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Frederick L. Brancati, MD; Lucy A. Mead, ScM; David M. Levine, MD, ScD, MPH; David Martin, MD; Simeon Margolis, MD, PhD; Michael J. Klag, MD, MPH

JAMA. 1992;267(10):1372-1376.

Abstract
Objective.
—To identify early personal and scholastic factors that predict academic career choice and long-term career achievement among academic physicians.

Design.
—A longitudinal cohort study.

Participants.
—Nine hundred forty-four male physicians who graduated from The Johns Hopkins University School of Medicine, Baltimore, Md, from 1948 through 1964.

Outcome Measures.
—Career achievement outcomes included attained faculty rank in 1990 and the number of citations (20 to 24 years after graduation) to published work.

Results.
—Of the 944 physicians, 424 (45%) had chosen academic careers. Scholastic performance and research experience in medical school were independently associated with having chosen an academic career (P<.001). Among academicians, higher attained rank in 1990 was independently associated with the following: (1) membership in Alpha Omega Alpha (relative risk [RR]=4.94, P=.0001); (2) rank in the top third of the graduating class (RR=2.68, P=.01); and (3) research experience in medical school (RR=3.11, P=.0001). These three factors were also independently associated with more citations to participants' published work (P<.05).

Conclusion.
—These data suggest that scholastic performance and research experience during medical school predict career achievement in academic medicine over 20 years in the future.

(JAMA. 1992;267:1372-1376)

Author Affiliations
From the Departments of Medicine (Drs Brancati, Levine, Margolis, Klag, and Ms Mead), Health Policy and Management (Drs Levine and Klag), Biological Chemistry (Dr Margolis), and Epidemiology (Dr Klag), The Johns Hopkins University School of Medicine and School of Hygiene and Public Health, Baltimore, Md, and the Department of Surgery, University of Florida, Gainesville (Dr Martin).

Footnotes
Presented in part to the Society of General Internal Medicine, Seattle, Wash, May 1, 1991.

Reprint requests to the Welch Center for Prevention, Epidemiology, and Clinical Research, The Johns Hopkins Health Institutions, Carnegie 2, 600 N Wolfe St, Baltimore, MD 21205 (Dr Brancati).

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