Abstract
Much research has been conducted to investigate predictors of an academic career trajectory among neurosurgeons in general. This study seeks to examine a cohort of fellowship-trained neurosurgical oncologists to determine which factors are associated with a career in academia. Publicly available data on fellowship-trained neurosurgical oncologists was aggregated from ACGME-accredited residency websites, from program websites listed on the AANS Neurosurgical Fellowship Training Program Directory, and from professional websites including Doximity. Bivariate analyses were conducted to determine covariates for a logistic regression model, and a multivariate analysis was conducted to determine which variables were independently associated with an academic career trajectory. A total of 87 neurosurgical oncologists were identified (1991–2018). A total of 73 (83.9%) had > 1 year of protected research time in residency, 33 (37.9%) had an h-index of ≥2 prior to residency, and 63 (72.4%) had an h-index of ≥2 during residency. In multivariate analysis, the only factor independently associated with academic career trajectory among neurosurgical oncologists was achieving an h-index of ≥2 during residency (odds ratio [OR] = 2.93, p = .041). Memorial Sloan Kettering Cancer Center graduated the most neurosurgical oncologists in our cohort (n = 23). Our study establishes a novel factor that is predictive of academic career trajectory among fellowship-trained neurosurgical oncologists, specifically having an h-index of ≥2 during residency. Our results may be useful for those mentoring students and trainees with an interest in pursuing academia.
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Lawton MT, Narvid J, Quiñones-Hinojosa A (2007) Predictors of neurosurgical career choice among residents and residency applicants. Neurosurgery 60:934–939. https://doi.org/10.1227/01.NEU.0000255445.51989.33
McClelland S (2010) Pre-residency peer-reviewed publications are associated with neurosurgery resident choice of academic compared to private practice careers. J Clin Neurosci 17:287–289. https://doi.org/10.1016/J.JOCN.2009.07.098
Campbell PG, Awe OO, Maltenfort MG, Moshfeghi DM, Leng T, Moshfeghi AA, Ratliff JK (2011) Medical school and residency influence on choice of an academic career and academic productivity among neurosurgery faculty in the United States: clinical article. J Neurosurg 115:380–386. https://doi.org/10.3171/2011.3.JNS101176
Crowley RW, Asthagiri AR, Starke RM, Zusman EE, Chiocca EA, Lonser RR (2012) In-training factors predictive of choosing and sustaining a productive academic career path in neurological surgery. Neurosurgery 70:1024–1032. https://doi.org/10.1227/NEU.0b013e3182367143
Choi BD, DeLong MR, DeLong DM et al (2014) Impact of PhD training on scholarship in a neurosurgical career: clinical article. J Neurosurg 120:730–735. https://doi.org/10.3171/2013.11.JNS122370
Daniels M, Garzon-Muvdi T, Maxwell R, Tamargo RJ, Huang J, Witham T, Bettegowda C, Chaichana KL (2017) Preresidency publication number does not predict academic career placement in neurosurgery. World Neurosurg 101:350–356. https://doi.org/10.1016/j.wneu.2017.02.028
Gelinne A, Zuckerman S, Benzil D, Grady S, Callas P, Durham S (2019) United States medical licensing exam step I score as a predictor of neurosurgical career beyond residency. Neurosurgery 84:1028–1034. https://doi.org/10.1093/neuros/nyy313
Ajmera S, Lee RP, Schultz A, Hersh DS, Lepard J, Xu R, Saad H, Akinduro O, Justo M, Fraser BD, Motiwala M, Dave P, Jimenez B, Wallace DA, Osikoya O, Norrdahl S, Dooley JH, Khan NR, Vaughn BN, Maher CO, Klimo P (2019) Postgraduate publishing output in pediatric neurosurgery: correlation with fellowship site and individual scholars. J Neurosurg Pediatr 24:343–351. https://doi.org/10.3171/2019.4.PEDS18717
