Dear editor
We read with great interest the review by Siddaiah-Subramanya et al1 regarding the difficulty for medical students to participate in research, in developing countries. From our own experience as medical students, we agree that organizational factors, adequacy of knowledge, and variability in “attitudes” may all contribute to difficulty in participating in research. Nevertheless, we propose that the introduction of research projects, which may be part of an intercalated degree, could help improve medical students’ involvement in research.
The authors have suggested that inadequate knowledge of research principles is one of the main barriers for students participating in research. One strategy to encourage research is to provide medical students research fellowships in the first or second year of medical school.2 Further to this, many UK universities are now advocating the integration of an intercalated degree as a part of their undergraduate curriculum.3 During this research-intensive year, students are taught how to adequately appraise scientific literature.3 The program also develops a structured approach to undertaking research as well as promoting deep and strategic learning.3
Medical institutions are eager to promote research in order to prepare students for a career in evidence-based medicine.4 Studies have identified other reasons to engage in research such as the ability to appraise clinical evidence and the development of analytical skills which are required in medical practice.1,4
There are also several significant barriers to research, which affect Asia specifically. These include a lack of funds, a “brain drain” of health care professionals, and no regional medical education journal.5 Whilst there is not a simple solution to solve the underrepresentation of medical students in research, strategies such as holding more student-led conferences, promoting student journals, and holding research workshops will help in achieving this goal.4
A grounding in the principles of scientific research is vital for all medical students regardless of whether they want to pursue a career in academia or not.4 We agree with the authors regarding the discrepancies in conducting research between developed and developing countries. However, there is merit in acknowledging that dedicated research projects could be the answer to equip medical students with scientific rigor.
Footnotes
Disclosure
The authors report no conflicts of interest in this communication.
References
- 1.Siddaiah-Subramanya M, Singh H, Tiang KW. Research during medical school: is it particularly difficult in developing countries compared to developed countries? Adv Med Educ Pract. 2017;8:771–776. doi: 10.2147/AMEP.S150118. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Solomon SS, Tom SC, Pichert J, Wasserman D, Powers AC. Impact of medical student research in the development of physician-scientists. J Investig Med. 2003;51(3):149–156. doi: 10.1136/jim-51-03-17. [DOI] [PubMed] [Google Scholar]
- 3.McManus IC, Richards P, Winder BC. Intercalated degrees, learning styles, and career preferences: prospective longitudinal study of UK medical students. BMJ. 1999;319(7209):542–546. doi: 10.1136/bmj.319.7209.542. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Aslam F, Shakir M, Qayyum MA. Why medical students are crucial to the future of research in South Asia. PLoS Med. 2005;2(11):e322. doi: 10.1371/journal.pmed.0020322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Majumder MA. Issues and priorities of medical education research in Asia. Ann Acad Med Singapore. 2004;33(2):257–263. [PubMed] [Google Scholar]