Warren Christopher J, Voleti Sandeep S, Stevens Victoria, Brown Samantha J, Schroeder Mariah, Yee Claire, Punjani Nahid, Stern Karen
Mayo Clinic Department of Urology, Phoenix, AZ.
Mayo Clinic Department of Urology, Phoenix, AZ.
Urology. 2025 Jan;195:43-49. doi: 10.1016/j.urology.2024.10.001. Epub 2024 Oct 10.
To assess the research output of urology residents at top programs and investigate the correlation between medical school research productivity (MRP), research during residency (RRP), and pursuit of academic practice. Further, to characterize trends in MRP before and after the transition to pass/fail scoring of USMLE Step 1.
Our team previously reported on the PubMed-indexed research productivity of applicants matching into top 50 urology programs. Here, we used the same list of residents, recorded their publications during residency, and noted their career paths, including fellowships, academic roles, or private practice. We then highlight the relationship between MRP, RRP, and pursuit of an academic career. We also highlight trends in MRP of applicants matching to top residency programs before and after the transition to pass/fail Step 1 exams.
We collected data on 727 residents. On multivariate logistic regression, total medical school publications (OR 1.07, 95% CI 0.97, 1.19), total urology publications (OR 1.05, 95% CI 0.92, 1.21), and total first author publications (OR 1.10, 95% CI 0.91, 1.33) were not associated with academic appointment after residency. On the other hand, RRP was correlated with pursuit of academics (1.08, 95% 1.03,1.14). MRP was significantly higher amongst applicants who applied with a pass/fail exam compared to those who did not.
MRP is not predictive of pursuing an academic career, but RRP is. There is a significant increase in average MRP of those matching to top urology programs after the transition to a pass/fail scoring system for Step 1.
评估顶尖项目中泌尿外科住院医师的研究产出，并调查医学院校研究生产力（MRP）、住院医师培训期间的研究（RRP）与从事学术实践之间的相关性。此外，描述美国医师执照考试第一步（USMLE Step 1）转变为通过/失败评分之前和之后MRP的趋势。
我们的团队之前报告了匹配进入前50名泌尿外科项目的申请人在PubMed上索引的研究生产力。在此，我们使用相同的住院医师名单，记录他们在住院医师培训期间的出版物，并注明他们的职业道路，包括进修、学术职位或私人执业。然后，我们强调MRP、RRP与追求学术职业之间的关系。我们还强调了在向通过/失败的第一步考试转变之前和之后，匹配到顶尖住院医师项目的申请人的MRP趋势。
我们收集了727名住院医师的数据。在多变量逻辑回归分析中，医学院校的总出版物数量（比值比[OR]为1.07，95%置信区间[CI]为0.97，1.19）、泌尿外科的总出版物数量（OR为1.05，95%CI为0.92，1.21）和第一作者的总出版物数量（OR为1.10，95%CI为0.91，1.33）与住院医师培训后的学术任命无关。另一方面，RRP与追求学术相关（1.08，95%CI为1.03，1.14）。与未采用通过/失败考试申请的申请人相比，采用通过/失败考试申请的申请人的MRP显著更高。
MRP不能预测是否会从事学术职业，但RRP可以。在第一步考试转变为通过/失败评分系统后，匹配到顶尖泌尿外科项目的人员的平均MRP有显著增加。
