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Defining Predictors Of Academic Productivity In Plastic Surgery Residency
Victoria A. Wickenheisser, MD, Sonali Biswas, MS, Caitlin Marks, MD, Yisong Geng, PhD, MBA, Brett T. Phillips, MD, MBA.
Duke University, Durham, NC, USA.

Purpose: Research is a valued component of applications to plastic surgery residency. This study aims to compare the academic productivity levels of plastic surgery residency graduates based on their pre- and post-residency experiences.
Methods: Integrated plastic surgery residents graduating in 2019 and 2020 were identified. Metrics of interest were collected and descriptive statistics were completed along with linear regressions to evaluate the impact of these on academic productivity.
Results: A total of 221 residents were included from the classes of 2019 (82.6%) and 2020 (92%) (Table 1). Dedicated research time during medical school was the only factor related to a significant increase in number publications at the end of residency (Table 2). For h-index calculated at the end of residency, two significant factors were identified: dedicated medical school research time and having a secondary degree (Table 2).
Conclusions: The present study indicates that mandatory research time in medical school has a lasting impact on both quantity and quality of future work not made up for by dedicated time for research during residency training. These results are valuable to both trainees and programs as they evaluate residency candidates and look to optimize their residency curriculums.

OverallClass of 2019Class of 2020
Total Residents22195 (43.0%)126 (57.0%)
Completing fellowship161 (75.9%)69 (75.0%)92 (76.7%)
Went to academic practice94 (42.3%)44 (46.3%)50 (39.7%)
Went to privatepractice87 (39.2%)41 (43.2%)46 (36.5%)
Completed secondary degree39 (17.4%)21 (22.1%)18 (14.3%)
Medical school:average number of publications3.2 (N=208, SD=4.5)3.1 (N=90,SD=3.8)3.2 (N=118, SD=5.0)
Residency: average number of publications8.1 (N=209, SD=10.0)6.8 (N=90,SD=7.8)9.1 (N=119, SD=11.3)
h-index5.31 (N=209, SD=5.09)4.88 (N=90,SD=3.71)5.64 (N=119, SD=5.91)

Linear regression evaluating variables as they relate to total number of publications and h-index
Number of Publications: Regression Coefficient (95% CI)P-valueh-Index: Regression Coefficient (95% CI)P-value
Characteristics1.72 (1.22,2.18)0.0002.66 (0.22,5.09)0.032
Academic Practice-0.09 (-0.46,0.29)0.6470.29 (-1.65,2.24)0.766
Private Practice-0.16 (-0.56,0.23)0.4150.46 (-1.58,2.50)0.658
Fellowship0.14 (-0.18,0.46)0.3970.98 (-0.68,2.64)0.246
Residency is same as medical school0.05 (-0.29,0.40)0.7580.11 (-1.66,1.89(0.900
Dedicated research time, medical school, optional0.30 (-0.002,0.60)0.0520.32 (-1.23,1.87)0.682
Dedicated research time, medical school-mandatory0.70 (0.35,1.05)0.0002.96 (1.15,4.77)0.002
Dedicated Research Time, residency0.13 (-0.15,0.41)0.3690.94 (-0.50,2.38)0.202
Extra secondary degree(s)0.09 (-0.25,0.43)0.6131.88 (0.13,3.63)0.035

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