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Am J Perinatol
DOI: 10.1055/a-2327-3908
Original Article

Scholarly Activity during Neonatal–Perinatal Medicine Fellowship

Nicolle F. Dyess 
1   Section of Neonatology, Department of Pediatrics, University of Colorado, Aurora, Colorado
,
Patrick Myers 
2   Section of Neonatology, Department of Pediatrics, Northwestern University, Chicago, Illinois
,
Christiane E.L. Dammann
3   Division of Newborn Medicine, Department of Pediatrics, Tufts Medical Center, Boston, Massachusetts
,
Patricia R. Chess
4   Division of Neonatology, Department of Pediatrics and BME, University of Rochester School of Medicine, Rochester, New York
,
Erika L. Abramson
5   Division of General Academic Pediatrics, Departments of Pediatrics and Population Health Sciences, Weill Cornell Medical College, New York, New York
,
Caroline Andy
6   Division of Biostatistics, Department of Population Health Sciences, Weill Cornell Medical College, New York, New York
,
Pnina Weiss
7   Section of Pulmonology, Allergy, Immunology and Sleep Medicine, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut
› Author Affiliations Funding None.
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Abstract

Objective This study aimed to describe scholarly activity training during neonatal–perinatal medicine (NPM) fellowship and factors associated with scholarship productivity.

Study Design NPM fellowship program directors (FPDs) were surveyed between March and October 2019, as part of a larger study of all pediatric subspecialty programs, to define barriers, resources, and productivity for fellow scholarly activity. High productivity was defined as >75% of fellows in a program in the last 5 years having a manuscript accepted for publication based on fellowship scholarly work.

Results Fifty-four percent (54/100) of NPM FPDs completed the survey. Nineteen fellowship programs (35%, 19/54) met the definition for high productivity. High productivity in scholarly activity was associated with a greater likelihood of having funds to conduct scholarship (p = 0.011), more protected months dedicated to scholarly activity (p = 0.03), and fellow extramural grant applications (submitted or accepted, p = 0.047). FPDs of productive programs were less likely to report lack of an adequate core research curriculum (p = 0.018), lack of adequate expertise on the fellowship scholarly oversight committee (p = 0.048), and lack of sufficient divisional mentorship (p = 0.048) as barriers to completion of scholarly activity during fellowship.

Conclusion Research funding, protected research time, established research mentors, and a research curriculum are associated with higher scholarly activity productivity among NPM fellowship programs. Further investment in these resources may improve scholarly activity productivity during fellowship training.

Key Points

  • Fellow productivity depends on protected time.

  • Inadequate funding impacts fellow productivity.

  • Mentorship is important for fellow scholarship.

  • A research curriculum impacts research outcomes.

Keywords

scholarship - research - graduate medical education - physician-scientists - physician-investigators

Authors' Contributions

N.F.D. contributed to the methodology, investigation, data curation, visualization, formal analysis, and writing (of the original draft) of the study. As corresponding author, N.F.D. has full access to the data in the study and final responsibility for the decision to submit for publication.


P.M. contributed to the study's methodology, investigation, data curation, formal analysis, and writing, reviewing, and editing.


C.E.L.D. contributed to the study's methodology, investigation, data curation, formal analysis, and writing, reviewing, and editing.


P.C. contributed to the study's methodology, investigation, data curation, formal analysis, writing, reviewing, and editing.


E.L.A. helped to conceptualize the study, methodology, investigation, data curation, formal analysis, and writing, reviewing, and editing.


C.A. contributed to the study's methodology, investigation, data curation, formal analysis, review, and editing.


P.W. helped to conceptualize the study, methodology, investigation, data curation, visualization, formal analysis, and writing, reviewing, and editing.


All authors approved the final manuscript as submitted and agreed to be accountable for all aspects of the work.


Supplementary Material



Publication History

Received: 19 March 2024

Accepted: 14 May 2024

Accepted Manuscript online:
15 May 2024

Article published online:
10 June 2024

© 2024. Thieme. All rights reserved.

