Experience Of Doctors Research Articles

Impact of SARS, H1N1, and COVID-19 on Medical Trainees' Academic and Personal Experience: A Systematic Search and Narrative Review.

The SARS-CoV-2 pandemic is a destabilizing experience for medical students and resident doctors and troubles their training in the hospital setting. This narrative review aims to identify the effect of health crises on the academic and personal lives of medical trainees and to develop solutions to support them. EducationSource, MedLine and PsychInfo were consulted on June 30th and December 16th, 2020 to identify the articles explaining the effect of SARS-CoV-1 (2002), A/H1N1 (2009) or SARS-CoV-2 (ongoing) on medical learners. Exclusion criteria included policy papers, letters to the editor or articles detailing the impact on undergraduate medical curricula, on nonmedical trainees, on the residency application process, or the physical impact of the disease. The quality of the selected papers was appraised using CASP for qualitative studies and NHLBI-NIH for cross-sectional studies. Ninety-four manuscripts were initially generated and 229, secondarily, of which respectively 14 and 16 were included in the final analysis according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and reviewed qualitatively. It was found that the learners consider their education compromised by exam delays, the suspension of academic activities, and elective surgeries. Anxiety associated with this academic disruption developed. Burnout is exacerbated by the heightened workload. The main difference between the two searches was the long-term effect of COVID-19, including the opportunity for didactic innovation, the worry regarding professional identity formation and the development of mental health issues. The proposed solutions varied from continuous access to mental health resources to the follow-up of learners' well-being. It would be interesting to assess the impact of medical trainees' specialty and country's development on their experience with COVID-19.

Recontextualising "Doing a doctoral degree" as a social practice complex: Evidence from Malaysia

The current study is part of a longitudinal research project into the relationship between students’ ways of recontextualising their doctoral degree experience and eventual programme completion. Building on earlier findings reported in De Rycker (2014, 2022), the objective is to examine the hidden ontology of “doing a doctoral degree”. The primary data consist in structured interviews conducted with 20 doctoral students at the Universiti Malaya, Kuala Lumpur, Malaysia. Using Van Leeuwen’s (2008) socio-semantic model for the critical study of discourse, the analysis of the interviews produced two major empirical findings. First, doctoral students’ discourse is characterised by a strong sense of personal agency but also a lack of specificity and a simplification of the overall practice complex, in which doing research seems to be reduced to mere semiotic actions. Secondly, students construe “doing a doctoral degree” as a mystifying process replete with paradoxes. Further interpretative analysis suggests that semiotic action representations play a significant role as self-enhancing metonyms for “doing research”, helping students to demystify the academic practice and resolve some of its inherent contradictions. Implications for supervisory practice as well as the larger research project will be discussed.

Mitigating Ceiling Effects in a Longitudinal Study of Doctoral Engineering Student Stress and Persistence

Aim/Purpose: The research reported here aims to demonstrate a method by which novel applications of qualitative data in quantitative research can resolve ceiling effect tensions for educational and psychological research. Background: Self-report surveys and scales are essential to graduate education and social science research. Ceiling effects reflect the clustering of responses at the highest response categories resulting in non-linearity, a lack of variability which inhibits and distorts statistical analyses. Ceiling effects in stress reported by students can negatively impact the accuracy and utility of the resulting data. Methodology: A longitudinal sample example from graduate engineering students’ stress, open-ended critical events, and their early departure from doctoral study considerations demonstrate the utility and improved accuracy of adjusted stress measures to include open-ended critical event responses. Descriptive statistics are used to describe the ceiling effects in stress data and adjusted stress data. The longitudinal stress ratings were used to predict departure considerations in multilevel modeling ANCOVA analyses and demonstrate improved model predictiveness. Contribution: Combining qualitative data from open-ended responses with quantitative survey responses provides an opportunity to reduce ceiling effects and improve model performance in predicting graduate student persistence. Here, we present a method for adjusting stress scale responses by incorporating coded critical events based on the Taxonomy of Life Events, the application of this method in the analysis of stress responses in a longitudinal data set, and potential applications. Findings: The resulting process more effectively represents the doctoral student experience within statistical analyses. Stress and major life events significantly impact engineering doctoral students’ departure considerations. Recommendations for Practitioners: Graduate educators should be aware of students’ life events and assist students in managing graduate school expectations while maintaining progress toward their degree. Recommendation for Researchers: Integrating coded open-ended qualitative data into statistical models can increase the accuracy and representation of the lived student experience. The new approach improves the accuracy and presentation of students’ lived experiences by incorporating qualitative data into longitudinal analyses. The improvement assists researchers in correcting data with ceiling effects for use in longitudinal analyses. Impact on Society: The method described here provides a framework to systematically include open-ended qualitative data in which ceiling effects are present. Future Research: Future research should validate the coding process in similar samples and in samples of doctoral students in different fields and master’s students.

