Factors associated with academic rank among chronic pain medicine faculty in the USA

BackgroundNumerous factors are considered in the academic promotion of pain medicine physicians. In this study, we investigated the importance of research productivity, career duration, leadership, and gender on attaining professorship in chronic pain medicine fellowship programs in the USA.MethodsWe identified 98 pain fellowship programs in the American Medical Association Fellowship and Residency Electronic Interactive Database. Faculty demographics and institutional characteristics were obtained from institutional websites, and h-index (number of publications (h) cited at least h times) and m-index (h-index divided by research career duration) were calculated from Scopus. A nested mixed effect hierarchical modeling was used to determine factors that were associated with attaining professorship.ResultsA total of 696 chronic pain medicine faculty members from 98 academic pain fellowship programs were identified, of whom 74.7% were males. For the 15.5% who were full professors, the median h-index was 16.5 (6.0 to 30.0), the median career duration was 20.5 (16.0 to 27.0) years, and the median m-index was 0.7 (0.3 to 1.3). In an adjusted analysis, the top quartile (compared with bottom) h-index (OR 6.27; 95% CI: 2.11 to 18.59), publication citations (OR 1.13; 95% CI: 1.10 to 1.21), division chief position (OR 3.72; 95% CI: 1.62 to 8.50), institutions located in the western region (OR 3.81; 95% CI: 1.52 to 9.57), and graduating from a foreign medical school (OR 1.98; 95% CI: 1.10 to 3.92) were independently associated with attaining professorship (p<0.05), but gender was not (p=0.71).ConclusionsOur study shows that, higher h-index, publication citations, division chief position, affiliation at a lower tier medical school, and location in the Western region were independently associated with full professorship, whereas gender was not. The identified variables for professorship may be considered as factors in faculty promotions.

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Gender Representation in Fellowship Program Director Positions in ACGME-Accredited Chronic Pain and Acute Pain Fellowship Programs

Pain Medicine ◽

10.1093/pm/pnab041 ◽

2021 ◽

Author(s):

Ryan S D’Souza ◽

Brendan Langford ◽

Susan Moeschler

Keyword(s):

Chronic Pain ◽

Medical Education ◽

Acute Pain ◽

Academic Medicine ◽

Current Evidence ◽

Academic Rank ◽

Pain Medicine ◽

Fellowship Program ◽

H Index ◽

Fellowship Programs

Abstract Objective We quantified the representation of female program directors (PDs) and assessed their respective demographics, academic metrics, and program-related characteristics in chronic pain and acute pain medicine fellowship programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Methods We identified chronic and acute pain PDs on the ACGME website on November 15, 2020. We abstracted data from public databases and performed comparisons of demographics, academic metrics, and program-related characteristics between female and male PDs. Results We identified 111 chronic pain programs and 35 acute pain programs. Overall, there were 35 (31.5%) chronic pain programs with a female PD and 76 (68.5%) chronic pain programs with a male PD. Female chronic pain PDs published fewer peer-reviewed articles (4.0 publications, interquartile range [IQR] = 2.0–12.0) compared with male chronic pain PDs (9.0 publications, IQR = 4.0–27.0; P = 0.050), although there was no difference in the H-index score (3.0 vs 4.0 publications, respectively; P = 0.062) or senior academic rank status (57.1% vs 50.0%, respectively; P = 0.543). There were 10 (28.6%) acute pain programs with a female PD and 25 (71.4%) acute pain programs with a male PD. Similar to the chronic pain cohort, there was no difference in senior academic rank status based on gender in acute pain PDs (50.0% vs 24.0%, respectively; P = 0.227). Conclusion Our study highlights gender differences in the PD role in ACGME-accredited chronic and acute pain fellowships. Female PDs remain underrepresented and have fewer peer-reviewed publications. Senior academic rank status was similar across genders, contradicting the current evidence in academic medicine.

