Prevalence and Extent of Industry Funding to Program Directors Across Pediatric Surgical Specialties

IF 1.8 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2024-10-24 DOI:10.1016/j.jss.2024.09.073

Jason Silvestre MD , Abhishek Tippabhatla BS , Belal Yasinj BS , Pooya Hosseinzadeh MD

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Abstract

Introduction

Industry funding in surgical education offers benefits but presents conflicts of interest. This study defines the prevalence and extent of industry funding to fellowship program directors (FPDs) across pediatric surgical specialties.

Materials and methods

This was a retrospective cross-sectional analysis of FPDs in pediatric surgical specialties. Data were amalgamated from the Centers for Medicare and Medicaid Services and the Accreditation Council for Graduate Medical Education. Characteristics of FPDs were obtained from academic websites and medical licensing boards. Personal industry payments from 2016 to 2022 were analyzed, and temporal trends were elucidated. Comparisons were made by year, surgical specialty, and control groups with nonparametric tests.

Results

A total of 241 FPDs were identified, with 206 (85%) receiving industry payments over the study period. The specialties with the highest prevalence of industry funding to FPDs were pediatric orthopedic surgery (100%), pediatric urology (96%), and pediatric surgery (85%). Total industry payments aggregated to $7.3 million dollars with the majority awarded to pediatric orthopedic surgery (91%). Most industry payments were for royalties or licensing (57%) and consulting fees (31%). Median total industry payments per FPD differed between subspecialties (P < 0.001) and was highest in pediatric orthopedic surgery ($7009, interquartile range [IQR], $1771-$50,239) and lowest in pediatric otolaryngology ($116, IQR, $75-$1626). Male FPDs had higher median total industry payments than female FPDs ($1643, IQR, $172-$8731 versus $193, IQR, $84-$712, P < 0.001).

Conclusions

Industry payments to FPDs in pediatric surgical specialties are highly prevalent, but the magnitude varies by specialty. Future work is needed to establish mechanisms that promote equitable partnerships between academia and industry for pediatric surgery training.

查看原文本刊更多论文

小儿外科各专业项目主任获得行业资助的普遍性和程度。

导言：外科教育中的行业资助有其好处，但也存在利益冲突。本研究对各小儿外科专业的研究金项目主任（FPD）获得行业资助的普遍性和程度进行了界定：这是一项对儿科外科专业 FPD 的回顾性横断面分析。数据由美国医疗保险与医疗补助服务中心（Centers for Medicare and Medicaid Services）和美国研究生医学教育认证委员会（Accreditation Council for Graduate Medical Education）提供。FPD 的特征来自学术网站和医疗许可委员会。分析了 2016 年至 2022 年的个人行业支付情况，并阐明了时间趋势。通过非参数检验对年份、外科专业和对照组进行了比较：共确定了 241 例 FPD，其中 206 例（85%）在研究期间接受了行业付款。向FPD提供行业资助最多的专业是小儿骨科（100%）、小儿泌尿科（96%）和小儿外科（85%）。行业资助总额达 730 万美元，其中大部分用于小儿骨科手术（91%）。大部分行业付款用于版税或许可（57%）和咨询费（31%）。各亚专科的每个 FPD 行业付款总额中位数各不相同（P 结论）：行业向小儿外科专科的 FPD 支付费用的现象非常普遍，但不同专科的支付金额不同。未来需要建立机制，促进学术界和业界在小儿外科培训方面的公平合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.