背景:研究是学术医学的关键组成部分,在临床量大的中心可能优先考虑或不优先考虑。研究扩展的好处不仅仅是声名狼藉和行业合作伙伴关系,扩展到住院医师培训和下一代医师科学家的准备。改善部门或部门的研究组合需要致力于重组结构,人员,资源,并致力于创新的资助模式。为了提高研究生产率和质量,我们小组从2017年8月开始实施了几项计划,我们在本研究中概述并评估了这些计划.其中一些举措包括重组领导层,为实验室和临床结果研究提供资源,直接从临床利润中提供初始资金,并在财政上奖励研究。
方法:审查招聘记录,出版物,赠款分配,并利用与关键人员的访谈来制定倡议路线图。平均影响因子是通过平均每年该部门所有出版物的期刊影响因子来计算的,不包括任何超过原始平均值5倍的出版物,并创建一个更准确地代表工作的校正平均值。学生t检验用于比较2010年至2017年与2018年至2022年的平均出版物数量和影响因素。
结果:重组前(2010-2017年),该部门平均每年发表9篇文章,此后平均增加到42篇(P<0.01)。平均影响从2010年的0增加到2022年的4.02,十大整形外科期刊的出版物数量遵循类似的轨迹,2010年为1,2023年为31。在2018年最初投资100万美元创建一个机构指导基金之后,该部门利用其研究获得了300万美元的捐赠基金。125万美元的行业合作伙伴关系,国防部资金323万美元,以及来自多机构美国国立卫生研究院的165万美元赠款。
结论:如上所述,对研究计划进行深思熟虑的优先排序导致了学术产出的显着增长。
BACKGROUND: Research is a critical component of academic medicine that may or may not be prioritized in centers with high clinical volumes. The benefits of research expansion go beyond notoriety and industry partnerships, expanding into resident training and preparation of the next generation of physician-scientists. Improving a division or department\'s research portfolio requires a commitment to reorganizing structure, personnel, resources, and a dedication to innovative funding models. To improve research productivity and quality, our group placed several initiatives into motion beginning in August 2017 that we have outlined and evaluated in the present study. Some of these initiatives included restructuring leadership, resourcing both bench and clinical outcomes research, providing initial funding directly from clinical profits and rewarding research fiscally.
METHODS: Reviews of hiring records, publications, grant allocations, and interviews with key personnel were used to generate a road map of initiatives. Average impact factor was calculated by averaging journal impact factors for all publications from the department each year, excluding any publications with greater than 5 times the raw average, and creating a corrected average that more accurately represented the work. Student t tests were used to compare mean number of publications and impact factors from 2010 to 2017 to those from 2018 to 2022.
RESULTS: Prior to restructuring (2010-2017), the department published an average of 9 articles annually, which increased to an average of 42 articles since that time (P < 0.01). Average impact increased from 0 in 2010 to 4.02 in 2022, with the number of publications in top 10 plastic surgery journals following a similar trajectory with 1 publication in 2010 and 31 in 2023. Following an initial $1 million investment to create an institutionally directed fund in 2018, the department leveraged its research to earn $3 million in endowments, $1.25 million in industry partnerships, $3.23 million in Department of Defense funding, and $1.65 million from a multi-institutional National Institutes of Health grant.
CONCLUSIONS: Deliberate prioritization of research initiatives as noted above has led to remarkable growth in academic output.