Which medical schools produce the most neurosurgery residents? An analysis of the 2014–2020 cohort

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  • 1 Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; and
  • | 2 Pratt School of Engineering, Duke University, Durham, North Carolina
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OBJECTIVE

In this study, the authors sought to determine which US medical schools have produced the most neurosurgery residents and to evaluate potential associations between recruitment and medical school characteristics.

METHODS

Demographic and bibliometric characteristics were collected for 1572 residents in US-based and Accreditation Council for Graduate Medical Education (ACGME)–accredited neurosurgery programs over the 2014 to 2020 match period using publicly available websites. US medical school characteristics were collected, including class size, presence of a home neurosurgery program, number of clinical neurosurgery faculty, research funding, presence of a neurosurgery interest group, and a top 10 ranking via U.S. News & World Report or Doximity. Correlations and associations were then evaluated using Pearson’s correlation coefficient (PCC), independent-samples t-test, and univariable or stepwise multivariable linear regression, as appropriate.

RESULTS

Vanderbilt University produced the most neurosurgery residents as a percentage of medical graduates at 3.799%. Case Western Reserve University produced the greatest absolute number of neurosurgery residents (n = 40). The following factors were shown to be associated with a higher mean percentage of graduates entering neurosurgery: number of clinical neurosurgery faculty (PCC 0.509, p < 0.001), presence of a neurosurgery interest group (1.022% ± 0.737% vs 0.351% ± 0.327%, p < 0.001) or home neurosurgery program (1.169% ± 0.766% vs 0.428% ± 0.327%, p < 0.001), allopathic compared with osteopathic school (0.976% ± 0.719% vs 0.232% ± 0.272%, p < 0.001), U.S. News top 10 ranking for neurology and neurosurgery (1.923% ± 0.924% vs 0.757% ± 0.607%, p < 0.001), Doximity top 10 residency program ranking (1.715% ± 0.803% vs 0.814% ± 0.688%, p < 0.001), and amount of NIH funding (PCC 0.528, p < 0.001).

CONCLUSIONS

The results of this study have delineated which medical schools produced the most neurosurgery residents currently in training, and the most important independent factors predicting the percentage of graduates entering neurosurgery and the preresidency h-index.

ABBREVIATIONS

AANS = American Association of Neurological Surgeons; ACGME = Accreditation Council for Graduate Medical Education; AΩA = Alpha Omega Alpha; PCC = Pearson’s correlation coefficient; PGY = postgraduate year.

Supplementary Materials

    • Supplementary Table 1 (PDF 422 KB)

Illustration from Morshed et al. (pp 1–8). Copyright Ken Probst. Published with permission.

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  • 1

    Wadhwa H, Shah SS, Shan J, Cheng J, Beniwal AS, Chen JS, et al. The neurosurgery applicant’s “arms race”: analysis of medical student publication in the Neurosurgery Residency Match. J Neurosurg. 2020;133(6):19131921.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2

    Kashkoush A, Prabhu AV, Tonetti D, Agarwal N. The Neurosurgery match: a bibliometric analysis of 206 first-year residents. World Neurosurg. 2017;105:341347.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Huq S, Khalafallah AM, Botros D, Jimenez AE, Lam S, Huang J, et al. Perceived impact of USMLE Step 1 pass/fail scoring change on neurosurgery: program director survey. J Neurosurg. 2020;133(3):928935.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4

    Leschke JM, Hunt MA. Electronic residency application service application characteristics associated with successful residency matching in neurosurgery in 2009-2016. World Neurosurg. 2018;113:e529e534.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Akhigbe T, Zolnourian A, Bulters D. Mentoring models in neurosurgical training: review of literature. J Clin Neurosci. 2017;45:4043.

  • 6

    Yaeger KA, Schupper AJ, Gilligan JT, Germano IM. Making a match: trends in the application, interview, and ranking process for the neurological surgery residency programs. J Neurosurg. Published online May 28, 2021.doi:10.3171/2020.11.JNS203637

    • Search Google Scholar
    • Export Citation
  • 7

    Price G, Lakomkin N, Kamat S, Baron RB, Scherschinski L, Hadjipanayis C. Medical student publications in neurosurgery: at which U.S. academic institutions do medical students publish most? World Neurosurg. 2021;147:181189.e1.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Lubelski D, Xiao R, Mukherjee D, Ashley WW, Witham T, Brem H, et al. Improving medical student recruitment to neurosurgery. J Neurosurg. 2020;133(3):848854.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9

    Durham SR, Donaldson K, Grady MS, Benzil DL. Analysis of the 1990-2007 neurosurgery residency match: does applicant gender affect neurosurgery match outcome?. J Neurosurg. 2018;129(2):282289.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Zuckerman SL, Mistry AM, Hanif R, Chambless LB, Neimat JS, Wellons JC III, et al. Neurosurgery elective for preclinical medical students: early exposure and changing attitudes. World Neurosurg. 2016;86:120126.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Anderson TN, Shi R, Schmiederer IS, Miller SE, Lee EW, Hasty BN, et al. Preclinical surgical preparatory course and the NRMP match: early exposure and surgical recruitment a 10-year follow-up. J Surg Educ. 2020;77(6):e103e109.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Sansosti AA, Jacobs RC, Safonova A, Jani RH, Schumann J, Friedlander RM, et al. Impact of a hands-on pre-clinical neurosurgery elective course on second-year medical student interest and attitudes. J Med Educ Curric Dev. 2020;7:2382120520964852.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Huq S, Khalafallah AM, Ishida W, Porras JL, Lee RP, Rincon-Torroella J, et al. Recruiting medical students to neurosurgery through a focused Neuroanatomy Lab Initiative. World Neurosurg. 2020;137:e535e546.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Agarwal N, Norrmén-Smith IO, Tomei KL, Prestigiacomo CJ, Gandhi CD. Improving medical student recruitment into neurological surgery: a single institution’s experience. World Neurosurg. 2013;80(6):745750.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Yaeger KA, Munich SA, Byrne RW, Germano IM. Trends in United States neurosurgery residency education and training over the last decade (2009-2019). Neurosurg Focus. 2020;48(3):E6.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Dixon A, Silva NA, Sotayo A, Mazzola CA. Female medical student retention in neurosurgery: a multifaceted approach. World Neurosurg. 2019;122:245251.

  • 17

    Kohlert S, Zuccaro L, McLean L, Macdonald K. Does medical school research productivity predict a resident’s research productivity during residency?. J Otolaryngol Head Neck Surg. 2017;46(1):34.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Khan NR, Saad H, Oravec CS, Norrdahl SP, Fraser B, Wallace D, et al. An analysis of publication productivity during residency for 1506 neurosurgical residents and 117 residency departments in North America. Neurosurgery. 2019;84(4):857867.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Dallas J, Mummareddy N, Yengo-Kahn AM, Dambrino RJ IV, Lopez AM, Chambless LB, et al. Neurosurgery elective for preclinical medical students with and without a home neurosurgery program. World Neurosurg. 2019;131:e201e210.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Planchard R, Lubelski D, Ehresman J, Sciubba D. Telemedicine and remote medical education within neurosurgery. J Neurosurg Spine. 2020;33(4):549552.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21

    Agarwal P, Khalafallah AM, Hersh EH, Ivan ME, Mukherjee D. Impact of American Association of Neurological Surgeons medical student interest groups on participation in organized neurosurgery, research productivity, and residency match success. World Neurosurg. 2020;138:e437e444.

    • Crossref
    • Search Google Scholar
    • Export Citation

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