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  • References

  • 1 Gitterman DP, Langford WS, Hay Jr WW. The Fragile State of the National Institutes of Health Pediatric Research Portfolio, 1992-2015: doing more with less?. JAMA Pediatr 2018; 172 (03) 287-293
    CrossrefPubMedGoogle Scholar
  • 2 Good M, McElroy SJ, Berger JN, Wynn JL. Name and characteristics of National Institutes of Health R01-funded pediatric physician-scientists: hope and challenges for the vanishing pediatric physician-scientists. JAMA Pediatr 2018; 172 (03) 297-299
    CrossrefPubMedGoogle Scholar
  • 3 Chesney RW, Dungy CI, Gillman MW. et al; Committee on Pediatric Research. Promoting education, mentorship, and support for pediatric research. Pediatrics 2001; 107 (06) 1447-1450
    CrossrefPubMedGoogle Scholar
  • 4 Frintner MP, Cull WL. Pediatric training and career intentions, 2003-2009. Pediatrics 2012; 129 (03) 522-528
    CrossrefPubMedGoogle Scholar
  • 5 Rimsza ME, Ruch-Ross HS, Clemens CJ, Moskowitz WB, Mulvey HJ. Workforce trends and analysis of selected pediatric subspecialties in the United States. Acad Pediatr 2018; 18 (07) 805-812
    CrossrefPubMedGoogle Scholar
  • 6 Bauserman M, Vasquez M, Chess PR, Carbajal M, Good M. ONTPD Fellowship Directors Writing Group. Essentials of neonatal-perinatal medicine fellowship: scholarship perspective. J Perinatol 2022; 42 (04) 528-533
    CrossrefPubMedGoogle Scholar
  • 7 Cull WL, Yudkowsky BK, Schonfeld DJ, Berkowitz CD, Pan RJ. Research exposure during pediatric residency: influence on career expectations. J Pediatr 2003; 143 (05) 564-569
    CrossrefPubMedGoogle Scholar
  • 8 Crowley RW, Asthagiri AR, Starke RM, Zusman EE, Chiocca EA, Lonser RR. Research Committee of the Congress of Neurological Surgeons. In-training factors predictive of choosing and sustaining a productive academic career path in neurological surgery. Neurosurgery 2012; 70 (04) 1024-1032
    CrossrefPubMedGoogle Scholar
  • 9 Macknin JB, Brown A, Marcus RE. Does research participation make a difference in residency training?. Clin Orthop Relat Res 2014; 472 (01) 370-376
    CrossrefPubMedGoogle Scholar
  • 10 Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Pediatrics. 2024 . Accessed February 23, 2024 at: https://www.acgme.org/globalassets/pfassets/programrequirements/2025-prs/320_pediatrics_2025_tcc.pdf
    PubMedGoogle Scholar
  • 11 Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Neonatal-Perinatal Medicine. 2020 . Accessed June 5, 2023 at: https://www.acgme.org/globalassets/pfassets/programrequirements/329_neonatalperinatalmedicine_2020.pdf
    PubMedGoogle Scholar
  • 12 The American Board of Pediatrics. General Criteria for Subspecialty Certification. Accessed November 13, 2023 at: https://www.abp.org/content/general-criteria-subspecialty-certification
    PubMedGoogle Scholar
  • 13 Philibert I, Lieh-Lai M, Miller R, Potts III JR, Brigham T, Nasca TJ. Scholarly activity in the next accreditation system: moving from structure and process to outcomes. J Grad Med Educ 2013; 5 (04) 714-717
    CrossrefPubMedGoogle Scholar
  • 14 Gray MM, Bruno C, French H. et al. Changes, challenges, and variations in neonatal-perinatal medicine fellowship: a view from the program directors. Am J Perinatol 2024; 41 (S 01): e163-e173
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Freed GLDK, Moran LM, Spera L, McGuinness GA, Stevenson DK. Pediatric subspecialty fellowship clinical training project: recent graduates and midcareer survey comparison. Pediatrics 2014; 133 (Suppl. 02) S70-S75
    CrossrefPubMedGoogle Scholar
  • 16 Freed GLDK, Moran LM, Spera L, McGuinness GA, Stevenson DK. Fellowship program directors perspectives on fellowship training. Supplement article. Pediatrics 2014; 133 (Suppl. 02) S64-S69
    CrossrefPubMedGoogle Scholar
