Barriers for research activities in residency programs: A mix-methods study

Merino, Tomas; Rojas, Viviana; Fuentes-Lopez, Eduardo; Sanchez, Cesar; Pizarro, Margarita; Fuentes-Cimma, Javiera; Cifuentes, Lorena; Cuello, Mauricio; Carvajal, Jorge; Balcells, Maria Elvira; Riquelme, Arnoldo

Abstract

Introduction Research activities have a positive impact on the performance of residents. However, information on research conducted by residents from developing countries is scarce. Our study sought to identify the barriers and facilitators for developing research in medical residency programs in a Latin-American faculty of medicine.Methods A mixed methodology study design was carried out. We used a grounded theory approach for the qualitative phase, collecting data through semi-structured inter-views and focus groups with faculty and residents. For the quantitative phase, sur-veys were administered to residents and teachers. We used factor analysis and scree plot (validity), Cronbach's alpha, and Intraclass correlation coefficient (reliability) to evaluate the surveys' psychometric properties.Results Focus groups involving ten faculty members and 15 residents were conducted, and the following domains were identified: a) facilitators for resident participation, b) barriers, c) strategies for introducing research into the curriculum, d) arguments supporting research activities throughout medical residency, and e) profile of research-motivated residents. Both residents and faculty members identified a lack of protected time and adequate mentoring as the major barriers. A gender gap was found related to international publications (34% vs. 66% women/men); women perceived that research activities 'compete with other activities' (OR: 2.04, 95% CI 1.03 to 4.07).Research is highly valued by both residents and faculty members at a Latin-American university with a strong academic output. Major barriers to promoting research in this context include lack of protected time and effective mentoring, and gender gaps. Strategies proposed to improve research within medical residency programs include: establishing an interdisciplinary mentoring program between residents and researchers, promoting elective rotations, and rewarding proposals that consider gender equity.

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Título según WOS: ID WOS:000929967500001 Not found in local WOS DB
Título de la Revista: MEDWAVE
Volumen: 23
Número: 1
Editorial: MEDWAVE ESTUDIOS LTD
Fecha de publicación: 2023
Página de inicio: 1
Página final: 11
DOI:

10.5867/medwave.2023.01.2627

Notas: ISI