Publication trends among internal medicine residents, fellows, and graduates and its relationship to future academic achievement

Background: Medical research is essential for establishing evidence-based care and furthering clinical practice knowledge for the success of physicians. For example, research is considered a scholarly activity by the American College of Graduate Medical Education and is a requirement during residency (1). Furthermore, research is used as a tool to measure academic success given that it allows for a qualitative measure for residency and fellowship applications. Publication trends among internal medicine have previously been studied (2,3); however, our follow-up study also adjusts for gender when comparing research success and outcomes. Our primary objective is to assess the influence that research in medical school has on residency success by analyzing fellowship placement, h-index scores, and continued research success measured by publications.Methods: Using Doximity residency navigator, we reviewed internal medicine graduates from 50 randomly sampled residency programs. From each included program, publicly available graduate records were obtained and included for identification of each graduate. After extracting our list of graduates, each graduate was searched on SCOPUS for degree, gender, fellowship pursued, h-index, academics pursued, and publications. Microsoft Excel and Stata 15.1 were used for all statistical analysis functions.Results: Our initial search of internal medicine residency programs yielded 530 programs of which we randomly sampled 50 programs. Among the 50 programs, 328 graduates were identified and included in our analysis. Over half of our sample were males with the most common fellowship pursued being cardiology (Table 1). Graduates with first authorship publication prior to residency were more likely to pursue a fellowship or go into academic medicine (Table 2).Conclusion: Our study found that graduates with primary author publication before residency were more likely to go into academic medicine or pursue a fellowship after internal medicine residency. Given that Internal medicine provides several options following residency, research provides a qualitative measure of academic performance and future success. Our study highlighted no difference among gender and future career success. These results are comparable to other studies (2,3). In conclusion, total publications, first author publication, and h-index scores independently indicate a significant positive correlation in pursuing a fellowship or academic medicine after residency

Clinico-pathological profile of sinonasal masses: an experience in national ear care center Kaduna, Nigeria

<p>Abstract</p> <p>Background</p> <p>The presence of a mass in the nose and paranasal sinuses may seem to be a simple problem; however it raises many questions about the differential diagnosis. The aim of this study is to evaluate the clinico-pathological profile of sinonasal masses in our environment</p> <p>This is a retrospective analytical review of all the patients with sinonasal masses that presented to the national ear care center, Kaduna over a six year (2003-2008) period. Their biodata, clinical profile and histological diagnoses were analyzed.</p> <p>Findings</p> <p>A total of 76 patients were analyzed, age range 5 to 64 yrs with a mean age of 33.3 yr median and modal age of 35.00 (SD = 13.1 ± 1.5). Majority of the patients were in the age groups 21-50 yrs. There were 34 male and 42 female with M: F ratio of 1:1.2. The main presenting symptoms are nasal blockage 97.4% and rhinorrhea 94.7%. It was bilateral in 34 (44.7%), left side in 24(31.6%) and right side in 18(23.7%) patients. The commonest clinical diagnoses were simple nasal polyp 47(61.8%) and antrochoanal polyp 10(13.2%). About 59 (77.6%) were benign, 2 (2.6%) were malignant and 15 (19.7%) were lost to follow up. The commonest histological diagnosis is simple inflammatory nasal polyp in 28 (36.8%) patients and the least was nasal capillary hemangioma 2 (2.6%). About 55(72.4%) patients had surgical treatment.</p> <p>Conclusions</p> <p>Nasal obstruction and rhinorrhea are the commonest symptoms of presentation, simple inflammatory nasal polyp is still the commonest histological pattern seen in our environment, and surgery is still the best modality of treatment for benign tumor thus the need for advocacy for early recognition and referral to the ENT surgeon.</p

Binary systems and their nuclear explosions

Peer ReviewedPreprin