Doctoral: A smartphone-based decision support tool for the early detection of oral potentially malignant disorders.

Oral potentially malignant disorders can be defined as mucosal lesions and conditions with an increased risk of malignant transformation. Oral potentially malignant disorders are a significant health burden, and they are often diagnosed late due to scant attention to routine dental practice and the low number of specialized oral medicine centres. This report summarizes the DoctOral experience, a research initiative, providing a free smartphone-based decision support tool for the general medical/dental practitioner; the tool is based on the clinical appearance of oral lesions. Captured, oral pictures can be immediately examined via interactive decision trees and constructed on the smartphone. Such decision trees are expressed in standard formats, and they are readily accessible for facilitating the completion of a hypothetical diagnostic path. Since October 2017 the DoctOral mobile app has been downloaded by 10K + users, achieving a score of 4.8 out of 5. DoctOral also supports an unfolding joint initiative, called DoctOralAI: this involves selecting reference images, with which to create an open-source model, and perform a Case-Based Reasoning method, both of which are combined with machine learning. The DoctOral mobile app has revolutionized oral pathology by providing dental students and professionals with an interactive platform for recognizing and diagnosing oral lesions.

Trải nghiệm của người bệnh điều trị nội trú tại một số khoa lâm sàng, bệnh viện 198 Bộ Công an năm 2022

Patient experience is one of the key dimensions of patient-centered care and is consistently linked to patient safety and healthcare quality. Objectives: This study aimed to describe the patients’ experience among inpatients at some clinical departments at 19-8 Hospital - Ministry of Public Security, in 2022. Methods: A cross-sectional study was conducted by using the patient experience tool from the American Agency for Health Quality Research (AHQR). Quantitative research was carried out on 252 inpatients at 10 clinical departments at 19-8 Hospital - Ministry of Public Security. Results: The study showed that the overall positive patients’ experience among inpatients at 10 clinical departments was 82.5%. In which, the positive patients’ experience of doctor's care was the highest proportion (96.9%), followed by the hospital environment (94.1%); nursing care (93.5%); explaining the drug side-effects (57.3%); providing information for inpatients before discharging from the hospital (79.8%); asking about the patients’ needs and supports after discharging from the hospital (55.2%). Conclusion: To improve the positive patients’ experiences, healthcare workers need to strengthen the explanation and counseling of patients, especially regarding drug information. Moreover, to identify the patient's needs after discharge from the hospital, as well as provide information on medical issues that could support patients and their families. Keywords: Patient experience, inpatient, hospital, 198 Hospital- Ministry of Public Security.

Towards a Conflict Period Theory of adolescents’ addictive behaviours

ABSTRACT The Conflict Period Theory (CPT), based on the author’s doctoral fieldwork experiences, intends to analyze addictive behaviors related to alcohol consumption by Indian adolescents. The CPT has four postulates: (i) Positive expectancies influence experimentations with alcohol, (ii) Subjective norms build a defense mechanism against experimentation, (iii) Experimentation with positive expectancies and defense mechanism based on subjective norms produces an inner conflict or dilemma, (iv) This conflict springs with the initiation of alcohol use, fluctuates as the using stages upgrade and stabilizes at a low by reaching the dependency stage. Once the dependency stage is reached, the user finds it challenging to quit the alcohol use, as intrapsychic conflict stops rendering the opportunity for self-regulation of behavior.

