Factors Influencing Decisions to Become Involved in Research: a Study of Pre-clinical Medical Students from New Zealand

A Review of the Enablers and Barriers of Medical Student Participation in Research

Although research is an integral component in medicine, student participation in research remains limited. This is a systematic review conducted using rapid review methods conforming to the WHO and Cochrane guidelines to synthesise evidence on the enablers and barriers of medical student participation in research. PubMed, EMBASE, and PsycINFO were searched, yielding 27 final studies. Most studies were single-centre studies, and all were cross-sectional. All were quantitative except for one mixed-methods study. Identified barriers and enablers were mapped onto the micro, meso, and macro frameworks. There are more perceived barriers than enablers of medical students' participation in research. The micro, meso, and macro frameworks provide a useful system to unpack and tackle the barriers.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40670-024-02156-z.

Medical Education Challenges in the Era of Internationalization and Digitization

Prior to the coronavirus disease 2019 (COVID-19) pandemic, Central Asia and Eastern Europe saw a significant rise in international medical student enrollment, driven by competitive tuition fees, prestigious institutions, and culturally diverse environments. The pandemic forced a rapid shift to online learning, disrupting student mobility and compromising clinical training quality. Online education for international medical students during the COVID-19 pandemic has proven beneficial, though low- and middle-income countries struggled with access to information infrastructure and resources. While 64% of students preferred online learning, challenges like limited internet access and lack of in-person interaction persisted, making a blended approach of online and traditional methods most effective. Despite a rebound in post-pandemic enrollment, persistent challenges such as linguistic obstacles, psychological stress, and cultural adaptation issues remain. Active research engagement during undergraduate studies is essential for skill development. Integrating research into education curricula and fostering motivation are crucial for enhancing academic outcomes. Critical thinking and cultural competence are vital, necessitating explicit instruction and collaborative learning strategies. Addressing language barriers through comprehensive support systems for both instructors and students is imperative. Tailored strategies and robust institutional support are essential to enhancing the educational experiences and success of international medical students.

Publication Fate of Research Works Achieved During Master's Degree in Surgical Science in a French Survey

The aim of this study was to assess the publication fate of research projects performed during the research year by students enrolled in a Master's degree (MSc) of surgical science and to identify factors associated with subsequent publication. An anonymous online survey of 35 questions was sent to students enrolled in MSc of surgical science between 2013 and 2020. The questionnaire included student's characteristics, topic, and supervision of the research projects developed during the research year and dissemination of the research work. Data regarding publication was collected using PubMed database. Factors associated with publication were identified by univariate analysis. Among 361 students, 26% completed the survey. Among respondents, the publication rate of research projects was 53.7%. The median time interval between the end of the research year and the date of publication was 2 (1-3) years. The student was listed as a first author in 70.6% of publications. Factors associated with publication of the research work completed during the research year were student's previous publications (P = 0.041) and presentation of the research work in academic conferences (P = 0.005). The most mentioned cause for non-publication was the absence of completion of the research work. Among respondents, the publication rate of research works performed during the MSc was high, which emphasizes the quality of the work carried out by the students and their involvement. Significant efforts must be undertaken to encourage the enrollment of residents in scientific research.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40670-023-01973-y.

Student engagement in health professions education: AMEE Guide No. 152

This guide aims to support our colleagues to have comprehensive understanding of student engagement in health professions education. Despite the universal agreement about the significance of student engagement, there is lack of uniformity in conceptualizing and operationalizing this emerging construct. We review the theoretical basis explaining student engagement from three main perspectives: behavioral, psychological, and socio-cultural. In addition, we propose a contemporary and comprehensive framework for the student engagement in higher education, which is applicable to health professions education contexts. Drawing from this framework, we explain the conceptualization of the construct and its preceding factors, mediators, dimensions, spheres, and outcomes of student engagement. The proposed framework introduces student 'engagement through partnerships' as a novel component compared with the existing models of student engagement in higher education. This way, we are proposing a mixed model that not only considers the student as a 'customer' but also as a 'partner' in education. Engagement of students through partnerships include four areas: (1) provision of the education program, (2) scholarly research, (3) governance and quality assurance, and (4) community activities. This guide will provide practical applications on how to improve student engagement in health professions education. Finally, we highlight the current gaps in areas of research in the student engagement literature and suggested plans for future directions.[Box: see text].