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Factors associated with academic rank among chronic pain medicine faculty, beyond the individual

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2020-102022 ◽

2020 ◽

pp. rapm-2020-102022 ◽

Cited By ~ 1

Author(s):

Taif Mukhdomi ◽

Junaid Mukhdomi

Keyword(s):

Chronic Pain ◽

Academic Rank ◽

Pain Medicine ◽

Factors Associated ◽

The Individual

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The Association of the H-Index and Academic Rank Among Full-Time Academic Hand Surgeons Affiliated With Fellowship Programs

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2015.03.026 ◽

2015 ◽

Vol 40 (7) ◽

pp. 1434-1441 ◽

Cited By ~ 35

Author(s):

Joseph Lopez ◽

Srinivas M. Susarla ◽

Edward W. Swanson ◽

Nicholas Calotta ◽

Scott D. Lifchez

Keyword(s):

Academic Rank ◽

Full Time ◽

H Index ◽

Fellowship Programs

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A Survey on Teaching Ultrasound-Guided Chronic Pain Procedures in Pain Medicine Fellowship Programs

January 2018 - Pain Physician ◽

10.36076/ppj.2014/17/e681 ◽

2014 ◽

Vol 6;17 (6;12) ◽

pp. E681-E689

Author(s):

Bassem O. Asaad

Keyword(s):

Chronic Pain ◽

Ultrasound Guidance ◽

Response Rate ◽

Program Directors ◽

Fellowship Training ◽

Pain Medicine ◽

Ultrasound Guided ◽

Nerve Blocks ◽

Fellowship Programs ◽

Ultrasound Technology

Background: Over the last decade ultrasound guidance (USG) has been utilized very successfully in acute pain procedures to confirm nerves’ anatomic location and obtain live images. Not only the utilization, but the teaching, of USG has become an essential part of anesthesiology residency training. Prior to the introduction of USG, chronic pain procedures were always done either under fluoroscopy or blindly. USG offers advantages over fluoroscopy for completion of chronic pain procedures. USG decreases radiation exposure and the expenses associated with operating a fluoroscopy machine and allows live visualization of soft tissues and blood flow, a feature that fluoroscopy does not directly offer. Even today, the utilization and teaching of the technique for chronic pain procedures has not been as widely accepted as in acute pain management. Objectives: To understand the current practices and the factors affecting the teaching of ultrasound guided chronic pain procedures in chronic pain fellowship programs throughout the United States. Study Design: Survey conducted by internet and mail. The survey was distributed to program directors of ACGME-accredited pain medicine fellowships. When the survey was distributed there were 92 accredited pain medicine fellowships. Methods: REDCap survey software was used for designing the questionnaire and sending email invitations. Also, paper questionnaires were sent to those who did not respond electronically. Additional copies of the survey were mailed or faxed upon request. We received 43 responses (a response rate of 46.7%). Statistical analyses included frequencies, crosstabs, and nonparametric Spearman rank-order correlations. Results: The majority of stellate ganglion blocks, occipital nerve blocks, and peripheral nerve blocks are currently being done under ultrasound guidance. Although interest among trainees is very high, only 48.8% of the fellowship programs require fellows to learn the technique before graduation and 32.6% of the program directors agree that teaching of USG should be an ACGME requirement for pain medicine fellowship training. Faculty training is considered to be the most important factor for teaching the technique by 62.8% of directors. In the opinion of the majority of program directors, the greatest factor that stands against teaching the technique is the fact that it is time consuming. Nearly half (44.2%) of program directors believe that the technique will never replace fluoroscopy; but one quarter (25.6%) think that the new 3D ultrasound technology, when available, will replace fluoroscopy. Limitations: A moderate response rate (46.7%) may limit the generalizability of the findings. However, our survey respondents seem to represent the study population quite well, although there was a bias towards the university-based programs. Training programs located at community-based hospitals and U.S. government installations were not as well represented. Conclusion: The teaching of ultrasound guided chronic pain procedures varies significantly between individual programs. Though many program directors do require that fellows demonstrate competency in the technique before graduation, as of today there is no ACGME guideline regarding this. The advancement in ultrasound technology and the increase in number of trained faculty may significantly impact the use of USG in training fellows to perform chronic pain procedures. Key words: Ultrasound guidance, fluoroscopy, chronic pain procedures, regional nerve blocks, musculoskeletal procedures, implantable devices, pain medicine, fellowship training, anesthesia residency training

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Tourism aspects in the context of the rural area development

Scientific Messenger of LNU of Veterinary Medicine and Biotechnology ◽

10.15421/nvlvet8622 ◽

2018 ◽

Vol 20 (86) ◽

pp. 115-120

Author(s):

