Who Publishes in the Green Journal? [3O]

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Specialists (formerly “generalists”) account for the largest percentage of faculty among medical school departments of obstetrics and gynecology (OBGYN) in the United States (US). First, second or last authorship in a peer-reviewed journal is required for promotion regardless of training. However, academic specialists lack research instruction obtained during subspecialty fellowships. We aim to compare the prevalence of specialist and subspecialist OBGYN and trainee first-authors of original research articles in the journal Obstetrics & Gynecology.


Articles published from 2014-2016 in Obstetrics & Gynecology were evaluated. First authors from US sites were classified as specialists, subspecialists or trainees from the institutional website at the time of publication. Original research articles were categorized as Randomized Controlled Trial (RCT), Cohort, Case-Control, Cross Sectional, or Meta-analysis/Systematic Review based on the description in the materials and methods. The Chi-square test was used to analyze categorical variables. P < .05 was considered significant


From 2014 to 2016, 339 original research articles were identified. While 66% of first authors were subspecialist (225/339), no significant differences were noted in the portion of subspecialist versus generalist as first authors of RCT (8 vs 11%, P = .41), cohort trials (63 vs 60%, P = .64), or case-control studies (6 vs 4%, P = .44).


Academic OBGYN’s who have completed or are in fellowship subspecialty training programs are more likely to be primary authors of original research than specialist and resident obstetrician-gynecologists. However, specialists are proportionally just as likely to publish original research articles as their subspecialist colleagues.

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