Background <p>Pre-residency research productivity is widely regarded as a critical factor for medical students aspiring to competitive residency programs. However, its specific impact on admission to top-tier programs remains uncertain.</p> Methods <p>A meta-analysis was conducted to evaluate the association between pre-residency research productivity—including total publications, first-author publications, H-index, and specialty-specific output—and admission into high-reputation or high-research ranking residency programs. A comprehensive literature search of PubMed, Embase, and CENTRAL databases (up to May 2025) identified eight studies involving 3,477 U.S. medical students across seven specialties.</p> Results <p>Total publication volume (OR = 1.82, 95% CI: 1.21–2.74, <i>p</i> &lt; 0.01) and H-index (OR = 1.93, 95% CI: 1.57–2.37, <i>p</i> &lt; 0.001) were significantly associated with admission into high-reputation programs. Similar trends were observed for high research ranking programs, with total publications (OR = 1.83, 95% CI: 1.42–2.36, <i>p</i> &lt; 0.001) and H-index (OR = 1.92, 95% CI: 1.15–3.20, p = 0.01) showing robust correlations. In contrast, first-author publications demonstrated non-significant associations with both reputation (OR = 4.83, 95% CI: 0.37–63.26, <i>p</i> = 0.23) and research rankings (OR = 4.27, 95% CI: 0.74–24.51, <i>p</i> = 0.10).</p> Conclusion <p>Pre-residency research productivity may confer a measurable advantage for admission into top-tier U.S. residency programs. These findings underscore the strategic value of sustained and impactful scholarly contributions, while challenging the traditional emphasis on first-author publications.</p>

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Pre-residency research productivity and its impact on admission to top-tier U.S. residency programs: a meta-analysis across specialties in surgical education

  • Xiaohong Lyu,
  • Yan Lin,
  • Feng Mao,
  • Changjun Wang,
  • Qiang Sun,
  • Yidong Zhou

摘要

Background

Pre-residency research productivity is widely regarded as a critical factor for medical students aspiring to competitive residency programs. However, its specific impact on admission to top-tier programs remains uncertain.

Methods

A meta-analysis was conducted to evaluate the association between pre-residency research productivity—including total publications, first-author publications, H-index, and specialty-specific output—and admission into high-reputation or high-research ranking residency programs. A comprehensive literature search of PubMed, Embase, and CENTRAL databases (up to May 2025) identified eight studies involving 3,477 U.S. medical students across seven specialties.

Results

Total publication volume (OR = 1.82, 95% CI: 1.21–2.74, p < 0.01) and H-index (OR = 1.93, 95% CI: 1.57–2.37, p < 0.001) were significantly associated with admission into high-reputation programs. Similar trends were observed for high research ranking programs, with total publications (OR = 1.83, 95% CI: 1.42–2.36, p < 0.001) and H-index (OR = 1.92, 95% CI: 1.15–3.20, p = 0.01) showing robust correlations. In contrast, first-author publications demonstrated non-significant associations with both reputation (OR = 4.83, 95% CI: 0.37–63.26, p = 0.23) and research rankings (OR = 4.27, 95% CI: 0.74–24.51, p = 0.10).

Conclusion

Pre-residency research productivity may confer a measurable advantage for admission into top-tier U.S. residency programs. These findings underscore the strategic value of sustained and impactful scholarly contributions, while challenging the traditional emphasis on first-author publications.