Factors Predictive of Medical Student Involvement in Research: Results from a New Zealand Institution

BACKGROUND

Previous studies have elucidated several benefits of engagement in research by medical students. The aim of the current study was to assess if any factors influenced the student's actual involvement (not mere interest) in scholarly activities during medical school.

METHODS

All medical students at the University of Otago were invited via e-mail to complete an online questionnaire. The outcome was a substantial contribution to a research project. The predictors were prior research experience, student's entry route, and planned career type. Multiple regression analysis was undertaken to control for any confounding factors influencing medical students' involvement in research.

RESULTS

Valid responses were gathered from 669 students (yielding a response rate of 44.8%). Of those, 254 students (38.3%) had engaged in one or more research activities. Students who engaged in research activities indicated a higher likelihood of future involvement in research but expressed less interest in internal medicine sub-specialties as potential future careers.

CONCLUSION

A sizeable proportion of our samples has been involved in the research. Targeting medical students not yet involved in research may necessitate additional curricular and faculty support in order to stimulate their research curiosity.

Intrinsic vs Extrinsic Motivation as Drivers for Early Engagement in Research by Medical Students

BACKGROUND

A student's motivation is a key factor in their success in undertaking an education endeavour. However, how this relates to involvement in research by medical students is unclear.

METHODS

An electronic questionnaire was sent to all medical students at our institution. To ascertain students' motivation to undertake research, they were asked an open-ended question to describe the single major factor that would encourage them to get involved in research as a medical student. A framework of self-determination theory was used to deductively code the responses as intrinsic motivation ("IM"; e.g., interest/passion) or extrinsic motivation ("EM"; e.g. improving CV). The two groups were then contrasted in relation to their research engagement.

RESULTS

A total of 348 students were included in the survey, of whom 204 were coded as IM responses, and 144 were coded as EM responses. Students who engaged in extra-curricular research activities were more likely to report an underlying EM (48% vs 36%, p = 0.03). They were also older (23.7 ± 3.5 vs 21.9 ± 3.7, p = 0.005), and more likely to have completed a prior research degree (15% vs 3%, p = 0.01).

CONCLUSION

In this study, EM was a bigger influencer on research involvement by medical students than IM. Future studies should explore promoters of IM, and include longitudinal data in order to assess whether EM students continue to be involved in research long-term.

Understanding of medical students about predatory journals: A comparative study from KSA and New Zealand

Objective

This study examines the extent of understanding of medical students from KSA and New Zealand (NZ) about predatory journals.

Methods

From March to July 2019, self-administered questionnaires were sent to fourth- and fifth-year students of two medical schools in KSA and NZ. Between-group comparisons were carried out using the two-sided Student's t test and the Chi-square test. Statistical significance was determined at a p-value <0.05.

Results

A total of 263 students completed the questionnaire (response rate: 59.1 percent KSA; 31 percent NZ). Prior research experience was significantly higher among KSA students (56.6 percent) as compared to NZ students (32.3 percent; p = 0.0006). A significantly higher number of KSA students (75.6 percent) felt that they were under pressure to publish studies during their term at medical school as compared to only 12.3 percent of NZ medical students (p < 0.0001). While one-third of the students in both countries were familiar with ‘open-access publishing’ (30.8 percent KSA versus 42.2 percent NZ), only a few displayed awareness about ‘predatory journals’ (9.1 percent KSA versus 7.8 percent NZ; p = 0.7) or ‘Beall's list’ (2.5 percent KSA versus 0 percent NZ; p = 0.02). A small number of students from both countries had published in predatory journals (26.1 percent [n = 6/23] KSA versus 12.5 percent [n = 1/8] NZ, p = 0.4). A few students had received warnings or advice regarding predatory journals (4.5 percent KSA versus 1.5 percent NZ; p = 0.2). A majority of respondents from both the countries found it hard to identify predatory journals.

Conclusion

This study identified that the understanding and knowledge of medical students regarding predatory journals is rather poor. This indicates that curricular, extracurricular, and institutional measures to promote awareness about predatory journals are warranted.