Awareness of postgraduate residents regarding medical research - a tertiary care centre experience"

5th
International Online Medical Conference (IOMC 2012)
www.iomcworld.com (March 3, 4, 10 & 11, 2012)
5th
International Online Medical Conference
IOMC 2012
www.iomcworld.com
Awareness of Post Graduate Residents
Regarding Medical Research – A Tertiary
Care Hospital Experience
S H Waqar*1
, Zeeshan Razzaq2
, Muhammad Mukhtar Khan2
,
Tanvir Khaliq3
, M A Zahid3
, Khaleeq uz Zaman4
*1
Assistant Professor, Department of General Surgery
2
Post Graduate Resident, Department of General Surgery
3
Professor, Department of General Surgery
4
Professor, Department of Neurosurgery
Pakistan Institute of Medical Sciences, Islamabad, Pakistan

5th
Road Map
• Introduction
• Objective
• Methodology
• Results
• Discussion
• Conclusion
• References
2

5th
Introduction
• The need for continuing research work in medical
education
• Involvement in research activities for better clinical care
and critical reasoning1
• Health research training forms an important part of
medical education2
• Developing a positive attitude towards research3
3

5th
• Research experience is invaluable to the physician's
evidence-based practice4
• Experience of research in early career has a favorable
outcome regarding professional academic work and
career decisions5
• The lack of teaching of research methodology has led to
the current poor state of research in health care6
4

5th
• Several studies conducted about the current state of
health care research and its knowledge and practice in
South Asia7
• The attributed factors being limited time, poor research
infrastructure and inadequate research funding
opportunities7
5

5th
Objective
• To assess the existing level of awareness, knowledge
and attitudes towards medical research amongst post
graduate residents at our setup
6

5th
Methods
• Study Design: Cross sectional
• Duration: January 2011 to March 2011
• Place of Study: Pakistan Institute of Medical Sciences,
Islamabad
• Fifteen items questionnaire provided to one hundred
residents
• The questionnaire was filled by the researchers in front
of the participants
• Data analyzed using SPSS version 10
7

5th
Age
Age
>4036-4031-3526-30
Frequency
60
50
40
30
20
10
0
Results
• The age group
distribution chart of
the participant
residents
• majority (54%)
belonged to 26-30
years of age
• About 63% of
PGRs belonged to
male gender while
rest (37%) were
females
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5th
• Majority of the residents were enrolled in Fellow of
College of Physicians & Surgeons (FCPS) program,
followed by Master of Surgery (MS)/MD program (8%)
and Member of College of Physicians & Surgeons
(MCPS) program (6%) respectively
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5th
• majority i.e. 15%
belonged to
ObGyn followed
by General
Surgery (12%).
• 26% of PGRs
were in their 3rd
year of training
10
Speciality of Post Graduate Training
Speciality of Post Graduate Training
PaedsSurgery
Paeds
M
edicine
G
ynaecology&
O
bstet
Pathology
Radiology
Neurosurgery
O
rthopedics
Urology
PlasticSurgery
ENT
Cardiology
Derm
atology
Nephrology
G
astroenterology
Neurology
Psychiatry
Rheum
atology
Pulm
onology
G
eneralM
edicine
G
eneralS
urgery
Frequency
16
14
12
10
8
6
4
2
0

5th
• Majority of the PGRs (55%) used internet for accessing
medical research, followed by 25% who used medical
journals
• 13% used other sources like books, journal clubs etc. for
accessing medical research
• 15% of PGRs had never read a medical journal
• 70% read medical journals on monthly basis, 5% on
weekly basis and 25% on yearly basis
• None of the PGR read a medical journal on daily basis
11

5th
• 88% used internet for literature citing, while 12% did not
• 58% of PGRs used internet on weekly basis, 32% on
monthly basis and 10% PGRs used internet yearly
• None of the PGRs used internet for literature citing daily
• 95% had not written a research article while 5% did
• 90% PGRs have not presented at a scientific conference
while 10% did
• None of the PGRs ever presented a paper at an
international conference
12

5th
• majority i.e. 36%
ranked the
research training
as poor while
35% said it is
satisfactory
13
Level of Research Training
Level of Research Training
PoorUnsatisfactorySatisfactoryGood
Frequency
40
30
20
10
0

