Predictors of an academic career among fellowship-trained open vascular and endovascular neurosurgeons

Khalafallah, Adham M.; Jimenez, Adrian E.; Caplan, Justin M.; McDougall, Cameron G.; Huang, Judy; Mukherjee, Debraj; Tamargo, Rafael J.

doi:10.3171/2020.2.jns2033

Cited by 8 publications

(18 citation statements)

References 14 publications

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“…For instance, we determined that an h-index ≥ 2 during residency predicted the pursuit of an academic career among fellowship-trained open vascular and endovascu- lar neurosurgeons, while completion of a residency program affiliated with a top research medical school independently predicted an academic career trajectory among endovascular neurosurgeons specifically. 5 Our study examining fellowship-trained neurosurgical oncologists also determined that having an h-index ≥ 2 during residency predicted an academic career trajectory. 6 Our prior research has emphasized the multifactorial nature of an academic career trajectory in neurosurgery; the results have demonstrated that factors influencing career trajectory vary between, and even within, neurosurgical subspecialties.…”

Section: Academic Career Predictors In Neurosurgerymentioning

confidence: 89%

“…3 Previous research has been conducted into factors influencing the likelihood of academic careers in neurosurgery in general; we investigated predictors of academic careers among fellowship-trained open vascular and endovascular neurosurgeons, as well as neurosurgical oncologists. [4][5][6] However, a detailed analysis of predictors of a career in academic spinal neurosurgery among fellowship-trained spinal neurosurgeons has yet to be conducted.…”

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confidence: 99%

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Predictors of an academic career among fellowship-trained spinal neurosurgeons

Khalafallah

Jimenez

Shlobin

et al. 2021

Journal of Neurosurgery: Spine

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OBJECTIVE Although fellowship training is becoming increasingly common in neurosurgery, it is unclear which factors predict an academic career trajectory among spinal neurosurgeons. In this study, the authors sought to identify predictors associated with academic career placement among fellowship-trained neurological spinal surgeons. METHODS Demographic data and bibliometric information on neurosurgeons who completed a residency program accredited by the Accreditation Council for Graduate Medical Education between 1983 and 2019 were gathered, and those who completed a spine fellowship were identified. Employment was denoted as academic if the hospital where a neurosurgeon worked was affiliated with a neurosurgical residency program; all other positions were denoted as nonacademic. A logistic regression model was used for multivariate statistical analysis. RESULTS A total of 376 fellowship-trained spinal neurosurgeons were identified, of whom 140 (37.2%) held academic positions. The top 5 programs that graduated the most fellows in the cohort were Cleveland Clinic, The Johns Hopkins Hospital, University of Miami, Barrow Neurological Institute, and Northwestern University. On multivariate analysis, increased protected research time during residency (OR 1.03, p = 0.044), a higher h-index during residency (OR 1.12, p < 0.001), completing more than one clinical fellowship (OR 2.16, p = 0.024), and attending any of the top 5 programs that graduated the most fellows (OR 2.01, p = 0.0069) were independently associated with an academic career trajectory. CONCLUSIONS Increased protected research time during residency, a higher h-index during residency, completing more than one clinical fellowship, and attending one of the 5 programs graduating the most fellowship-trained neurosurgical spinal surgeons independently predicted an academic career. These results may be useful in identifying and advising trainees interested in academic spine neurosurgery.

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Section: Academic Career Predictors In Neurosurgerymentioning

confidence: 89%

mentioning

confidence: 99%

Predictors of an academic career among fellowship-trained spinal neurosurgeons

Khalafallah

Jimenez

Shlobin

et al. 2021

Journal of Neurosurgery: Spine

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“…Previous studies found that the academic careers of fellowship-trained vascular, endovascular, and oncological neurosurgeons are primarily associated with the h-index during residency ( 36 , 37 ). Similarly, Daniels et al reported the number of publications produced during residency was associated with academic career progression in neurosurgery, whereas the number of publications preresidency was not ( 38 ).…”

Section: Discussionmentioning

confidence: 99%

Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience

Mignucci-Jiménez

Houlihan

et al. 2022

Front. Surg.

