“…6,7 For example, if an author has published 20 papers, and 12 of those papers have at least 12 citations (ie, the author's 13th paper has less than 13 citations), an author has an h-index of 12. Despite the fact that it was originally introduced in the physical sciences, recent studies in multiple specialties in academic medicine have validated the h-index, including radiology, 3,8 radiation oncology, 9 emergency medicine, 10 anesthesiology, [11][12][13] otolaryngology, 4,14,15 neurosurgery, 5,16 urology, 17 plastic surgery, 2,18,19 oral and maxillofacial surgery, 20 and hand surgery. 21 With literature continuing to support the use of the h-index in academic medicine, one must consider the influence of self-citation.…”