JOT releases orthopaedic residency program rankings by research output

January 10, 2018, Wolters Kluwer Health

What's the best way to rate the quality and quantity of research produced by orthopaedic surgery residency programs? A new "research impact ranking" provides a more objective approach to assessing and comparing research productivity at US orthopaedic departments, according to a study in the November Journal of Orthopaedic Trauma (JOT).

Partly motivated by the desire to track the success of their own 's research effort, Dr. Louis B. Jones and colleagues of University of Mississippi Medical Center, Jackson, developed an alternative approach to ranking orthopaedic surgery residency training programs in terms of research productivity. The researchers write, "We have created a reproducible and meaningful residency ranking system that will allow programs to evaluate their progress both against their peers and within their own systems over time."

System Ranks Quality as Well as Quantity of Research by Orthopaedic Surgery Trainees

Research, along with clinical care and academic performance, is a key part of the mission of orthopaedic surgery training programs. But research productivity is difficult to measure objectively. Simply counting the number of studies published accounts for the quantity but not necessarily the quality of research produced.

Dr. Jones and colleagues sought to develop a benchmarking system, or "h-index," for residency programs. From a list of 72 orthopaedic surgery journals, they identified 48 "relevant, impactful" journals based on the Impact Factor, a traditional measure of the importance of medical journals; and a newer alternative metric called the Eigenfactor. The journals with the most citations from US residency programs were Journal of Bone and Joint Surgery (American edition), Spine, and Clinical Orthopaedics and Related Research.

Dr. Jones and colleagues then created a database of nearly 103,000 articles published in these journals from 2005 to 2015. These articles were then attributed to the 157 US orthopaedic residency programs. The researchers put their model through several iterations to identify the most effective search process.

The results provided a ranking of the orthopaedic training programs with the most productive research efforts, based on the number of citations in high-quality journals. The article in Journal of Orthopedic Trauma presents the full list of programs and their rankings. The data can also be accessed at the University of Mississippi Medical Center Department of Orthopaedic Surgery and Rehabilitation research page.

Because the ranking system accounted for the number of articles published, larger programs—based on number of trainees and number of faculty—tended to have higher rankings. Each of the six top-ranked programs had more than 1,000 research publications and more than 20,000 citations over the ten-year period studied.

The rankings in terms of number of citations were closely correlated with the number of articles published in the select journals. The rankings were "moderately" correlated with other systems for ranking .

Dr. Jones and colleagues note some limitations of their ranking system—notably including the fact that it's sometimes difficult to attribute articles to a specific residency program.

Nevertheless, they believe their ranking system, based on "clear and reproducible" methods, provides a useful approach to assessing and comparing the of orthopaedic residency programs. The authors conclude, "It is relevant and based on measurable data that is the cornerstone of an academic surgeon's practice: publishing articles to contribute to the orthopaedic knowledge base."

Explore further: Authors with financial conflicts reporting negative outcomes in major orthopaedic journals

More information: Louis B. Jones et al. An Objective Methodology to Assess Meaningful Research Productivity by Orthopaedic Residency Departments, Journal of Orthopaedic Trauma (2018). DOI: 10.1097/BOT.0000000000001106

Related Stories

Authors with financial conflicts reporting negative outcomes in major orthopaedic journals

February 10, 2012
In a new study presented today at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), researchers completed a systematic review of three major orthopaedic journals – the Journal of Bone and ...

Increased support could reduce attrition rates among general surgery residents

August 16, 2017
Because of the expected growth in the nation's population, recent forecasts have predicted the United States will have a deficit of as many as 29,000 surgeons by 2030, a shortfall that has made the successful training of ...

More doctors fail to land residency positions after school

December 12, 2015
Doctors wanting to practice medicine in the U.S. cannot start treating patients on their own immediately after medical school. They typically must go through a residency program that provides additional training under the ...

Orthopaedic surgery report provides transparency on patient safety, quality initiatives

February 10, 2012
At NYU Langone Medical Center the focus on quality, patient safety and patient experience are not just broad stroke initiatives – but measureable, quantifiable and concrete. Patients and health care professionals can ...

Academic urology training program in crisis

March 28, 2013
(HealthDay)—The current system of Graduate Medical Education (GME) funding is not adequate in funding urology residency programs and may lead to a significant shortage of urologists in the United States, according to research ...

Recommended for you

3-D-printed tracheal splints used in groundbreaking pediatric surgery

September 19, 2018
Children's Healthcare of Atlanta has performed Georgia's first-ever procedure to place 3-D-printed tracheal splints in a pediatric patient. A cross-functional team of Children's surgeons used three custom-made splints, which ...

Muscle relaxants increase risk of respiratory complications

September 18, 2018
Muscle relaxants are a necessary part of anesthesia during certain major operations. However, studies have hinted at respiratory risks connected with these drugs. POPULAR, a major prospective observational European study ...

Gunshot victims require much more blood and are more likely to die than other trauma patients

September 17, 2018
In a new analysis of data submitted to Maryland's state trauma registry from 2005 to 2017, Johns Hopkins Medicine researchers found that gunshot victims are approximately five times more likely to require blood transfusions, ...

Liver allocation system disadvantages children awaiting transplants

September 17, 2018
Children are at a considerable disadvantage when competing with adults for livers from deceased organ donors in the U.S. allocation system, a University of Pittsburgh Graduate School of Public Health-led analysis reveals ...

Taste preferences connected to success of long-term weight loss after bariatric surgery

September 16, 2018
Following Roux-en-Y gastric bypass (RYGB), a type of bariatric surgery, many patients exhibit a reduction in taste preference for sweet and fatty foods, although this effect may only be temporary, according to new research ...

New insights into what drives organ transplant rejection

September 6, 2018
When it comes to transplant rejection, some organs are far trickier than others. Some transplantable organs, such as the liver, are readily accepted by the recipient's immune system, rarely triggering an immune response and ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.