TY - JOUR
T1 - Predictors of an academic career among fellowship-trained spinal neurosurgeons
AU - Khalafallah, Adham M.
AU - Jimenez, Adrian E.
AU - Shlobin, Nathan A.
AU - Larkin, Collin J.
AU - Mukherjee, Debraj
AU - Zygourakis, Corinna C.
AU - Lo, Sheng Fu
AU - Sciubba, Daniel M.
AU - Bydon, Ali
AU - Witham, Timothy F.
AU - Dahdaleh, Nader S.
AU - Theodore, Nicholas
N1 - Funding Information:
The catalogue of the diatom genera is part of a larger project funded by NSF and conducted at the California Academy of Sciences in conjunction with the Academy of Natural Sciences of Philadelphia on a computerized database of verified diatom names. The database currently in progress will contain an estimated 75,000 records of diatom names, including genera, species, varieties and forms. These records which contain basic nomenclatural information are being verified for accuracy against the original publications and will soon be available on the Internet. (http://www. calacademy. org/research/diatoms/)
Publisher Copyright:
© AANS 2021, except where prohibited by US copyright law
PY - 2021/8
Y1 - 2021/8
N2 - 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.
AB - 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.
KW - Academic career
KW - Graduate medical education
KW - Neurosurgery
KW - Residency
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U2 - 10.3171/2020.12.SPINE201771
DO - 10.3171/2020.12.SPINE201771
M3 - Article
C2 - 34116505
AN - SCOPUS:85111743589
SN - 1547-5654
VL - 35
SP - 251
EP - 258
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
IS - 2
ER -