• Sheng-Chun Kung, Tsair-Wei Chien, Yu-Tsen Yeh, Jui-Chung John Lin, and Willy Chou.
• aDepartment of physical medicine and rehabilitation bResearch Department, Chi-Mei Medical Center, Tainan, Taiwan cMedical School, St. George's University of London, London, United Kingdom dUSA Sports Medicine, Sherman oaks, CA, USA eDepartment of Physical Medicine and Rehabilitation, Chung Shan Medical University, Taichung fDepartment of Physical Medicine and Rehabilitation, Chiali Chi Mei Hospital, Tainan, Taiwan.
• Medicine (Baltimore). 2020 Aug 14; 99 (33): e21552.

BackgroundIndividual researchers' achievements (IRA) are determined by both personal publications and article citations such as Author Impact Factor, h-index, and x-index. Due to those indicators not truly supporting a normal distribution, the traditional t-test and Analysis of variance are not allowed for RA comparison in groups. The objective of this study is to use the bootstrapping method to verify whether hospital physicians have different h-indexes.MethodsWe downloaded 63,266 journal articles with their corresponding citations for 2128 researchers from a Taiwan university website on December 10, 2019. Their IRAs were assessed using the bibliometric h-index. A pyramid plot was used to compare the h-index patterns between institutes. The x-index and the Kano model were found to be complemental to the h-index for identifying the group IRA characteristics and rankings, including colleges and departments in the university study, the School of Medicine, and the Affiliated Hospital. The bootstrapping method was applied with an estimated 95% confidence interval (CI) to distinguish the differences in physicians between the Internal Medicine and Surgery departments. The stronger-than-the-next coefficient (SC) for the highest represents the RA strength.ResultsThe highest h-indices were found in the College of Engineering, School of Medicine, and the Department of Internal Medicine in groups of colleges (SC = 0.71), all departments (SC = 0.83), the School of Medicine (SC = 0.74), and the Affiliated Hospital (SC = 0.56), respectively. No difference in h-index for hospital physicians was found between departments in Internal Medicine (Mean = 2.14, 95% CI = 1.02,3.26) and Surgery (mean = 2.5, 95%CI = 1.48, 3.52).ConclusionsThe x-index and the Kano models can complement the h-index for identifying group IRA characteristics. The bootstrapping method allows estimation of the sampling distribution for almost any statistic using random sampling methods and gains measures of accuracy (as defined by 95% CI). The finding of no difference in h-index for hospital physicians between departments in Internal Medicine and Surgery requires further investigation in the future.

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