Doctors' attitude and engagement in research: A survey from two emerging regions

Background: Research is an essential component in the advancement of medicine. Evidence indicates that developing regions have low research productivity and contribution to the international literature. It is unclear if physicians' attitudes and perceptions of research could be contributory. Objectives: This study examined the attitudes to research, perceived barriers to research, and experiences of prior participation in research projects among physicians from the Middle East and Africa. Subjects and Methods: A cross-sectional electronic survey was developed based on the published literature to address these questions and was E-mailed to a large sample of practising clinicians and academics. Results: A total of 283 responses received, 61.1% were men with a mean age of 48 years. Responses originated from 23 countries. The majority were from the Middle East (79.2%), whereas 29.9% were from African countries. Over half of physicians (51.1%) held high-level speciality qualifications and were senior clinicians or academics (50.9%). Regarding engagement in research, 41.3% were interested in research but not involved at the time of the survey, 38.5% were involved but not formally employed in a research role, 12.7% had formal research roles, and 7.4% were not interested in research. Majority conducting research held lead-investigator roles (44.2%) followed by co-investigator roles in 37.9% of respondents. Most of the research work was self-initiated original research (42.6%) followed by clinical case series (35.7%). Main motivators to conduct research were contributing to the practice and improving patients' care. Main deterrents to research were lack (41.7% of respondents) and/or difficulty in acquiring research funding (50.2%), in addition to the lack of research-protected time (40.5%). Conclusions: The majority of physicians interested and/or involved in research are not formally employed in a research role. The facilitators seem to stem from personal interest and professional recognition, whereas barriers result from lack of time, support, and expertise.

Key-words:

Doctors - emerging regions - medical knowledge - practice-based learning and improvement - professionalism - research - systems-based practice

Financial support and sponsorship

Nil.

