Can a Clinician-Scientist Training Program Develop Academic Orthopaedic Surgeons? One Program’s Thirty-Year Experience

Brandt, Aaron M.; Rettig, Samantha A.; Kale, Neel K.; Zuckerman, Joseph D.; Egol, Kenneth A.

doi:10.1016/j.jsurg.2017.10.003

Cited by 7 publications

(17 citation statements)

References 28 publications

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“… 4 , 7 , 8 Participation in notable research can generate funding for the institution of the investigator, and subsequent authorship can lead to career advancement and attainment of leadership positions. 9 10 11 12 There is strong competition for publishing in respected journals, as evidenced by rejection rates as high as 84%. 13 The literature has shown that up to 24.2% of manuscripts rejected from a high-impact orthopaedic journal remain unpublished within the following 5 years.…”

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confidence: 99%

The Influence of Geographic Region on Hip and Knee Arthroplasty Literature From 1988 to 2018

Sinclair¹,

Orr²,

Klika³

et al. 2021

JAAOS Glob Res Rev

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Introduction: Total joint arthroplasty constitutes a major focus of publications within orthopaedics. Because research expands and investigators from around the world contribute, it is important to understand the dynamics of publication. Methods: PubMed was queried for hip and knee arthroplasty-related articles published between 1988 and 2018 within seven orthopaedic journals. A bibliometric analysis was done. The manuscript region of origin was determined by the affiliated country of the last author and used to examine trends in publication. Results: A total of 6,160 publications were included. Forty-eight countries from six continents were identified. The quantity of arthroplasty-related publications increased over the study period (n = 246 in 1988 and n = 1,247 in 2018, P < 0.01). Articles were primarily published by North America (51.9%), Europe (32.5%), and Asia (12.4%). Clinical trials accounted for 45.6% of all publications. Articles from Asia received fewer citations than those from North America, Europe, and Oceania ( P < 0.001). Discussion: The volume of publications was five times greater in 2018 than in 1988, yet international articles constitute a marginal proportion of annual publications. Most of the literature (84.4%) originated from North America and Europe. Balanced publication of international research may favor global communication of findings, increasing the spectrum of available evidence applicable worldwide.

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confidence: 99%

The Influence of Geographic Region on Hip and Knee Arthroplasty Literature From 1988 to 2018

Sinclair¹,

Orr²,

Klika³

et al. 2021

JAAOS Glob Res Rev

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“… 18 25 26 28 32 34 46 47 Four studies included a measure of involvement in research activities 18 25 32 46 ; however, only two studies showed a significant increase in research participation—both studies assessed multifaceted academic training programmes. 18 25 Mandel et al 34 found similar benefits for graduates taking part in a research-tailored curriculum intervention but it is unclear if this finding was significant. Two out of three measures relating to grant applications did not show any difference between groups in two interventions that included comprehensive research training.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 30 studies included in the quantitative synthesis, 26 were conducted in the USA,18–43 2 in Canada,44 45 1 in Australia46 and 1 in Germany 47. Twenty-three were single centre programmes,18 19 21–24 26 28 29 31–43 47 and seven were national 20 25 27 30 44–46…”

Section: Resultsmentioning

confidence: 99%

“…Due to this high degree of variability, it was often difficult to determine the exact population investigated. Fourteen studies focused solely on participants who had completed their medical training,19–22 24 26 30 32–34 37 40–42 11 studied just trainees,18 23 25 28 29 31 35 43–45 47 3 included mixed populations27 36 38 and 2 were unclear/not reported 39 46…”

Section: Resultsmentioning

confidence: 99%

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Strengthening the clinical academic pathway: a systematic review of interventions to support clinical academic careers for doctors and dentists