5th
• Majority of the
participants (80%)
regarded study of
current literature
as highly
important
• Lack of resources
and poor research
training as the
chief factors
regarding poor
research activity
14
Reason for Poor Research Activity
Reason for Poor Research Activity
Lack
ofSupervision
H
eavy
W
ork
Load
Lack
ofInterest
Lack
ofTim
e
Lack
ofR
esources
PoorR
esearch
Aw
aren
PoorR
esearch
Traini
Frequency
40
30
20
10
0

5th
Discussion
• The aim of the study was to investigate the attitudes and
practices of PGRs towards medical research
• The results of this study show far less involvement of the
PGRs in research activities as compared to other local
studies8
• However, most of the participants (94%) showed interest in
research activities and future research work
• Major factors for poor research in Pakistani studies showed
lack of resources (31%) and lack of training in research
(17%)8
15

5th
• The observations reflect the lack of utilization and
production of research by PGRs
• It has been shown that local journals are most likely to
influence clinical practice in the developing countries9
• In order to strengthen the local literature; it must not only
be properly utilized, but properly contributed to as well
• It is therefore important to promote critical literature
reading and analyzing skills
16

5th
• Limitations of the study are that it was conducted at one
institution involving a limited number of trainees and the
findings cannot be generalized
• Despite the limitations the study stimulates the need for
further research on this critical issue
• There is an urgent need to conduct more detailed
studies across the health education institutes
• Other impediments like high workload, poor funding and
lack of access of journals should also be investigated
17

5th
• Extra efforts from teachers; learning opportunities can be
created on a systematic basis without demanding
additional resources10
• A need to investigate the problem further to generate
interventions which may very well serve to increase
research activity in the country, both in terms of quality
and quantity
18

5th
Conclusion
• A need for further research to confirm the findings of
these studies
• The survey revealed inadequate knowledge and
awareness amongst PGRs regarding medical research
• Though the attitudes towards research were positive,
they were deficient practically in terms of reading and
writing literature
• Residency training and research facilities at the
institution need to undergo major transformation in order
to encourage meaningful research by resident trainees
19

5th
References
1. Hebert RS, Levine RB, Smith CG, et al. A systemic review of resident research curricula. Acad Med 2003; 78:61-8.
2. Scaria V: Whisking Research into Medical Curriculum: The need to integrate research in undergraduate medical
education to meet the future challenges. Calicut Medical Journal 2004, 2:e1.
3. Aslam F, Shakir M, Qayyum MA: Why Medical Students Are Crucial to the Future of Research in South Asia. PLoS Med
2005, 2:e322.
4. Goodman NW: Does research make better doctors? Lancet 1994, 343(8888):59.
5. Sadana R, D'Souza C, Hyder AA, et al. Importance of health research in South Asia. BMJ 2004; 328:826-30.
6. Rehan N. Medical research in Pakistan. J Coll Physicians Surg Pak 2003; 13:617.
7. 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 Jul 17;9:46.
8. F. Aslam, M. A. Qayuum, H. Mahmud, R. Qasim, I. U. Haque Attitudes and Practices of Postgraduate Medical Trainees
towards Research – a Snapshot from Faisalabad. JPMA 54:534; 2004).
9. Page J, Heller RF, Kinlay S, et al. Attitudes of developing world physicians to where medical research is performed
and reported. BMC Public Health 2003; 3:6.
10. Chaturvedi S, Aggarwal OP. Training interns in population-based research: Learners' feedback from 13 consecutive
batches from a medical school in India. Med Educ 2001; 35:585-9.
11. Segal S, Lloyd T, Houts PS, et al. The association between students' research involvement in medical school and their
postgraduate medical activities. Acad Med 1990; 65:530-3.
12. Gill S, Levin A, Djurdjev O, et al. Obstacles to residents' conducting research and predictors of publication. Acad Med
2001; 76:477.
13. Alguire PC, Anderson WA, Albrecht RR, et al. Resident research in internal medicine training programs. Ann Intern Med
1996; 124:321-8.
20

5th
Thanks
21

Awareness of postgraduate residents regarding medical research - a tertiary care centre experience"

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