Lee TT, Klose JL (1999) Survey on neurosurgery subspecialty fellowship training. Surg Neurol 52:641–645. https://doi.org/10.1016/S0090-3019(99)00086-5
Agarwal N, Clark S, Svider PF, Couldwell WT, Eloy JA, Liu JK (2013) Impact of fellowship training on research productivity in academic neurological surgery. World Neurosurg 80:738–744. https://doi.org/10.1016/j.wneu.2013.09.020
Kalra RR, Kestle JRW (2013) An assessment of academic productivity in pediatric neurosurgery. J Neurosurg Pediatr 12:262–265. https://doi.org/10.3171/2013.6.PEDS13112
Khalafallah AM, Jimenez AE, Caplan JM, et al (2020) Predictors of an academic career among fellowship-trained open vascular and endovascular neurosurgeons. J Neurosurg 1–9. https://doi.org/10.3171/2020.2.jns2033
Jensen R, O’Rourke D, Warnick R, Sawaya R (2006) Resident training in neurosurgical oncology: results of the survey of North American training programs by the AANS/CNS section on tumors. J Neuro-Oncol 77:241–246. https://doi.org/10.1007/s11060-005-9043-7
Advanced Program Search. In: Accredit. Counc. Grad. Med. Educ. website. https://apps.acgme.org/ads/Public/Programs/Search?stateId=&specialtyId=35&specialtyCategoryTypeId=&numCode=&city. Accessed 4 Sept 2019
Neurosurgical Fellowship Training Program Directory. In: aans.org. https://www.aans.org/en/Trainees/Academic-Fellowship-Directory. Accessed 4 Jan 2020
Khalafallah AM, Jimenez AE, Tamargo RJ, Witham T, Huang J, Brem H, Mukherjee D (2019) Impact of master’s degree attainment upon academic career placement in neurosurgery. J Neurosurg:1–9. https://doi.org/10.3171/2019.9.JNS192346
Jean WC, Felbaum DR (2019) Impact of training and practice environment on academic productivity of early career academic neurosurgeons. World Neurosurg 121:e892–e897. https://doi.org/10.1016/j.wneu.2018.10.005
Sarkiss CA, Riley KJ, Hernandez CM, Oermann EK, Ladner TR, Bederson JB, Shrivastava RK (2017) Academic productivity of US neurosurgery residents as measured by h-index: program ranking with correlation to faculty productivity. Neurosurgery 80:975–984. https://doi.org/10.1093/neuros/nyx071
Find a Board-Certified Neurosurgeon. In: aans.org. https://www.aans.org/Patients/Find-a-Neurosurgeon. Accessed 4 Jan 2020
Sheather SJ (2009) Diagnostics and transformations for multiple linear regression. In: A modern approach to regression with R. Springer, New York, pp 151–225
Park DK, Rhee JM, Wu B, Easley K (2013) Factors related to choosing an academic career track among spine fellowship applicants. Spine (Phila Pa 1976) 38:425–433. https://doi.org/10.1097/BRS.0b013e31826fecba
Khalafallah AM, Jimenez AE, Daniels M, et al (2020) Educational program rankings are independently associated with residents’ academic career trajectory in neurological surgery. J Surg Educ 1–9. https://doi.org/10.1016/j.jsurg.2020.03.004
Grimm LJ, Shapiro LM, Singhapricha T, Mazurowski MA, Desser TS, Maxfield CM (2014) Predictors of an academic career on radiology residency applications. Acad Radiol 21:685–690. https://doi.org/10.1016/j.acra.2013.10.019
Dorsey ER, Raphael BA, Balcer LJ, Galetta SL (2006) Predictors of future publication record and academic rank in a cohort of neurology residents. Neurology 67:1335–1337. https://doi.org/10.1212/01.wnl.0000240058.26740.22
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AK and AJ: conception or design of the work. AK and AJ: data collection. AK, AJ, and DM: data analysis and interpretation. AK, AJ, and DM: drafting the article. AK, AJ, and DM: critical revision of the article. AK, AJ, and DM: final approval of the version to be published.
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Khalafallah, A.M., Jimenez, A.E. & Mukherjee, D. Predictors of Academic Career Trajectory Among Fellowship-Trained Neurosurgical Oncologists. J Canc Educ 37, 430–438 (2022). https://doi.org/10.1007/s13187-020-01833-y
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DOI: https://doi.org/10.1007/s13187-020-01833-y