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Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience
BACKGROUND: The authors investigated perceived discrepancies between the neurosurgical research productivity of international medical graduates (IMGs) and US medical graduates (USMGs) through the perspective of program directors (PDs) and successfully matched IMGs. METHODS: Responses to 2 separate s...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9363657/ https://www.ncbi.nlm.nih.gov/pubmed/35965866 http://dx.doi.org/10.3389/fsurg.2022.899649 |
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author | Mignucci-Jiménez, Giancarlo Xu, Yuan Houlihan, Lena Mary Benner, Dimitri Jubran, Jubran H. Staudinger Knoll, Ann J. Labib, Mohamed A. Dagi, Teodoro Forcht Spetzler, Robert F. Lawton, Michael T. Preul, Mark C. |
author_facet | Mignucci-Jiménez, Giancarlo Xu, Yuan Houlihan, Lena Mary Benner, Dimitri Jubran, Jubran H. Staudinger Knoll, Ann J. Labib, Mohamed A. Dagi, Teodoro Forcht Spetzler, Robert F. Lawton, Michael T. Preul, Mark C. |
author_sort | Mignucci-Jiménez, Giancarlo |
collection | PubMed |
description | BACKGROUND: The authors investigated perceived discrepancies between the neurosurgical research productivity of international medical graduates (IMGs) and US medical graduates (USMGs) through the perspective of program directors (PDs) and successfully matched IMGs. METHODS: Responses to 2 separate surveys on neurosurgical applicant research productivity in 115 neurosurgical programs and their PDs were analyzed. Neurosurgical research participation was analyzed using an IMG survey of residents who matched into neurosurgical residency within the previous 8 years. Productivity of IMGs conducting dedicated research at the study institution was also analyzed. RESULTS: Thirty-two of 115 (28%) PDs responded to the first research productivity survey and 43 (37%) to the second IMG research survey. PDs expected neurosurgery residency applicants to spend a median of 12–24 months on research (Q(1)-Q(3): 0–12 to 12–24; minimum time: 0–24; maximum time: 0–48) and publish a median of 5 articles (Q(1)-Q3: 2–5 to 5–10; minimum number: 0–10; maximum number: 4–20). Among 43 PDs, 34 (79%) ranked “research institution or associated personnel” as the most important factor when evaluating IMGs' research. Forty-two of 79 (53%) IMGs responding to the IMG-directed survey reported a median of 30 months (Q(1)-Q(3): 18–48; range: 4–72) of neurosurgical research and 12 published articles (Q(1)-Q(3): 6–24; range: 1–80) before beginning neurosurgical residency. Twenty-two PDs (69%) believed IMGs complete more research than USMGs before residency. Of 20 IMGs conducting dedicated neuroscience/neurosurgery research at the study institution, 16 of 18 who applied matched or entered a US neurosurgical training program; 2 applied and entered a US neurosurgical clinical fellowship. CONCLUSION: The research work of IMGs compared to USMGs who apply to neurosurgery residency exceeds PDs' expectations regarding scientific output and research time. Many PDs perceive IMG research productivity before residency application as superior to USMGs. Although IMGs comprise a small percentage of trainees, they are responsible for a significant amount of US-published neurosurgical literature. Preresidency IMG research periods may be improved with dedicated mentoring and advising beginning before the research period, during the period, and within a neurosurgery research department, providing a formal structure such as a research fellowship or graduate program for IMGs aspiring to train in the US. |
format | Online Article Text |
id | pubmed-9363657 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93636572022-08-11 Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience Mignucci-Jiménez, Giancarlo Xu, Yuan Houlihan, Lena Mary Benner, Dimitri Jubran, Jubran H. Staudinger Knoll, Ann J. Labib, Mohamed A. Dagi, Teodoro Forcht Spetzler, Robert F. Lawton, Michael T. Preul, Mark C. Front Surg Surgery BACKGROUND: The authors investigated perceived discrepancies between the neurosurgical research productivity of international medical graduates (IMGs) and US medical graduates (USMGs) through the perspective of program directors (PDs) and successfully matched IMGs. METHODS: Responses to 2 separate surveys on neurosurgical applicant research productivity in 115 neurosurgical programs and their PDs were analyzed. Neurosurgical research participation was analyzed using an IMG survey of residents who matched into neurosurgical residency within the previous 8 years. Productivity of IMGs conducting dedicated research at the study institution was also analyzed. RESULTS: Thirty-two of 115 (28%) PDs responded to the first research productivity survey and 43 (37%) to the second IMG research survey. PDs expected neurosurgery residency applicants to spend a median of 12–24 months on research (Q(1)-Q(3): 0–12 to 12–24; minimum time: 0–24; maximum time: 0–48) and publish a median of 5 articles (Q(1)-Q3: 2–5 to 5–10; minimum number: 0–10; maximum number: 4–20). Among 43 PDs, 34 (79%) ranked “research institution or associated personnel” as the most important factor when evaluating IMGs' research. Forty-two of 79 (53%) IMGs responding to the IMG-directed survey reported a median of 30 months (Q(1)-Q(3): 18–48; range: 4–72) of neurosurgical research and 12 published articles (Q(1)-Q(3): 6–24; range: 1–80) before beginning neurosurgical residency. Twenty-two PDs (69%) believed IMGs complete more research than USMGs before residency. Of 20 IMGs conducting dedicated neuroscience/neurosurgery research at the study institution, 16 of 18 who applied matched or entered a US neurosurgical training program; 2 applied and entered a US neurosurgical clinical fellowship. CONCLUSION: The research work of IMGs compared to USMGs who apply to neurosurgery residency exceeds PDs' expectations regarding scientific output and research time. Many PDs perceive IMG research productivity before residency application as superior to USMGs. Although IMGs comprise a small percentage of trainees, they are responsible for a significant amount of US-published neurosurgical literature. Preresidency IMG research periods may be improved with dedicated mentoring and advising beginning before the research period, during the period, and within a neurosurgery research department, providing a formal structure such as a research fellowship or graduate program for IMGs aspiring to train in the US. Frontiers Media S.A. 2022-07-27 /pmc/articles/PMC9363657/ /pubmed/35965866 http://dx.doi.org/10.3389/fsurg.2022.899649 Text en © 2022 Mignucci-Jiménez, Xu, Houlihan, Benner, Jubran, Staudinger Knoll, Labib, Dagi, Spetzler, Lawton and Preul. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Mignucci-Jiménez, Giancarlo Xu, Yuan Houlihan, Lena Mary Benner, Dimitri Jubran, Jubran H. Staudinger Knoll, Ann J. Labib, Mohamed A. Dagi, Teodoro Forcht Spetzler, Robert F. Lawton, Michael T. Preul, Mark C. Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience |
title | Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience |
title_full | Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience |
title_fullStr | Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience |
title_full_unstemmed | Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience |
title_short | Analyzing international medical graduate research productivity for application to US neurosurgery residency and beyond: A survey of applicants, program directors, and institutional experience |
title_sort | analyzing international medical graduate research productivity for application to us neurosurgery residency and beyond: a survey of applicants, program directors, and institutional experience |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9363657/ https://www.ncbi.nlm.nih.gov/pubmed/35965866 http://dx.doi.org/10.3389/fsurg.2022.899649 |
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