Abstract

BackgroundResearch productivity is an important component of the CanMEDS Scholar role and is an accreditation requirement of Canadian Otolaryngology training programs. Our objective was to determine if an association exists between publication rates before and during Otolaryngology residency.MethodsWe obtained the names for all certified Canadian Otolaryngologists who graduated between 1998 and 2013 inclusive, and conducted a Medline search for all of their publications. Otolaryngologists were subgrouped based on year of residency graduation and the number of articles published pre-residency and during residency (0 or ≥1). Chi-squared analyses were used to evaluate whether publications pre-residency and year of graduation were associated with publications during residency.ResultsWe obtained data for 312 Canadian Otolaryngologists. Of those 312 graduates, 46 (14.7%) had no identifiable publications on PubMed and were excluded from the final data analysis. Otolaryngology residents had a mean 0.65 (95% CI 0.50-0.80) publications before residency and 3.35 (95% CI 2.90-3.80) publications during residency. Between 1998 and 2013, mean publication rates before and during residency both increased significantly (R2 = 0.594 and R2 = 0.759, respectively), whereas publication rates after residency graduation has stagnated (R2 = 0.023). The odds of publishing during residency was 5.85 times higher (95% CI 2.69-12.71) if a resident published prior to residency (p < 0.0001). The Spearman correlation coefficient between publications before and during residency is 0.472 (p < 0.0001).ConclusionResidents who publish at least one paper before residency are nearly six times as likely to publish during residency than those who did not publish before residency. These findings may help guide Otolaryngology program selection committees in ranking the best CaRMS candidates.

Highlights

  • Research productivity is an important component of the CanMEDS Scholar role and is an accreditation requirement of Canadian Otolaryngology training programs

  • Medical students compete each year for approximately 30 Otolaryngology - Head and Neck Surgery (OTOHNS) residency positions country-wide through the Canadian Residency Matching Service (CaRMS)

  • There was an average of 0.65 publications before residency and 3.35 publications during residency

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Summary

Introduction

Research productivity is an important component of the CanMEDS Scholar role and is an accreditation requirement of Canadian Otolaryngology training programs. Medical students compete each year for approximately 30 Otolaryngology - Head and Neck Surgery (OTOHNS) residency positions country-wide through the Canadian Residency Matching Service (CaRMS). There is previous literature that can help program selection committees predict which applicants will be most successful during residency [2, 3]. In 2012, Chole and colleagues found that many of the application factors typically used to select Otolaryngology resident candidates—such as exam performance, letters of recommendation, and performance during internship—might not be predictive of future capabilities as a clinician. Previous studies that attempted to demonstrate an association between clinical performance in medical school and residencies in other surgical subspecialties have shown mixed results [6, 7]

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