Impact of advanced clinical fellowship training on future research productivity and career advancement in adult cardiac surgery
Impact of advanced clinical fellowship training on future research productivity and career advancement in adult cardiac surgery
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DOI：
10.1016/j.surg.2020.06.016
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发表时间：
2021-05-04
期刊：
影响因子：
3.8
通讯作者：
Boyd, Jack H.
中科院分区：
文献类型：
--
作者：
Wang, Hanjay;Bajaj, Simar S.;Boyd, Jack H.
背景：高级临床奖学金对于培养具有特定专业知识的外科医生非常重要。然而，这种额外的训练是否会影响未来的学业成就，目前还不得而知。在这里，我们调查了高级奖学金培训对活跃的学术心脏外科医生的研究生产力和职业发展的影响。我们假设高级奖学金不会显著提高未来的学术成就。方法：使用在线资源（如科室网页、CTSNet、Scopus、Grantome），我们研究了自1986年以来仅在美国学术中心实习的成年心脏外科医生（n = 227），他们目前是经认证的美国心胸外科培训项目的教师。收集了有关职业发展、研究生产力和资助资金的公开数据。数据以计数或中位数表示。结果：在我们的研究中，78名（34.4%）外科医生完成了高级临床奖学金，149名（65.6%）没有完成。获得高级奖学金的外科医生花更多的时间在外科培训上（P < 0.0001），而那些没有获得高级奖学金的外科医生更有可能完成专门的研究奖学金（P = 0.0482）。两组的累积总发表量（P = .6862）、h指数（P = .6232）、获得美国国立卫生研究院资助的频率（P = .8708）和达到正教授级别的时间（P = .7099）相似。根据目前的学术等级或外科医生是否追求专门的研究奖学金进行分层后，完成高级临床奖学金与提高研究效率或加速职业发展无关。结论：追求高级临床奖学金的学术成人心脏外科医生与不追求额外临床培训的人表现出相似的研究效率和相似的职业发展。(c) 2020 Elsevier Inc.版权所有。
Background: Advanced clinical fellowships are important for training surgeons with a niche expertise. Whether this additional training impacts future academic achievement, however, remains unknown. Here, we investigated the impact of advanced fellowship training on research productivity and career advancement among active, academic cardiac surgeons. We hypothesized that advanced fellowships do not significantly boost future academic achievement.Methods: Using online sources (eg, department webpages, CTSNet, Scopus, Grantome), we studied adult cardiac surgeons who are current faculty at accredited United States cardiothoracic surgery training programs, and who have practiced only at United States academic centers since 1986 (n = 227). Publicly available data regarding career advancement, research productivity, and grant funding were collected. Data are expressed as counts or medians.Results: In our study, 78 (34.4%) surgeons completed an advanced clinical fellowship, and 149 (65.6%) did not. Surgeons who pursued an advanced fellowship spent more time focused on surgical training (P < .0001), and those who did not were more likely to have completed a dedicated research fellowship (P = .0482). Both groups exhibited similar cumulative total publications (P = .6862), H-index (P = .6232), frequency of National Institutes of Health grant funding (P = .8708), and time to achieve full professor rank (P = .7099). After stratification by current academic rank, or by whether surgeons pursued a dedicated research fellowship, completion of an advanced clinical fellowship was not associated with increased research productivity or accelerated career advancement.Conclusion: Academic adult cardiac surgeons who pursue advanced clinical fellowships exhibit similar research productivity and similar career advancement as those who do not pursue additional clinical training. (c) 2020 Elsevier Inc. All rights reserved.