Australian and New Zealand doctors' experiences of disciplinary notifications, investigations, proceedings and interventions relating to alleged mental health impairment: a qualitative analysis of interviews

When poor mental health impairs a doctor's ability to safely practise medicine, poor patient outcomes can result. Medical regulators play a critical role in protecting the public from impaired doctors, by requiring monitoring and treatment. However, regulatory processes may paradoxically harm doctors, with potential adverse implications for the community. There is little prior research examining the experiences of doctors with prior mental health or substance use challenges who are subject to regulatory notifications and processes relating to their health. Therefore, we explored this issue through the thematic analysis of semi-structured qualitative interviews. Participants reported that mandated treatment improved aspects of their health, but that fear of regulatory processes delayed them seeking treatment. Participants recognised being significantly unwell at the time of regulatory notification. Participants told us that regulatory processes triggered psychological distress, symptom relapse, and adverse financial and vocational implications. They also told us that these processes eroded their trust in regulators and regulatory processes. To improve health outcomes for unwell doctors and to create safer healthcare for the community, we propose: 1) greater awareness and education of the medical profession about the thresholds and requirements for mandatory reporting of health impairment; 2) better integrating specialised doctors' health services into existing regulatory pathways; and 3) adoption of a more therapeutic approach to regulation by medical regulators.

Vaccination in aged patients: breaking barriers. The impact of educational programs

Background. Prevention of the diseases is the cornerstone of medicine. Preventing of the diseases improves the quality and life expectancy, and also reduces the costs for the diagnosis and treatment of diseases. The main preventive measures include maintaining a healthy lifestyle (proper nutrition and regular exercise) and vaccination. Purpose: to study the influence of distance learning programs on the knowledge of doctors about the vaccination. Materials and methods: a distance learning cycle of lectures was conducted on the vaccination of elderly patients. Before and after the course of lectures, an anonymous voluntary survey of the course participants was conducted. The questionnaires included questions for free completion, questions for assessing attitudes on a scale from 0 to 10 (where 0 strongly disagree and 10 strongly agree) and multiple choices questions. Physicians were informed before the survey that the data would be subsequently analyzed and published. Results: 556 people took part in the first stage of the survey, of which 469 (84.3%) were women. 328 people took part in the second stage of the survey, of which 271 (82.6%) were women. The experience of doctors was on average 27±11,8 years, specialists from 72 specialties took part. Before the course of the lecture, on average, the opinion of doctors on vaccination was 8.7±0.1 out of 10, after the course of the lecture it became 9.1±0.1 out of 10 (p < 0.05). Before the start of the course, on average, doctors assessed their knowledge at 6.9±0.1, after the end of the course 7.7±0.1 (p < 0.05). After a course of lectures, 95% of the respondents answered that they would recommend vaccination to their older patients and relatives. Conclusion: on-line learning course of lectures has been shown to be an effective method of improving the quality of doctors' knowledge about the importance and safety of vaccination of people of older and senile age.

Dissertation Writing During COVID-19: Student Anxiety and Productivity

Many students across all levels of education experienced disruptions due to stay-at-home orders as part of the response to the COVID-19 pandemic. The purpose of our qualitative study was to specifically explore the doctoral student experience managing the writing of a dissertation amid stay-at-home orders during COVID-19. The majority of participants reported experiencing anxiety more frequently during stay-at-home orders and more productivity before stay-at-home orders. Reasons for decreased productivity during stay-at-home orders included reduced motivation, distractions, and lack of access to outside services and support.

Evaluation of the Degree of Interventional Embolization by Measuring Local Arterial Blood Pressure

Embolization is a common treatment method for tumor targeting, antiorgan hyperfunction, as well as hemostasis. However, the injection of embolic agents largely depends on the experiences of doctors, and doctors need to work in an X-ray environment that hurts their health. Furthermore, even for a well-trained doctor, complications, such as ectopic embolism caused by excessive embolic agents, are always inevitable. This article proposes a method for quantitatively evaluating the degree of interventional embolization by using local arterial blood pressure. Flow simulation and in vitro experiments were conducted in which the end vascular network was treated as porous media and simulated by sponges. The results show that local blood pressure is strongly related to the degree of embolism. This relationship was also confirmed by an animal experiment in which the renal artery of a pig was embolized. The feasibility of this method in clinical surgery is discussed. It is concluded that local arterial blood pressure can be used as a criterion for judging the degree of embolization, especially in determining the endpoint of embolization.

