents. T3 residents also were partially predicted to publish fewer first author works, high impact journal articles, and articles with senior authors affiliated with their medical school. T2 residents were more likely to publish at least one second author work than T1 residents (OR = 1.604;95%CI = 1.101,2.337;p = .014). There was no significant difference between tiers in publications with senior authors affiliated with the same residency program.

CONCLUSIONS

The authors observed little difference in scholarship between residents from T1 and T2 schools, but some differences may exist between T3 and T1/T2 residents. Merit of rankings should be further explored.

摘要

目的

确定住院医师的医学院排名是否能预测其住院医师培训期间的学术成果。

设计

作者根据美国新闻与世界报道对其医学院背景的排名,将美国研究生医学教育认证委员会(ACGME)认可项目中的眼科住院医师分为几个层级:T1(排名1 - 20的学校)、T2(21 - 50)和T3(51 - 90)。研究人员在PubMed和Scopus数据库中查询总出版物数量、第一/第二作者出版物数量、眼科领域影响因子排名前十的期刊上的出版物数量,以及资深作者隶属于住院医师培训项目/医学院的出版物数量。作者收集了从眼科住院医师培训开始到2021年12月5日的数据,并进行了Pearson卡方检验、方差分析、Eta平方检验、Tukey检验和多变量逻辑回归测试。

结果

1054名住院医师纳入分析,其中370名来自T1层级学校,296名来自T2层级学校,388名来自T3层级学校。与T1层级住院医师相比,T3层级住院医师发表至少一篇(OR = 0.659;95%CI = 0.481,0.905;p = 0.010)、两篇(OR = 0.643;95%CI = 0.436,0.949;p = 0.026)或五篇(OR = 0.407;95%CI = 0.187,0.886;p = 0.024)总出版物的可能性显著降低。T3层级住院医师预计发表的第一作者作品、高影响力期刊文章以及资深作者隶属于其医学院的文章数量也较少。T2层级住院医师比T1层级住院医师更有可能发表至少一篇第二作者作品(OR = 1.604;95%CI = 1.101,2.337;p = 0.014)。在资深作者隶属于同一住院医师培训项目的出版物方面,各层级之间没有显著差异。

结论

作者观察到T1和T2层级学校的住院医师在学术成果方面差异不大,但T3与T1/T2层级住院医师之间可能存在一些差异。排名的价值应进一步探讨。

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