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Related Experiment Video

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Can a Clinician-Scientist Training Program Develop Academic Orthopaedic Surgeons? One Program's Thirty-Year

Aaron M Brandt1, Samantha A Rettig2, Neel K Kale2

  • 1Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina.

Journal of Surgical Education
|November 6, 2017
PubMed
Summary

The clinician-scientist training program (CSTP) boosted academic productivity during residency but did not increase long-term research careers or academic positions. Further interventions are needed to sustain clinician-scientist engagement.

Keywords:
Academic, Research YearClinician-ScientistInterpersonal and Communication SkillsMedical KnowledgePatient CarePractice-Based Learning and ImprovementProfessionalismPublications, Orthopaedic ResearchSystems-Based Practice

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Area of Science:

  • Orthopedic Surgery
  • Medical Education
  • Academic Medicine

Background:

  • Clinician-scientist numbers have stagnated for decades.
  • Previous interventions have shown limited success in increasing clinician-scientists.
  • Research residency positions show potential for fostering academic careers.

Purpose of the Study:

  • To evaluate the effectiveness of a clinician-scientist training program (CSTP) in orthopedic residency.
  • To assess the program's impact on academic productivity and interest in academic careers.

Main Methods:

  • Retrospective review of 329 orthopedic residents' training records (1976-2014).
  • Comparison of academic productivity and career paths between research residents (RR) and clinical residents (CR).
  • Analysis of data based on program designation (pre-CSTP, self-selected CSTP, program-selected CSTP).

Main Results:

  • Research residents were more likely to enter academic practice (34% vs. 20%) and had higher publication rates (median 14 vs. 4).
  • A higher percentage of research residents remained active in research post-training (42% vs. 29%).
  • No significant difference in postgraduate academic productivity was observed between groups.

Conclusions:

  • The CSTP enhanced academic productivity during residency.
  • The program did not demonstrably increase long-term academic productivity or the pursuit of clinician-scientist careers.
  • Further strategies are required to effectively promote clinician-scientist career paths.