Factors Influencing Career Decisions and Satisfaction Among Newly Practicing Ophthalmologists

Gedde, Steven J.; Feuer, William J.; Crane, Ashley M.; Shi, Wei

doi:10.1016/j.ajo.2021.06.011

Cited by 11 publications

(6 citation statements)

References 276 publications

(454 reference statements)

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“…Academic medicine provides opportunities for research, care of patients with complex medical problems, and education of physicians-in-training. Despite these attractions, there have been growing concerns about a perceived diminished workforce in academic medicine, including ophthalmology . Therefore, it is particularly important to understand factors that predict this career pathway.…”

Section: Discussionmentioning

confidence: 99%

Association Between Preresidency Peer-reviewed Publications and Future Academic Productivity or Career Choice Among Ophthalmology Residency Applicants

et al. 2023

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ImportanceOphthalmology-residency selection committees require robust metrics to review applicants. Participation in research activities is a core component of the application process for its perceived association with future academic productivity.ObjectiveTo evaluate the correlation between the number of preresidency peer-reviewed publications (PPPs) and subsequent peer-reviewed publications or career choices of ophthalmology residency graduates.Design, Setting, and ParticipantsIn this cross-sectional study, names of ophthalmology residency graduates were obtained. PubMed-indexed publication records were generated and publications were categorized as preresidency, intraresidency, and postresidency. First author and journal publications with an impact factor (IF) score of 3 or more were recorded. Current academic and community-based career statuses were designated. Names were obtained from cohort and alumni lists on residency program websites or by emailing program directors. Participants included US Accreditation Council for Graduate Medical Education–accredited ophthalmology residency graduates from 2013 to 2016.Main Outcomes and MeasuresThe primary outcome measure was association of PPPs with later publications, first authorship, and journal publications with an IF score of 3 or more. The secondary outcome measure was difference in characteristics associated with academic vs community-based ophthalmologist.ResultsA total of 964 ophthalmologists (52% of graduates) were studied and most (85.5%) had PubMed-indexed publications. First authorship (ρ = 0.71; 95% CI, 0.67-0.74; P &lt; .001) had a strong positive correlation with intraresidency publications, while journal publications with an IF score of 3 or more (ρ = 0.56; 95% CI, 0.51-0.60; P &lt; .001) and PPPs (ρ = 0.38; 95% CI, 0.32-0.43; P &lt; .001) had moderate and weak positive correlations, respectively. For postresidency publications, journal publications with an IF score of 3 or more (ρ = 0.86; 95% CI, 0.84-0.87; P &lt; .001) had the strongest positive correlation followed by first authorship (ρ = 0.77; 95% CI, 0.74-0.79; P &lt; .001) and PPPs (ρ = 0.26; 95% CI, 0.20-0.31; P &lt; .001). Preresidency (t = 3.3; P = .001), intraresidency (t = 4.1; P &lt; .001), postresidency (t = 7.5; P &lt; .001), first author (t = 6.6; P &lt; .001), and journal publications with an IF score of 3 or more (t = 5.9; P &lt; .001) were greater for academic ophthalmologists compared with community-based ophthalmologists.Conclusions and RelevancePreresidency publication history is at least weakly correlated with future publications or work in an academic setting among ophthalmologists. Multiple factors associated with academic productivity were evaluated; however, adjustment for multiple analyses was not done and further testing is required to prove whether these factors are predictive.

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Section: Discussionmentioning

confidence: 99%

Association Between Preresidency Peer-reviewed Publications and Future Academic Productivity or Career Choice Among Ophthalmology Residency Applicants

et al. 2023

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“… 25 Increasing emphasis on career advancement and wellness aligns with growing interests in optimizing personal performance among ophthalmologists. 38 39 Podcasts, therefore, may help openly disseminate the kind of advice typically gleaned from a mentor-mentee relationship. It is also apt that the digital modality of podcasts promoted digital technology education.…”

Section: Discussionmentioning

confidence: 99%

OphthoPods: An Analysis of the Educational Content and Changes of Ophthalmology Podcasts

Greene,

Gold,

Tan

et al. 2023

Journal of Academic Ophthalmology

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Objective Podcasts are a novel modality for digitally disseminating ophthalmic knowledge, yet minimal information exists on their offerings. This study sought to describe the growth of ophthalmology podcasts, characterize their features, and analyze clinically pertinent content trends. Materials and Methods Apple Podcasts, Spotify, Google Podcasts, and Google Search were queried for English- language shows relating primarily to ophthalmology. Ninety-six podcasts and 3,594 episodes were analyzed. Results Of the 48 currently active shows, most cover general ophthalmology topics (n = 25, 52.1%) and are run by multiple hosts (n = 29, 60.4%) in both academics and private practice. The majority of podcasts released episodes monthly (n = 21, 21.9%) or less frequently than monthly (n = 36, 37.5%). Among all episodes, procedural topics (n = 951 episodes, 26.4%) and clinical education (n = 1385, 38.5%) were the most prevalent categories. Retina was the most represented subspecialty in podcast production, while oculoplastics and neuro-ophthalmology had the fewest podcasts. Episodes on disease pathophysiology (p = 0.04) and published research (p < 0.001) each declined over time. The proportion of episodes released from 2020 to 2022 that discussed digital technologies was 33.3% greater versus 2005 to 2019 (p = 0.005). Personal retrospective episodes doubled, career guidance and patient perspectives tripled, and wellness and social justice topics increased fivefold (all p < 0.001). Conclusion In summary, the coronavirus disease 2019 pandemic coincided with a rise in ophthalmology podcasts and shifts in content. Podcasts have trended toward practical advice and technologies, reflecting their value in sharing modern, peer-to-peer pearls. Emphases on storytelling and social justice offer unique, clinically relevant perspectives compared with traditional modalities.

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“… 5 10 Prior studies have found that gender modulates both intent to pursue subspecialty training and pursuit of specific subspecialties within ophthalmology; however, such an analysis was not within the scope of our present study. 11 12 In addition, a previous study examining retention within plastic surgery demonstrated that recent graduates may be less likely to be internal hires compared to faculty who did not graduate as recently. 3 In our study, we found that, on the contrary, fewer years since completion of residency was a significant predictor of internal hiring.…”

Section: Discussionmentioning

confidence: 99%

Rates of Internal Hiring of Ophthalmology Faculty from their Institution of Training at Top Academic Medical Centers: A Cross-Sectional Study

Rizk,

Wang,

Zhao

et al. 2023

Journal of Academic Ophthalmology

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Background Throughout graduate and postgraduate education, trainees need to gauge the impact of training location on future institutions of practice. Objective We assessed rates of internal hiring of ophthalmology faculty at academic institutions from their same institution of training. Methods 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 t-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. Results 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 (p < 0.001, p < 0.001, and p = 0.002, respectively). A greater proportion of internal hires held leadership positions (p = 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). Conclusions Training institution is key to determining the institution of practice. These results may be beneficial for trainees to consider when selecting a training program.

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Factors Influencing Career Decisions and Satisfaction Among Newly Practicing Ophthalmologists

Cited by 11 publications

References 276 publications

Association Between Preresidency Peer-reviewed Publications and Future Academic Productivity or Career Choice Among Ophthalmology Residency Applicants

Association Between Preresidency Peer-reviewed Publications and Future Academic Productivity or Career Choice Among Ophthalmology Residency Applicants

OphthoPods: An Analysis of the Educational Content and Changes of Ophthalmology Podcasts

Rates of Internal Hiring of Ophthalmology Faculty from their Institution of Training at Top Academic Medical Centers: A Cross-Sectional Study

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