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BackgroundThe authors investigated perceived discrepancies between the neurosurgical research productivity of international medical graduates (IMGs) and US medical graduates (USMGs) through the perspective of program directors (PDs) and successfully matched IMGs.MethodsResponses to 2 separate surveys on neurosurgical applicant research productivity in 115 neurosurgical programs and their PDs were analyzed. Neurosurgical research participation was analyzed using an IMG survey of residents who matched into neurosurgical residency within the previous 8 years. Productivity of IMGs conducting dedicated research at the study institution was also analyzed.ResultsThirty-two of 115 (28%) PDs responded to the first research productivity survey and 43 (37%) to the second IMG research survey. PDs expected neurosurgery residency applicants to spend a median of 12–24 months on research (Q1-Q3: 0–12 to 12–24; minimum time: 0–24; maximum time: 0–48) and publish a median of 5 articles (Q1-Q3: 2–5 to 5–10; minimum number: 0–10; maximum number: 4–20). Among 43 PDs, 34 (79%) ranked “research institution or associated personnel” as the most important factor when evaluating IMGs' research. Forty-two of 79 (53%) IMGs responding to the IMG-directed survey reported a median of 30 months (Q1-Q3: 18–48; range: 4–72) of neurosurgical research and 12 published articles (Q1-Q3: 6–24; range: 1–80) before beginning neurosurgical residency. Twenty-two PDs (69%) believed IMGs complete more research than USMGs before residency. Of 20 IMGs conducting dedicated neuroscience/neurosurgery research at the study institution, 16 of 18 who applied matched or entered a US neurosurgical training program; 2 applied and entered a US neurosurgical clinical fellowship.ConclusionThe research work of IMGs compared to USMGs who apply to neurosurgery residency exceeds PDs' expectations regarding scientific output and research time. Many PDs perceive IMG research productivity before residency application as superior to USMGs. Although IMGs comprise a small percentage of trainees, they are responsible for a significant amount of US-published neurosurgical literature. Preresidency IMG research periods may be improved with dedicated mentoring and advising beginning before the research period, during the period, and within a neurosurgery research department, providing a formal structure such as a research fellowship or graduate program for IMGs aspiring to train in the US.

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“…Based on methodologies used in similar studies, and available publications, a medical school was defined as a high-ranking institution if listed within the top 10 U.S News rankings at least once within the years 1993 to 2019. 14 A high-ranking residency program was similarly defined as an institution listed at least once within the top 10 U.S.…”

Section: Methodsmentioning

confidence: 99%

“…Medical school and residency program information was further categorized based on rankings from U.S. News & World Report (Table 1). Based on methodologies used in similar studies, and available publications, a medical school was defined as a high‐ranking institution if listed within the top 10 U.S News rankings at least once within the years 1993 to 2019 14 . A high‐ranking residency program was similarly defined as an institution listed at least once within the top 10 U.S. News rankings list for “Best Hospitals for Otolaryngology” between the years 2009 and 2019.…”

Section: Methodsmentioning

confidence: 99%

Predictors of academic career placement and scholarly impact in fellowship‐trained rhinologists

Vohra

Watley

Yan

et al. 2021

Int Forum Allergy Rhinol

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Background As rhinology fellowship positions outpace the availability of academic rhinology jobs, it is increasingly important to identify characteristics that are associated with academic placement after fellowship completion. In this study, we evaluated the association of academic characteristics during training with current job placement and posttraining scholarly impact. Methods Previous rhinology fellows were identified using publicly available data. Bibliometric indices, training institutions, graduate degrees, and job placement data were used in bivariate and multivariable regression analyses to assess for association with predictors and academic trajectory. Results Data from 265 rhinologists, all graduating between 1991 and 2020, were included. Most surgeons (n = 185, 70%) held an academic position and 80 (30%) surgeons worked in a nonacademic setting; 93.2% had a Doctor of Medicine (MD) degree and 80.3% were male. Multivariable logistic regression indicated that a designation of MD, compared with Doctor of Osteopathic Medicine (DO; odds ratio [OR], 5.93; 95% confidence interval [CI], 1.97‐21.9), number of publications during fellowship (OR, 1.19; 95% CI, 1.02‐1.41), and h‐index during training (OR, 1.25; 95% CI, 1.07‐1.49]) were independently predictive of academic job placement. Meanwhile, number of primary authorships during fellowship (β = 1.47; 95% CI, 1.07‐1.88]), h‐index during training (β = 0.48; 95% CI, 0.25‐0.71), and PhD (β = 4.16; 95% CI, 1.57‐6.76) were associated with posttraining h‐index. Medical school ranking; graduate degrees, including Master of Science (MS), Master of Business Administration (MBA), and Master of Public Health (MPH); and research metrics before residency were not associated with either academic placement or posttraining h‐index. Conclusion The predictors of academic job placement in rhinology are unclear, but h‐index during training, and research productivity during fellowship may serve as indicators of an academic career.

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Predictors of an academic career among fellowship-trained open vascular and endovascular neurosurgeons

Cited by 8 publications

References 14 publications

Predictors of an academic career among fellowship-trained spinal neurosurgeons

Predictors of an academic career among fellowship-trained spinal neurosurgeons

Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience

Predictors of academic career placement and scholarly impact in fellowship‐trained rhinologists

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