Full article access for Neurosurgery subscribers at Neurosurgery-Online.com.
BACKGROUND: Factors during neurosurgical residency that are predictive of an academic career path and promotion have not been defined.
OBJECTIVE: To determine factors associated with selecting and sustaining an academic career in neurosurgery, we analyzed in-training factors for all graduates of American College of Graduate Medical Education (ACGME)-accredited programs between 1985 and 1990.
METHODS: Neurological surgery residency graduates (between 1985-1990) from ACGME-approved training programs were analyzed to determine factors associated with choosing an academic career path and having academic success.
RESULTS: Information was available for 717 (99%) of the 720 neurological surgery resident training graduates (678 males, 39 females). One hundred thirty-eight (19.3%) graduates held full-time academic positions. One hundred seven (14.9%) were Professors and 35 (4.9%) were department Chair/Chief. An academic career path/success was associated with more total (5.1 versus 1.9; P<0.0001) and first author publications (3.0 versus 1.0; P<0.0001) during residency. Promotion to Professor or Chair/Chief was associated with more publications during residency (P<0.0001). Total and first author publications were independent predictors of holding a current academic position and becoming Professor or Chair/Chief. While males published more than female trainees (2.6 versus 0.9 publications; P<0.004) during training, no significant gender difference was observed regarding current academic position. Program size (2 or more graduates/year; P=0.016) was predictive of an academic career but not predictive of becoming Professor or Chair/Chief (P>0.05).
CONCLUSION: Defined in-training factors including number of total publications, number of first author publications and program size are predictive of residents choosing and succeeding in an academic career path.
Full article access for Neurosurgery subscribers at Neurosurgery-Online.com.
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