  • 17 Abramson EL, Weiss P, Naifeh M. et al. Scholarly activity during pediatric fellowship. Pediatrics 2021; 147 (01) e2020013953
    CrossrefPubMedGoogle Scholar
  • 18 Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach 2020; 42 (08) 846-854
    CrossrefPubMedGoogle Scholar
  • 19 Burkhardt J, Kowalenko T, Meurer W. Academic career selection in American emergency medicine residents. Acad Emerg Med 2011; 18 (Suppl. 02) S48-S53
    PubMedGoogle Scholar
  • 20 French HM, Leeman KT, Wambach JA, Malik SK, Reber KM. ONTPD Fellowship Directors Writing Group. Essentials of Neonatal-Perinatal Medicine fellowship: an overview. J Perinatol 2022; 42 (02) 269-276
    CrossrefPubMedGoogle Scholar
  • 21 Weiss P, Myers AL, McGann KA. et al. Funding sources and perceived financial insecurity in pediatric subspecialty fellowship programs. Acad Pediatr 2019; 19 (07) 815-821
    CrossrefPubMedGoogle Scholar
  • 22 Abramson EL, Naifeh MM, Stevenson MD. et al. Research training among pediatric residency programs: a national assessment. Acad Med 2014; 89 (12) 1674-1680
    CrossrefPubMedGoogle Scholar
  • 23 Stevenson MD, Smigielski EM, Naifeh MM, Abramson EL, Todd C, Li ST. Increasing scholarly activity productivity during residency: a systematic review. Acad Med 2017; 92 (02) 250-266
    CrossrefPubMedGoogle Scholar
  • 24 Wood W, McCollum J, Kukreja P. et al. Graduate medical education scholarly activities initiatives: a systematic review and meta-analysis. BMC Med Educ 2018; 18 (01) 318
    CrossrefPubMedGoogle Scholar
  • 25 Gray MM, Dadiz R, Izatt S. et al. Comparison of knowledge acquisition and retention following traditional didactic vs. flipped classroom education utilizing a standardized national curriculum: a randomized controlled trial. J Perinatol 2022; 42 (11) 1512-1518
    CrossrefPubMedGoogle Scholar
  • 26 Izatt S, Gray M, Dadiz R, French H. Development and implementation of a national neonatology flipped classroom curriculum. J Grad Med Educ 2019; 11 (03) 335-336
    CrossrefPubMedGoogle Scholar
  • 27 French H, Gray M, Gillam-Krakauer M. et al. Flipping the classroom: a national pilot curriculum for physiology in neonatal-perinatal medicine. J Perinatol 2018; 38 (10) 1420-1427
    CrossrefPubMedGoogle Scholar
  • 28 O'Sullivan PS, Niehaus B, Lockspeiser TM, Irby DM. Becoming an academic doctor: perceptions of scholarly careers. Med Educ 2009; 43 (04) 335-341
    CrossrefPubMedGoogle Scholar
  • 29 Bauler L, Jones S. Supporting medical student scholarship: a novel case report elective to teach the writing and publishing process. Acad Med 2023; 98 (07) 790-794
    CrossrefPubMedGoogle Scholar
  • 30 Schumacher DJ, Frintner MP, Cull W. Relationships between program size, training experience, and career intentions: pediatrics resident reports from 2010 to 2014. Acad Pediatr 2016; 16 (07) 630-637
    CrossrefPubMedGoogle Scholar
  • 31 Backes CH, Bonachea EM, Rivera BK. et al. Preparedness of pediatric residents for fellowship: a survey of US neonatal-perinatal fellowship program directors. J Perinatol 2016; 36 (12) 1132-1137
    CrossrefPubMedGoogle Scholar
  • 32 Blanchard M, Burton MC, Geraci MW. et al. Best practices for physician-scientist training programs: recommendations from the Alliance for Academic Internal Medicine. Am J Med 2018; 131 (05) 578-584
    CrossrefPubMedGoogle Scholar
  • 33 The American Board of Pediatrics. Integrated Research Pathway (IRP). Accessed March 11, 2024 at: https://www.abp.org/content/integrated-research-pathway-irp
    PubMedGoogle Scholar
  • 34 Hurst JH, Barrett KJ, Kelly MS. et al. Cultivating research skills during clinical training to promote pediatric-scientist development. Pediatrics 2019; 144 (02) e20190745
    CrossrefPubMedGoogle Scholar
  • 35 Dermody TS, Hirsch R, Hostetter MK, Orange JS, St Geme III JW. Expanding the pipeline for pediatric physician-scientists. J Pediatr 2019; 207: 3-7.e1
    CrossrefPubMedGoogle Scholar