Constructing a Multilevel Modeling to High-Resolution CT (HRCT) Lung in Patients with COVID-19 Infection

The coronavirus disease, also called COVID-19 is caused by the SARS-CoV-2 virus. Most the people contaminated with the virus will experience mild to moderate symptoms of respiratory diseases. The aim of this paper is constructing a model by multilevel modeling for these patients who sufferers by coronaviruses, we got seven hospitals which totals (636) patients in private and public that 27% from Erbil, 26% from Sulaimani, 23% from Duhok and 24% from Halabja from the period (September 1th, 2019 to February 1th, 2022). In these modelling of multilevel restricted maximum likelihood estimation (RMLE) and full maximum likelihood (FML) acclimate estimate the parameters of multilevel models (fixed and random). The application was on the HRCT lungs of patients, seven hospitals were selected randomly among the county in Kurdistan region of Iraq. The result shows that all three variables are significant at the hospital level, but in the two final models add level-2 predictor (Doctor Experience) that interaction with level-1 predictor (smoker), which is far from significant. However, there is a significant relationship between being a diabetic and having a CT scan, but the relationship between smoking and having a CT scan is not significant.

Qualitative study to explore UK medical students’ and junior doctors’ experiences of occupational stress and mental health during the COVID-19 pandemic

ObjectivesThis qualitative study aimed to explore the occupational experiences of medical students and junior doctors working during the COVID-19 pandemic. In particular, the research sought to identify factors which mediated...

Academic Acculturation of International Doctoral Students in the U.S.: A Qualitative Inquiry

The aim of this phenomenological inquiry is to explore the academic acculturation experiences of international kinesiology professionals during their doctoral programs in higher education institutions in the U.S. Purposive sampling technique was used which include six study participants. The data collected from a demographic questionnaire and a focused interview. Using acculturation theory as a conceptual framework, the subjects' academic acculturation as former international PhD students were described. There are three subthemes: (1) graduate program and requirements, (2) the academic environment of graduate program, and (3) professional development for a career in kinesiology. Findings are discussed in light of academic acculturation with a focus on assimilation (proactive adaptation in a new environment), and integration (flexibly to embrace the life experiences, learning experiences, and current experiences of the students in a new context). Particularly, findings examine how international kinesiology professionals perceived their doctoral degree experiences and sustained academic acculturation, pertaining to research and professional development at their programs. Exploring the academic acculturation of international PhD students is crucial for diversity awareness in higher education in the U.S. Often described as a minority with a narrower status, these international students undergoing academic acculturation should be assisted with aligning to their contextual frames, in terms of degree level and its characteristics in their field of study.

Geographical views in traditional Chinese medicine

Interdisciplinary integration is a major feature of current scientific and technological development and also an inherent demand of economic and social development. The classic works in traditional Chinese medicine(TCM), such as Huangdi's Internal Classic(Huang Di Nei Jing) and Shennong's Classic of Materia Medica(Shen Nong Ben Cao Jing), contain rich and distinctive geographic ideas about the origin of Chinese medicine and prescriptions. There are many TCM schools and the distribution of each school has obvious geographical characteristics. The difference in geographical space is a major factor causing the difference in schools. There have been records of drugs and places of origin in previous documents of the Han Dynasty. Many drug names in Shennong's Classic of Materia Medica begin with ancient country names or ancient place names, indicating that the compilers attached great importance to the relationship between drugs and places of origin. Doctors in the Tang Dynasty have realized that the quality of medicinal materials was closely related to the place of origin, and each place of origin had herbalists to support the harvesting. The national yearly harvested drugs were all distributed with the places of origin. In the Song Dynasty, there were more records about the origin of drugs than in the Tang Dynasty, and the drawings attached to the Materia Medica Arranged According to Pattern(Zheng Lei Ben Cao) were titled with the names of the origins. In the Jin and Yuan dynasties, the literature on Chinese materia medica inherited the relationship between the origin and quality of drugs and contained rich geographical views in the "medication method". In the Ming Dynasty, the literature on Chinese materia medica was the first to clearly label the Daodi origin, and recognized the differences in quality and application of drugs between different origins. In the Qing Dynasty, doctors realized that there were variations and differences in the origins of drugs used by doctors in different periods, and the problem of origin was one of the reasons for the ineffectiveness of drugs. During the period of the Republic of China, doctors also paid great attention to the relationship between the origin of drugs and the quality of drugs, and the changes in the origin of drugs. TCM and geography share a common philosophical foundation. To inherit and develop the experience of doctors in the past dynasties on the relationship between drugs and origins, it is necessary to combine "Chinese materia medica" with "geography" to carry out the research on the geography of Chinese medicine, conduct multidisciplinary integration, build a new way to inherit and innovate the essence of TCM, promote the connection between philosophy of Yi, medical science, pharmacology, and geography, better serve the production practice of TCM, and promote the solution of problems related to the development of the Chinese medicine industry.

