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CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2023; 15(02): e154-e161
DOI: 10.1055/s-0043-1771377
Research Article

Rates of Internal Hiring of Ophthalmology Faculty from their Institution of Training at Top Academic Medical Centers: A Cross-Sectional Study

Emanuelle M. Rizk 
1   Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Jiangxia Wang
2   Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
,
Xiyu Zhao
1   Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Brittany Tsou
1   Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Beruk E. Metiku
3   Johns Hopkins University, Baltimore, Maryland
,
Katie Cho
3   Johns Hopkins University, Baltimore, Maryland
,
Pranav Samineni
3   Johns Hopkins University, Baltimore, Maryland
,
Jayanth Sridhar
4   Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, Florida
,
Fasika A. Woreta 
5   Johns Hopkins Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
› Author Affiliations Funding This study was supported by the Johns Hopkins School of Medicine Dean's Summer Research Fund and by grant P30EY001765 (Wilmer Biostatistics Core Grant) from the National Eye Institute, Bethesda, Maryland. These funding sources played no role in the design or conduct of this research.
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Abstract

Background Throughout graduate and postgraduate education, trainees need to gauge the impact of training location on future institutions of practice.

Objective We assessed rates of internal hiring of ophthalmology faculty at academic institutions from their same institution of training.

Methods This was a cross-sectional study. We included 1,246 clinical ophthalmology faculty at the 13 top-ranked institutions listed in the 2021 U.S. News and World Report. Primary, emeritus, adjunct, and affiliate faculty were included. Publicly available information was collected from institutional websites and other online sources. Statistical analyses were conducted using t-tests or Mann–Whitney tests, chi-squared or Fisher's exact tests, and multivariate logistic regression. The main outcome measured was internal hires, defined as faculty who had completed residency and/or fellowship training at their current institution.

Results In total, 47.3% of faculty were internal hires who completed residency or fellowship at the same institution. Among externally trained faculty, 27.7% completed residency and 56.0% completed fellowship at another top 13 programs. Internal hires were more frequently fellowship-trained, had a greater number of publications, and practiced in smaller departments (p < 0.001, p < 0.001, and p = 0.002, respectively). A greater proportion of internal hires held leadership positions (p = 0.012). Faculty practicing in the Midwest or West and with more years since residency graduation were less likely (odds ratio [OR], 0.29, 95% confidence interval [CI], 0.18–0.48; OR, 0.49, 95% CI, 0.31–0.78; OR, 0.98, 95% CI, 0.97–0.99, respectively) to be internal hires. Faculty with non-R01 National Institutes of Health funding were more likely to be internal hires (OR, 1.82, 95% CI: 1.12–2.96).

Conclusions Training institution is key to determining the institution of practice. These results may be beneficial for trainees to consider when selecting a training program.

Keywords

Retention - Training location - Internal hiring - Residents and fellows - Fellowship - Ophthalmology faculty

Prior Abstracts/Poster Presentations

This material was previously presented in poster form at the Association of University Professors of Ophthalmology Annual Meeting in January 2022, the Johns Hopkins Institute for Excellence in Education Conference in March 2022, and the Women in Ophthalmology Summer Symposium in August 2022.


Supplementary Material



Publication History

Received: 28 February 2023

Accepted: 28 June 2023

Article published online:
31 July 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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