H. Horyn

Keyword(s):

Rural Development ◽

Rural Areas ◽

Western Region ◽

The European Union ◽

Resource Base ◽

Current State ◽

The Usa ◽

Tourism Resources ◽

The Western Region ◽

Natural Resource Base

Rural development is one of the priority directions of the economic policy of the countries of the European Union. Therefore, Ukraine, on the basis of these considerations, should develop a strategy for rural development in all its aspects, for tourism, in particular. The real state of tourist activity and its forms of rest in the territorial section of the Western region, which influence the development of rural areas are determined. According to the figure of the number of tourists served by the subjects of tourist activity «leaders» among the regions of the Western region in 2000–2016 were: Ivano-Frankivsk and Lviv regions. The position «middle» took Zakarpattia, Chernivtsi, Volyn, Rivne regions and «outsider» – Ternopil’ region. A specific share of tourists is calculated on the level of regions of the region in terms of the structure of tourist flows. Tracking dynamics of outgoing and foreign tourists is done. The motivation of tourist trips of foreign citizens to Ukraine is outlined. Subjects of tourist enterprises of the Western region provided services to foreign tourists from 34 countries of the world, among them tourists from Moldova, Belarus, Russia, Hungary, Poland, Germany, Romania, Slovakia, Israel, Germany, Tajikistan, the USA, Uzbekistan, Azerbaijan, Italy, Great Britain, France, Lithuania, Czech Republic and Georgia. It is substantiated that the favorite places of domestic tourists are rural homesteads. The article analyzes the dynamics of the number of farmsteads in 2014–2016. It is analyzed that in the Western region the total number of lodges located in estates increased compared to 2015. The article describes the current state and natural resource base of recreational and tourist potential in the territorial section of the Western region. The tracking of the dynamics of the main indices of the estates and the received income from their services are calculated. The proposal on the maximum development of tourism resources within the rural areas of the region is formulated. The trend of growth of tourist fees to local budgets of the regions of the Western region has been monitored. In the regions of the Western region in 2016, the income was received by Ivano-Frankivsk, Lviv, Chernivtsi, Volyn, Ternopil and Zakarpattia regions.

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The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

Journal of Pediatric Intensive Care ◽

10.1055/s-0040-1721732 ◽

2020 ◽

Author(s):

Sonali Basu ◽

Robin Horak ◽

Murray M. Pollack

Keyword(s):

Critical Care ◽

Intensive Care ◽

Medical School ◽

Training Programs ◽

Fellowship Training ◽

Publication Productivity ◽

Research Publication ◽

Pediatric Critical Care ◽

Publication Success ◽

Fellowship Programs

AbstractOur objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes of PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 PCCM physicians from the National Provider Index registry. We analyzed data on a systematic sample of 690 PCCM physicians representing 62 fellowship programs. There was substantial diversity in the characteristics of fellowship training programs in terms of fellowship size, intensive care unit (ICU) bed numbers, age of program, location, research rank of affiliated medical school, and academic metrics based on publication productivity of their graduates standardized over time. The clinical and academic attributes of fellowship training programs were associated with publication success and characteristics of their graduates' employment hospital. Programs with greater publication rate per graduate had more ICU beds and were associated with higher ranked medical schools. At the physician level, training program attributes including larger size, older program, and higher academic metrics were associated with graduates with greater publication productivity. There were varied characteristics of current employment hospitals, with graduates from larger, more academic fellowship training programs more likely to work in larger pediatric intensive care units (24 [interquartile range, IQR: 16–35] vs. 19 [IQR: 12–24] beds; p < 0.001), freestanding children's hospitals (52.6 vs. 26.3%; p < 0.001), hospitals with fellowship programs (57.3 vs. 40.3%; p = 0.01), and higher affiliated medical school research ranks (35.5 [IQR: 14–72] vs. 62 [IQR: 32, unranked]; p < 0.001). Large programs with higher academic metrics train physicians with greater publication success (H index 3 [IQR: 1–7] vs. 2 [IQR: 0–6]; p < 0.001) and greater likelihood of working in large academic centers. These associations may guide prospective trainees as they choose training programs that may foster their career values.

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