TELEMEDICINE - A CRITICAL ANALYSIS OF ITS FUTURE IN INDIA

Background:There are enough statistics on the internet for current & future telemedicine usage pattern across geographies in terms of market size, consult volume, mobile penetration, enhanced network bandwidth, advancement in biomedical devices etc. On the other hand, there are enough differences of opinion because of challenges like patient experience, doctor adoption, accessibility, lack of centres, quality of connectivity, setup cost etc. Despite all the concerns pertaining to technology, experience, compliance and effectiveness, during the covid-19 pandemic, patients and caregivers, across countries, relied heavily on the platform to provide essential health care services to patients. During the Covid-19, telemedicine usage was an accessible and cost-effective approach to deliver high-quality care. Objective:To get an overview of the state of affairs for telemedicine in India and its future outlook, i.e., to understand if the usage of the telemedicine platform was a temporary phenomenon during covid-19 only or continue to stay. Further, associated queries were – Is it only for some specific specialties or is it going to be limited to some geo-regions or is it restricted to patients in a particular age group or is it a function the nature of visit (first or follow up).Apart from analysing above considerations, the paper also highlighted important features of a telemedicine platform. Finally, the paper also studied the role of government as a regulatory body as well as an enabler of telemedicine platform in India. Methodology:More than 1 year of telemedicine data for a JCI-accredited tertiary care hospital in India was studied. Additionally, physicians and patient perspective on experience and impact across multiple specialties, age group, gender and regions of the patient was further analysed. Tele-consultation trends were further compared during wave 1 and wave 2 of the covid-19. Doctor and patient experience on the usage of telemedicine were objectively assessed with questionnaires.

CLINICAL AND RADIOLOGICAL PARALLELS IN DIAGNOSIS OF DISEASES AND DYSFUNCTION OF TEMPOROMANDIBULAR JOINT

Introduction. Dysfunction of the temporomandibular joint is a rather widespread disorder and occupies a leading place among all other joint disorders.
 Subjects and methods. The study was conducted at the Department of Propaedeutics of Surgical Dentistry. 10 people with clinical signs of temporomandibular joint (TMJ) dysfunction were selected, and subjected to radiological and magnetic resonance imaging in order to clarify the final diagnosis.
 Results and discussion. The main criterion for magnetic resonance imaging diagnostics in dysfunctional TMJ conditions is visualization of the intra-articular cartilage disc.
 When comparing radiograms and magnetic resonance imaging, the main criteria were:
 
 Distortion between research methods;
 The presence of any bone formation and its importance in making a diagnosis. Comparing the series of radiograms and magnetic resonance imagings shows the distortion of the imaging results. In four patients, radiograms showed narrowing of the joint space in the anterior-posterior sections, but this did not occur on magnetic resonance imaging. In this case, patients should feel pain irradiating to the ear. This option is possible due to compression of the bilaminar zone, where the auriculotemporal nerve is located. Characteristic pathological symptoms were determined in one patient out of four that prompts the question about the correctness of determining the joint space on a series of radiograms. In these research methods, the following features were common: 1. The articular head was flattened (4 patients), had a dumbbell-like shape (6 patients). 2. With the mouth open, attention was drawn to the placement of the articular head in relation to the articular tubercle. Subluxation of one of the joints was found 8 patients; joint hypermobility was detected in 2 patients. Magnetic resonance imaging of the TMJ joint in 3 patients showed anatomical instability, namely degenerative changes in the articular discs, and bony growths. Degenerative changes of the meniscus did not occur in the other 7 patients.
 
 Conclusion. Undoubtedly, the best diagnosis when choosing the right method is based on the doctor's experience in correct image interpreting. Radiogram is a relatively cheap method compared to magnetic resonance imaging, but it is far from being exceptionally effective because it does not visualize the connective tissue elements of the joint. Magnetic resonance imaging fully characterizes all bone and soft tissue elements that helps the doctor to clearly determine the final diagnosis based on which the treatment plan will be made up.

