title: Influence of training institution on academic affiliation and productivity among plastic surgery faculty in the United States.
abstract: BACKGROUND
  Educational processes that encourage a career in academic plastic surgery remain unclear. The authors' study aim was to examine the impact of training institution on the pursuit of a career in academic plastic surgery.
  
  
  METHODS
  Academic plastic surgery faculty (n = 838) were identified through an Internet-based search of all 94 Accreditation Council for Graduate Medical Education-accredited residency and fellowship training programs. Academic productivity was determined by number of peer-reviewed publications and Scopus h-index. Linear and logistic regression analyses were performed to determine the correlation between attributes after adjusting for the clustering of surgeons within programs.
  
  
  RESULTS
  In the United States, 39 percent of plastic surgeons in academic practice are trained in only 11 programs, 30 percent of faculty remained at training institutions, and 39 percent were affiliated with a private practice model. Faculty from frequently represented training programs were more likely to pursue fellowship training (OR, 1.32; 95 percent CI, 1.00 to 1.75), have higher h-indices (9.0 versus 5.4; p < 0.001), and have a greater number of peer-reviewed articles (46.6 versus 24.3; p < 0.001). Higher h-indices were correlated with male sex (7.1 versus 4.7; p < 0.001), fellowship training (7.3 versus 6.1; p < 0.05), and no private practice affiliation (5.2 versus 7.8; p < 0.001). Female surgeons represented 14.1 percent of academic plastic surgeons, were younger based on the median year of board certification (2005 versus 2000; p < 0.05), and were more likely to be on the tenure track (66.9 percent versus 57.2 percent; p < 0.05) and at the assistant professor level (73.1 percent versus 43.6 percent; p < 0.05).
  
  
  CONCLUSIONS
  Identification of educational processes that encourage a career in academic practice may improve resident mentorship and resident interest in academic plastic surgery.
authors.affiliation: Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, and the Department of Neurology, University of Michigan Health System.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Gast
authors.forename: William M
authors.initials: WM
authors.lastname: Kuzon
authors.forename: Eric E
authors.initials: EE
authors.lastname: Adelman
authors.forename: Jennifer F
authors.initials: JF
authors.lastname: Waljee
mesh_terms: D002321:Career Choice; D004526:Efficiency; D005180:Faculty, Medical / Q000706:statistics & numerical data*; D005257:Fellowships and Scholarships; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D011643:Publishing / Q000706:statistics & numerical data*; D012577:Schools, Medical / Q000706:statistics & numerical data*; D013518:Surgery, Plastic / Q000193:education*; D014481:United States