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The geographic and topical landscape of medical education research

机译:医学教育研究的地理和主题景观

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Whether medical education research (MER) is primarily?conducted in wealthy countries (in the “Realm of the Rich”) is the subject of an ongoing debate. Previous studies of the geography of MER publication output have relied upon proprietary databases, have not compared MER with other fields of study, and have not studied the relationship between authorship geography and topics of study.?This study was designed to evaluate the geographic distribution of?MER?authorship and to relate this to the?topics studied in MER. Authors’ countries of affiliation were identified from PubMed records by parsing and cleaning the text of affiliations and submitting them to the google maps geocoding API. The geography of publication output in MER was compared to other fields using the chi-square goodness-of-fit test. Country income classifications and medical subject heading (MeSH) terms were used to evaluate the topical contributions of countries at different income levels, and simulation was used to compute significance of MeSH term enrichment in MER papers from low income and lower middle income countries. The vast majority of MER papers were contributed by authors based in high income countries. The top four countries were the United States, the United Kingdom, Canada, and Australia, with listed author affiliations in 80% of all MER papers. This percentage was greater in MER than in several other categories, including Biological Science Disciplines (48%), Medicine (69%) and Education (74%), which is a parent category of MER. Authors from low income countries contributed significantly to the topical diversity of MER. MeSH terms associated with government, community health, and health delivery were enriched in papers from low income countries, while terms associated with specialty and clinical training, technology in teaching, and professional obligations (such as workload, burnout, and empathy) were enriched in papers from high income countries. Geographic disparities in publication output are greater in MER than in any other field examined. The historical origins of MER in North America might explain disproportionate publication output by authors from this region. This study suggests that the MER field benefits from research contributed by authors from low income countries, and also points to potential gaps in MER (and medical education as a whole) in the developing world.
机译:医学教育研究(MER)是否主要在富裕国家(在“富人王国”中)进行,这是正在进行的辩论的主题。以前关于MER出版物输出地理的研究都依赖于专有数据库,没有将MER与其他研究领域进行比较,也没有研究作者地理与研究主题之间的关系。本研究旨在评估MER的地理分布。拥有MER著作权,并将其与MER研究的主题相关联。通过分析和清除从属文本并将其提交给google maps地理编码API,可以从PubMed记录中识别作者的从属国家。使用卡方拟合优度检验,将MER中出版物输出的地理位置与其他领域进行了比较。使用国家收入分类和医学主题词(MeSH)术语来评估不同收入水平的国家的主题贡献,并使用模拟来计算MeSH术语在低收入和中低收入国家的MER论文中的意义。绝大多数MER论文都是由高收入国家的作者撰写的。排名前四的国家是美国,英国,加拿大和澳大利亚,在所有MER论文中有80%列出了作者的隶属关系。在MER中,该百分比高于其他几个类别,其中包括生物科学学科(48%),医学(69%)和教育(74%),后者是MER的父类别。来自低收入国家的作者为MER的话题多样性做出了重要贡献。来自低收入国家的论文丰富了与政府,社区卫生和健康提供相关的MeSH术语,而与专业和临床培训,教学技术和专业义务(例如工作量,倦怠和同情心)相关的术语丰富了来自高收入国家的论文。 MER中出版物输出的地理差异比其他任何调查领域都大。 MER在北美的历史渊源可能解释了该地区作者发表的出版物不相称。这项研究表明,MER领域得益于来自低收入国家的作者的研究成果,并且还指出了MER(以及整个医学教育)在发展中国家的潜在差距。

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