Palliative and end-of-life care and junior doctors: a systematic review and narrative synthesis

BackgroundPalliative and end-of-life care is a core competency for doctors and is increasingly recognised as a key clinical skill for junior doctors. There is a growing international movement to embed...

Status of robot-assisted artificial total joint arthroplasty in China: a cross-sectional survey of joint surgeons.

The purpose of this study is to report on the use of Robotic-assisted total joint arthroplasty (RA-TJA) in China as well as the experience and expectations of Chinese doctors regarding this technology. A self-administered questionnaire was used to assess the current status of RA-TJA in China, the practical experience and suggestions for improvement of the technology by joint surgeons who have performed RA-TJA, and the interest and expectations of orthopaedic surgeons who have not used RA-TJA. The questionnaire was administered to all the physicians of the Chinese Association of Orthopedic Surgeons (CAOS). A total of 372 qualified questionnaires were generated, among which 28% (n = 104) of the respondents had performed RA-TJA, among those who had performed RA-TJA. When asked how helpful the joint replacement robot was actually/expected to be, there was no significant difference between the expected and actual experience of nonusers and users (p ≥ 0.05); the biggest disadvantage of the current development of RA-TJA was perceived as additional charges to the patient by those who had used it, while those who had not used it perceived it as a limitation of their hospital, both of which were significant differences. Most respondents in both groups (used: 94.2%; not used: 91.4%) were confident in the clinical development of the joint replacement robot. This survey provides cross-sectional data on the current status of Chinese joint surgeons using or not using robots in their daily clinical practice. Improving surgical precision was the consensus of most respondents, while high surgical costs and limitations of hospital conditions were barriers to its development in China.

Is there a fit between PhD candidates’ and their supervisors’ perceptions on the impact of COVID-19 on doctoral education?

PurposeThe COVID-19 pandemic has had its impact on research and researchers, potentially influencing the future of academia. Yet, to the best of the authors’ knowledge, there are no empirical studies on the alignment between supervisors’ and supervisees’ estimates of the impact of COVID-19. This study aims to contribute to bridging this gap by exploring PhD candidates’ and supervisors’ perceptions of the impact of COVID-19 on candidates’ study progress and study well-being, and whether the estimates were related to supervisors’ and supervisees’ well-being.Design/methodology/approachA total of 768 PhD candidates and 561 doctoral supervisors from a large multifield research-intensive university in Finland participated in this quantitative study. Data were collected with the doctoral experience survey and the supervisory experience survey.FindingsIn general, the results show that both supervisors and supervisees recognised the negative impact of the pandemic on candidates’ well-being and progress, and their perceptions were quite well aligned. However, supervisors estimated that the impact had been more detrimental than the supervisees did. The results also show that the supervisors’ perceptions of the negative impact of COVID-19 on candidates’ progress and well-being were related to reduced levels of their own well-being.Originality/valueResults can be used in developing effective support means for both the supervisors and supervisees to overcome the hardships caused by the COVID-19 pandemic and to avoid long-term negative consequences for the candidates in degree completion, career trajectories and the future of the academy.

Academic support network reflects doctoral experience and productivity

Current practices of quantifying academic performance by productivity raise serious concerns about the psychological well-being of graduate students. These efforts often neglect the influence of researchers’ environment. Acknowledgments in dissertation subsections shed light on this environment by providing an opportunity for students to thank the people who supported them. We analysed 26,236 acknowledgments to create an “academic support network” that reveals five distinct communities that support students along the way: Academic, Administration, Family, Friends & Colleagues, and Spiritual. We show that female students mention fewer people from each of these communities, with the exception of their families, and that their productivity is slightly lower than that of males when considering the number of publications alone. This is critically important because it means that studying the doctoral process may help us better understand the adverse conditions women face early in their academic careers. Our results also suggest that the total number of people mentioned in the acknowledgements allows disciplines to be categorised as either individual science or team science as their magnitudes change. We also show that male students who mention more people from their academic community are associated with higher levels of productivity. University rankings are found to be positively correlated with productivity and the size of academic support networks. However, neither university rankings nor students’ productivity levels correlate with the sentiments students express in their acknowledgements. Our results point to the importance of academic support networks by explaining how they differ and how they influence productivity.