Quantifying the scientific interest in surgical training and education: numerical evidence of a PubMed analysis
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ORIGINAL ARTICLE
Quantifying the scientific interest in surgical training and education: numerical evidence of a PubMed analysis Gaetano La Greca1 · Elena Schembari2 · Carlo Bortolussi3 · Antonio Pesce4 · Marco Vitale5 · Saverio Latteri1 · Elisa Reitano6 · Domenico Russello1 Received: 9 July 2020 / Accepted: 29 October 2020 © Italian Society of Surgery (SIC) 2020
Abstract The scientific interest (SI) for a given field can be ascertained by quantifying the volume of published research. We quantified the SI in surgical education to clarify the extent of worldwide efforts on this crucial factor required to improve health-care systems. A set of Medical Subject Headings (MeSH) was defined for the PubMed search. The number of Pubmed Indexed Papers (nPIP) relevant to the SI was extracted from database conception to December 2016 and their distribution and evolution by country were analyzed at 10-year intervals. Population Adjusted Index (PAI) and Medical School Adjusted Index (MSAI) analyses were performed for countries with the nPIP > 30. We identified 51,713 articles written in 33 different languages related to surgical education; 87.6% of these were written in English. General surgery was the leading surgical specialty. The overall nPIP doubled every 10 years from 1987 (from 6009 to 13,501, to 26,272) but stabilized at 3707, 3800 and 3433 in the past 3 years, respectively. The PAI and MSAI analyses showed that the USA, United Kingdom, New Zealand, Canada, Australia and Ireland are top producers of published research in surgical education, constituting a combined 62.88% of the nPIP. Our quantification of the change in SI in surgical education and training gives a clear picture of evolution, efforts and leadership worldwide over time. This picture mirrors an international academic society that should encourage all those involved in surgical education to improve efforts in educational research. Keywords Scientific interest · Surgical education · Surgical training
Introduction
* Elena Schembari [email protected] 1
General Surgery Unit, Department of Medical Surgical Sciences and Advanced Technologies “Ingrassia”, Cannizzaro Hospital, University of Catania, Via Messina 829, 95126 Catania, Italy
2
Barts Health NHs Trust, Whipps Cross Hospital, Whipps Cross Rd, Leytonstone, London E11 1NR, UK
3
General Surgery Unit, Policlinico Hospital, Via Santa Sofia 86, 95123 Catania, Italy
4
Department of Surgical Oncology, Robotics and New Technologies, Policlinico Abano Terme, Piazza Cristoforo Colombo 1 Abano Terme, 35031 Padua, Italy
5
General Surgery, Cannizzaro Hospital, University of Catania, Catania, Italy
6
Department of General Surgery, University of Milan, Milan, Italy
Surgical education and training are of paramount importance for medical professionals to acquire competency in practical, theoretical, attitudinal and managerial skills. The 2013 WHO recommendations on the education of medical practitioners and health professionals outlined the importance of adequate education to improve the
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