et al. 2022

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ObjectiveEvaluate existing evidence on interventions intended to increase recruitment, retention and career progression within clinical academic (CA) careers, including a focus on addressing inequalities.DesignSystematic review.Data sourcesMedline, Embase, Cochrane Controlled Register of Trials, PsycINFO and Education Resource Information Center searched October 2019.Study selectionEligible studies included qualified doctors, dentists and/or those with a supervisory role. Outcomes were defined by studies and related to success rates of joining or continuing within a CA career.Data extraction and synthesisAbstract screening was supported by machine learning software. Full-text screening was performed in duplicate, and study quality was assessed. Narrative synthesis of quantitative data was performed. Qualitative data were thematically analysed.Results148 studies examined interventions; of which 28 were included in the quantitative synthesis, 17 in the qualitative synthesis and 2 in both. Studies lacked methodological rigour and/or were hindered by incomplete reporting. Most were from North America. No study included in the syntheses evaluated interventions aimed at CA dentists.Most quantitative evidence was from multifaceted training programmes. These may increase recruitment, but findings were less clear for retention and other outcomes. Qualitative studies reported benefits of supportive relationships, including peers and senior mentors. Protected time for research helped manage competing demands on CAs. Committed and experienced staff were seen as key facilitators of programme success. Respondents identified several other factors at a programme, organisational or national level which acted as facilitators or barriers to success. Few studies reported on the effects of interventions specific to women or minority groups.ConclusionsExisting research is limited by rigour and reporting. Better evaluation of future interventions, particularly those intended to address inequalities, is required. Within the limits of the evidence, comprehensive multifaceted programmes of training, including protected time, relational and support aspects, appear most successful in promoting CA careers.Systematic review registrationOpen Science Framework: https://osf.io/mfy7a

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“…These programs require investment by the department, yet they do not lead to a definite increase in productivity after residency nor do they result in those residents entering academic careers. 19 In comparison with MSTP-trained surgeon-scientists, physicians who participated in nondegree conferring postgraduate research programs have been less successful in eventually being awarded NIH grants and have fewer publications over the course of their careers. 20 By not actively recruiting from the 19.1% of residency applicants with additional graduate training, including MD-PhD students, orthopaedic surgery may be discounting a significant cohort of future surgeon-scientists with the knowledge base and skill-set required to advance the field.…”

Section: Discussionmentioning

confidence: 99%

Lack of Additional Advanced Graduate Training by Orthopaedic Surgeons in Academic Practice: Current Employment and Recruitment Trends

Anderson

Kuhns

Kaupp³

et al. 2020

JAAOS Glob Res Rev

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Background: Orthopaedic surgery is ever changing and depends on diverse technical and intellectual skill sets. The purpose of the current study was to evaluate the percentage of academic orthopaedic surgeons with additional graduate degrees in the United States. Methods: Data including advanced degree(s) (eg, PhD, MS, MBA, MPH, JD, and DVM), academic rank, leadership position, subspecialty, years since training completion, and sex were collected from websites for all academic orthopaedic surgery departments in the United States. Univariate analyses were performed to evaluate for differences in demographic data based on the advanced degree status. Data from the National Resident Matching Program (NRMP) were used to characterize graduate degree-holding US senior medical students who ranked orthopaedic surgery first relative to peers without additional advanced degrees and to applicants who ranked other specialties first. Results: Of 4,519 faculty at 175 academic orthopaedic surgery departments in the United States, 7.1% held a graduate degree in addition to a medical doctorate. There was no difference in the percentage of faculty who held departmental leadership positions ( P = 0.62) or who were full professors ( P = 0.66) based on holding an additional graduate degree. Of 678 US senior applicants who ranked orthopaedic surgery first and successfully matched into the specialty in 2018, 12.5% held an additional graduate degree and 1.3% were MD-PhDs. Orthopaedic surgery had the second lowest percentage of matched medical students with additional advanced degrees, which was significantly lower than the top 10 specialties (range 16.1% to 21.6%; P < 0.05). Orthopaedic surgery recruited 1.6% of all MD-PhD applicants in 2018. Discussion: Few academic orthopaedic surgery faculty and admitted orthopaedic residency candidates have additional graduate school training. The low percentage of orthopaedic faculty and trainees with additional advanced degrees relative to other specialties may represent a missed opportunity to recruit individuals with diverse skills to advance the field of orthopaedic surgery.

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Can a Clinician-Scientist Training Program Develop Academic Orthopaedic Surgeons? One Program’s Thirty-Year Experience

Cited by 7 publications

References 28 publications

The Influence of Geographic Region on Hip and Knee Arthroplasty Literature From 1988 to 2018

The Influence of Geographic Region on Hip and Knee Arthroplasty Literature From 1988 to 2018

Strengthening the clinical academic pathway: a systematic review of interventions to support clinical academic careers for doctors and dentists

Lack of Additional Advanced Graduate Training by Orthopaedic Surgeons in Academic Practice: Current Employment and Recruitment Trends

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