Publikationsverlauf

Eingereicht: 06. November 2020

Angenommen: 24. November 2020

Artikel online veröffentlicht:
14. Juli 2022

• References

• 1 Clarke M, Loudon K. Effects on patients of their healthcare practitioner's or institution's participation in clinical trials: A systematic review. Trials 2011;12:16.
• 2 Krzyzanowska MK, Kaplan R, Sullivan R. How may clinical research improve healthcare outcomes? Ann Oncol 2011;22:vii10-15.
• 3 Institute of Medicine (US) Committee on Health Research and the Privacy of Health Information: The HIPAA Privacy Rule; Nass SJ, Levit LA, Gostin LO, editors. Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research. Washington (DC): National Academies Press (US); The Value, Importance, and Oversight of Health Research; 2009. p. 3. Available from: https://www.ncbi.nlm.nih.gov/books/NBK9571/. [Last accessed on 2020 Nov 14].
• 4 Seaburg LA, Wang AT, West CP, Reed DA, Halvorsen AJ, Engstler G, et al. Associations between resident physicians' publications and clinical performance during residency training. BMC Med Educ 2016;16:22.
• 5 Nanivadekar A. On research in clinical practice. Perspect Clin Res 2010;1:21-24.
• 6 Downing A, Morris EJ, Corrigan N, Sebag-Montefiore D, Finan PJ, Thomas JD, et al. High hospital research participation and improved colorectal cancer survival outcomes: A population-based study. Gut 2017;66:89-96.
• 7 Benamer HT, Bakoush O. Arab nations lagging behind other Middle Eastern countries in biomedical research: A comparative study. BMC Med Res Methodol 2009;9:26.
• 8 Alenzi FQ, Lotfy M, Nasif W, El-Shahat M, Abusini H, Alenazi M, et al. Biomedical research in the middle eastern countries: Update and insight using scimago journal rank indicator. J Ayub Med Coll Abbottabad 2010;22:100-05.
• 9 Alghanim SA, Alhamali RM. Research productivity among faculty members at medical and health schools in Saudi Arabia. Prevalence, obstacles, and associated factors. Saudi Med J 2011;32:1297-303.
• 10 Siddiqi A, Stoppani J, Anadon LD, Narayanamurti V. Scientific wealth in middle east and north africa: Productivity, 1981-2013. PLoS One 2016;11:e0164500.
• 11 Bazarbachi AA, Khoury SJ, Sayegh MH. Biomedical research in the Arab region. Nature Middle East 2014; Available from: https://www.natureasia.com/en/nmiddleeast/article/10.1038/nmiddleeast.2014.263. [Last accessed on 2020 Nov 06].
• 12 Alzahrani SH, Aba Al-Khail BA. Resident physician's knowledge and attitudes toward biostatistics and research methods concepts. Saudi Med J 2015;36:1236-40.
• 13 Eze BI, Nwadinigwe CU, Achor J, Aguwa EN, Mbah A, Ozoemena F. Trainee resident participation in health research in a resource-constrained setting in south-eastern Nigeria: Perspectives, issues and challenges. A cross-sectional survey of three residency training centres. BMC Med Educ 2012;12:40.
• 14 Mitwalli HA, Al Ghamdi KM, Moussa NA. Perceptions, attitudes, and practices towards research among resident physicians in training in Saudi Arabia. East Mediterr Health J 2014;20:99-104.
• 15 Silcox LC, Ashbury TL, VanDenKerkhof EG, Milne B. Residents' and program directors' attitudes toward research during anesthesiology training: A Canadian perspective. Anesth Analg 2006;102:859-64.
• 16 Khan H, Khan S, Iqbal A. Knowledge, attitudes and practices around health research: The perspective of physicians-in-training in Pakistan. BMC Med Educ 2009;9:46.
• 17 Hammad FT. Urology research publications: Lessons learned from a developing country. BMC Res Notes 2014;7:429.
• 18 Royal College of Physicians. Research for All (Report). London: Royal College of Physicians; 2016. Available from: https://www.rcplondon.ac.uk/projects/outputs/research-all. [Last accessed on 2018 Jun 22].
• 19 Currie-Alder B, Arvantis R, Hanafi S. Research in Arabic speaking countries: Funding competitions, international collaboration, and career incentives. Sci Public Policy 2018;45:74-82.
• 20 Al-Dorzi HM, Naidu B, Khokhar S, White D, Arabi YM. Research experience, interest and perceived barriers of clinical staff working at the Intensive Care Department of a tertiary care academic hospital in Saudi Arabia. Middle East J Anaesthesiol 2013;22:301-7.
• 21 Al-Tannir MA, Katan HM, Al-Badr AH, Al-Tannir MM, Abu-Shaheen AK. Knowledge, attitudes, practices and perceptions of clinicians towards conducting clinical trials in an Academic Tertiary Care Center. Saudi Med J 2018;39:191-6.
• 22 Al-Musa HM. Knowledge, perceptions, attitude and educational needs of physicians to evidence based medicine in South-Western Saudi Arabia. Saudi Med J 2010;31:308-12.
• 23 Al-Ansary LA, Khoja TA. The place of evidence-based medicine among primary health care physicians in Riyadh region, Saudi Arabia. Fam Pract 2002;19:537-42.
• 24 Elobu AE, Kintu A, Galukande M, Kaggwa S, Mijjumbi C, Tindimwebwa J, et al. Research in surgery and anesthesia: Challenges for post-graduate trainees in Uganda. Educ Health (Abingdon) 2015;28:11-5.
• 25 Vinci RJ, Bauchner H, Finkelstein J, Newby PK, Muret-Wagstaff S, Lovejoy FH Jr., Research during pediatric residency training: Outcome of a senior resident block rotation. Pediatrics 2009;124:1126-34.
• 26 Kanna B, Deng C, Erickson SN, Valerio JA, Dimitrov V, Soni A. The research rotation: Competency-based structured and novel approach to research training of internal medicine residents. BMC Med Educ 2006;6:52.
• 27 Moreau KA, Pound CM, Peddle B, Tokarewicz J, Eady K. The development of a TED-Ed online resident research training program. Med Educ Online 2014;19:26128.
• 28 Oakley SH, Crisp CC, Estanol MV, Fellner AN, Kleeman SD, Pauls RN. Attitudes and compliance with research requirements in OB/GYN residencies: A national survey. Gynecol Obstet Invest 2013;75:275-80.
• 29 Ríos Zambudio A, Sánchez Gascón F, González Moro L, Guerrero Fernández M. Research training during medical residency (MIR). Satisfaction questionnaire. Rev Esp Enferm Dig 2004;96:695-9.
• 30 Rothberg MB, Kleppel R, Friderici JL, Hinchey K. Implementing a resident research program to overcome barriers to resident research. Acad Med 2014;89:1133-9.
• 31 Ramiro-H M, Cruz-A E. The importance of thesis in specialization courses in Medicine. Rev Med Inst Mex Seguro Soc 2016;54 Suppl 3:S228-29.
• 32 Wong MD, Guerrero L, Sallam T, Frank JS, Fogelman AM, Demer LL. Outcomes of a novel training program for physician-scientists: Integrating graduate degree training with specialty fellowship. J Grad Med Educ 2016;8:85-90.
• 33 Al-Jumah M, Abolfotouh MA, Alabdulkareem IB, Balkhy HH, Al-Jeraisy MI, Al-Swaid AF, et al. Public attitude towards biomedical research at outpatient clinics of King Abdulaziz Medical City, Riyadh, Saudi Arabia. East Mediterr Health J 2011;17:536-45.