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      Perceived attitudes of the importance and barriers to research amongst Rwandan interns and pediatric residents – a cross-sectional study

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          Abstract

          Background

          Globally, interns and residents face significant challenges with respect to research activity. Despite this, they are motivated and have an interest in undertaking research. To date, there has been no research regarding the perceived attitudes towards research activities amongst Rwandan residents and interns.

          Objectives

          The primary objective of this study was to describe the perceived attitudes regarding the educational benefits and barriers surrounding research activity amongst interns and residents, and to identify any differences between these groups. The secondary objective was to describe the research methods used by interns and residents in Rwanda.

          Methods

          A cross-sectional descriptive study of interns and pediatric trainees at the University of Rwanda. An online questionnaire using Likert scale questions was sent electronically to eligible participants.

          Results

          A total of sixty participants (38 interns and 22 pediatric residents) responded to the survey. Both groups acknowledged the educational importance of undertaking research, with interns reporting this more than residents. Both groups identified the following as barriers to research: faculty lacking time to mentor, lack of funding, lack of statistical support, and lack of faculty experienced in conducting research. Interns (87%) were much more likely to have undertaken retrospective research than pediatric residents (14%). Few interns or residents submitted their research for publication (27%).

          Conclusions

          Both interns and residents understood the importance of research, but many barriers exist. Increasing the time available for experienced faculty members to supervise research is challenging due to low faculty numbers. Novel solutions will need to be found as well as expanding the time for trainees to perform research.

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          Most cited references15

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          A review of literature on medical students and scholarly research: experiences, attitudes, and outcomes.

          The aim of medical student research programs is to develop interest in and competencies related to scholarly research within future physicians. Although schools invest in these programs, there is currently no consensus regarding what benefits they confer. The goal of this review is to characterize students' perceptions of research programs during medical school as well as the outcomes attributed to these programs to provide recommendations for their optimization.
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            A survey on the attitudes towards research in medical school

            Background An observed decrease of physician scientists in medical practice has generated much recent interest in increasing the exposure of research programs in medical school. The aim of this study was to review the experience and attitudes regarding research by medical students in Canada. Methods An anonymous, cross-sectional, self-report questionnaire was administered to second and fourth year students in three medical schools in Ontario between February and May of 2005. Questions were primarily closed-ended and consisted of Likert scales. Descriptive and correlative statistics were used to analyze the responses between students of different years and previous research experience. Results There was a 47% (327/699) overall response rate to the questionnaire. Despite 87% of respondents reporting that they had been involved in some degree of research prior to medical school, 43% report that they have not been significantly involved in research activity during medical school and 24% had no interest in any participation. There were significant differences in the attitudes towards research endeavors during medical school between students in their fourth year compared to second year. The greatest barriers to involvement in research in medical school appear to be time, availability of research mentors, formal teaching of research methodology and the perception that the student would not receive appropriate acknowledgement for work put towards a research project. Conclusion The results of this self-report survey outline the significant differences in attitudes towards mandatory research as a component of critical inquiry and scholarship in the undergraduate curriculum in Ontario medical schools.
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              Building capacity for public and population health research in Africa: the consortium for advanced research training in Africa (CARTA) model

              Background Globally, sub-Saharan Africa bears the greatest burden of disease. Strengthened research capacity to understand the social determinants of health among different African populations is key to addressing the drivers of poor health and developing interventions to improve health outcomes and health systems in the region. Yet, the continent clearly lacks centers of research excellence that can generate a strong evidence base to address the region's socio-economic and health problems. Objective and program overview We describe the recently launched Consortium for Advanced Research Training in Africa (CARTA), which brings together a network of nine academic and four research institutions from West, East, Central, and Southern Africa, and select northern universities and training institutes. CARTA's program of activities comprises two primary, interrelated, and mutually reinforcing objectives: to strengthen research infrastructure and capacity at African universities; and to support doctoral training through the creation of a collaborative doctoral training program in population and public health. The ultimate goal of CARTA is to build local research capacity to understand the determinants of population health and effectively intervene to improve health outcomes and health systems. Conclusions CARTA's focus on the local production of networked and high-skilled researchers committed to working in sub-Saharan Africa, and on the concomitant increase in local research and training capacity of African universities and research institutes addresses the inability of existing programs to create a critical mass of well-trained and networked researchers across the continent. The initiative's goal of strengthening human resources and university-wide systems critical to the success and sustainability of research productivity in public and population health will rejuvenate institutional teaching, research, and administrative systems.
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                Author and article information

                Contributors
                kidjou2@gmail.com
                nsanzechriss@gmail.com
                naphtal7@gmail.com
                crissumuh@gmail.com
                katiecartledge@gmail.com
                craig.conard@gmail.com
                peterthomascartledge@gmail.com
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                3 January 2019
                3 January 2019
                2019
                : 19
                : 4
                Affiliations
                [1 ]ISNI 0000 0004 0620 2260, GRID grid.10818.30, University of Rwanda, ; Kigali, Rwanda
                [2 ]University Teaching Hospital of Butare, Huye, Rwanda
                [3 ]ISNI 0000 0004 0647 8603, GRID grid.418074.e, University Teaching Hospital of Kigali, ; Kigali, Rwanda
                [4 ]Yale University (USA), Rwanda Human Resources for Health (HRH) Program, Kigali, Rwanda
                Author information
                http://orcid.org/0000-0002-5419-0765
                Article
                1425
                10.1186/s12909-018-1425-6
                6318911
                30606184
                726f0544-e9cd-41f4-bb25-90b2d570c5c6
                © The Author(s). 2019

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 6 September 2018
                : 7 December 2018
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2019

                Education
                medical students,internship and residency,research,barriers,attitude,developing countries
                Education
                medical students, internship and residency, research, barriers, attitude, developing countries

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