Where are all the surgeons in clinical academia?

<p><strong>Introduction:</strong> High-quality research into surgical disease will benefit surgical patients. Whereas nearly one-fifth of National Health Service (NHS) England consultants are surgeons, less than 5% of the government’s health research funding supports surgical resea...

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Main Authors: McVeigh, J, Smillie, R, Wiberg, A, Furniss, D
Format: Journal article
Language:English
Published: Royal College of Surgeons of England 2022
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author McVeigh, J
Smillie, R
Wiberg, A
Furniss, D
author_facet McVeigh, J
Smillie, R
Wiberg, A
Furniss, D
author_sort McVeigh, J
collection OXFORD
description <p><strong>Introduction:</strong> High-quality research into surgical disease will benefit surgical patients. Whereas nearly one-fifth of National Health Service (NHS) England consultants are surgeons, less than 5% of the government’s health research funding supports surgical research.</p> <p><strong>Methods:</strong> Using an observational study, we identified surgeons in active research fellowships and on selection panels for the three largest pan-specialty medical funding bodies in the UK. We quantified the proportion of editorial board members that are surgeons, and the proportion of surgical research published over a 1-year period in the New England Journal of Medicine, The Lancet and the British Medical Journal.</p> <p><strong>Results:</strong> Some 185/1,579 (12%) of research fellowships held by clinicians were awarded to surgeons, with relatively fewer surgeons holding senior fellowships compared with predoctoral fellowships. Across the three research funding bodies, 9/165 (5%) of the clinical panel members were surgeons, whereas for the three pan-specialty journals, 5/84 (6%) of the clinical editorial board members were surgeons. Of the 541 original articles published by the same three journals, only 45 (8%) were classified as surgical.</p> <p><strong>Conclusions:</strong> We show that surgeons were underrepresented across differing domains of clinical academia. The causes of this are likely multifactorial; there are fewer senior surgeons occupying decision-making positions, fewer role models in senior fellowship positions and surgical training may leave less time to engage in research. We propose further qualitative research within the surgical community, funding bodies and journals to understand the origins of the problem and begin to form evidence-based solutions.</p>
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spelling oxford-uuid:bc0fbe39-34c7-4889-8398-185ae80df15c2023-04-21T08:30:38ZWhere are all the surgeons in clinical academia?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bc0fbe39-34c7-4889-8398-185ae80df15cEnglishSymplectic ElementsRoyal College of Surgeons of England2022McVeigh, JSmillie, RWiberg, AFurniss, D<p><strong>Introduction:</strong> High-quality research into surgical disease will benefit surgical patients. Whereas nearly one-fifth of National Health Service (NHS) England consultants are surgeons, less than 5% of the government’s health research funding supports surgical research.</p> <p><strong>Methods:</strong> Using an observational study, we identified surgeons in active research fellowships and on selection panels for the three largest pan-specialty medical funding bodies in the UK. We quantified the proportion of editorial board members that are surgeons, and the proportion of surgical research published over a 1-year period in the New England Journal of Medicine, The Lancet and the British Medical Journal.</p> <p><strong>Results:</strong> Some 185/1,579 (12%) of research fellowships held by clinicians were awarded to surgeons, with relatively fewer surgeons holding senior fellowships compared with predoctoral fellowships. Across the three research funding bodies, 9/165 (5%) of the clinical panel members were surgeons, whereas for the three pan-specialty journals, 5/84 (6%) of the clinical editorial board members were surgeons. Of the 541 original articles published by the same three journals, only 45 (8%) were classified as surgical.</p> <p><strong>Conclusions:</strong> We show that surgeons were underrepresented across differing domains of clinical academia. The causes of this are likely multifactorial; there are fewer senior surgeons occupying decision-making positions, fewer role models in senior fellowship positions and surgical training may leave less time to engage in research. We propose further qualitative research within the surgical community, funding bodies and journals to understand the origins of the problem and begin to form evidence-based solutions.</p>
spellingShingle McVeigh, J
Smillie, R
Wiberg, A
Furniss, D
Where are all the surgeons in clinical academia?
title Where are all the surgeons in clinical academia?
title_full Where are all the surgeons in clinical academia?
title_fullStr Where are all the surgeons in clinical academia?
title_full_unstemmed Where are all the surgeons in clinical academia?
title_short Where are all the surgeons in clinical academia?
title_sort where are all the surgeons in clinical academia
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