| Literature DB >> 29760865 |
Jaime Jordan1, Wendy C Coates1, Samuel Clarke2, Daniel Runde3, Emilie Fowlkes3, Jaqueline Kurth4, Lalena Yarris5.
Abstract
INTRODUCTION: Educators and education researchers report that their scholarship is limited by lack of time, funding, mentorship, expertise, and reward. This study aims to evaluate these groups' perceptions regarding barriers to scholarship and potential strategies for success.Entities:
Mesh:
Year: 2018 PMID: 29760865 PMCID: PMC5942034 DOI: 10.5811/westjem.2018.1.36752
Source DB: PubMed Journal: West J Emerg Med ISSN: 1936-900X
Characteristics of EM core educators and education researchers surveyed with regard to barriers and motivations to conduct research.
| Core educators | Education researchers | |
|---|---|---|
| Gender | ||
| Male | 131/204 (64.2%) | ed27/42 (64.3%) |
| Female | 73/204 (35.8%) | 15/42 (35.7%) |
| Age | ||
| <35 years old | 26/204 (12.7%) | 3/42 (7.1%) |
| 35–50 years old | 143/204 (70.1%) | 26/42 (61.9%) |
| 51–60 years old | 35/204 (17.2%) | 12/42 (28.6%) |
| >65 years old | 0/204 (0%) | 1/42 (2.4%) |
| Academic rank | ||
| Instructor | 8/204 (3.9%) | 0/42 (0%) |
| Assistant professor | 104/204 (51.0%) | 15/42 (35.7%) |
| Associate professor | 62/204 (30.4%) | 13/42 (31.0%) |
| Professor | 27/204 (13.2%) | 11/42 (26.2%) |
| Other | 3/204 (0.01%) | 3/42 (7.1%) |
| Degrees held | ||
| MD | 187/204 (91.7%) | 39/42 (92.9%) |
| DO | 16/204 (7.8%) | 0/42 (0%) |
| MPH | 12/204 (5.9%) | 1/42 (2.4%) |
| EdD | 2/204 (1.0%) | 1/42 (2.4%) |
| PhD | 4/204 (2.0%) | 4/42 (9.5%) |
| Other Master’s degree | 28/204 (13.7%) | 15/42 (35.7%) |
| Other | 5/204 (2.5%) | 3/42 (7.1%) |
| Current position(s) | ||
| Chair | 3/200 (1.5%) | N/A |
| Vice chair for education | 13/200 (6.5%) | N/A |
| Director of medical education | 11/200 (5.5%) | N/A |
| Education fellowship director | 7/200 (3.5%) | N/A |
| Program director | 55/200 (27.5%) | N/A |
| Assist./associate program director | 72/200 (36.0%) | N/A |
| Clerkship director | 30/200 (15.0%) | N/A |
| Assistant clerkship director | 4/200 (2.0%) | N/A |
| Simulation fellowship director | 4/200 (2.0%) | N/A |
| Simulation director | 16/200 (8.0%) | N/A |
| Other | 36/200 (18.0%) | N/A |
| Fellowship training | ||
| Yes | 56/204 (27.5%) | 14/41 (34.1%) |
| No | 148/204 (72.5%) | 27/41 (65.9%) |
| Types of peer reviewed medical education scholarship published | ||
| Research manuscript | 91/197 (46.2%) | 39/42 (92.9%) |
| Non research manuscript | 49/197 (24.9%) | 24/42 (57.1%) |
| Online curriculum | 37/197 (18.8%) | 14/42 (33.3%) |
| Online lecture/instructional video | 25/197 (12.7%) | 4/42 (9.5%) |
| None | 68/197 (34.5%) | 1/42 (2.4%) |
| Other | 12/197 (6.1%) | 5/42 (11.9%) |
| Number of peer-reviewed education scholarship publications listed on curriculum vitae | ||
| 0–5 | 162/196 (82.7%) | 9/42 (21.4%) |
| 6–10 | 21/196 (10.7%) | 6/42 (14.3%) |
| 11–15 | 5/196 (2.6%) | 5/42 (11.9%) |
| 16–20 | 5/196 (2.6%) | 3/42 (7.1%) |
| >20 | 3/196 (1.5%) | 19/42 (45.2%) |
| Formal training in research methodology | ||
| Yes | 61/197 (31.0%) | 25/42 (59.5%) |
| No | 136/197 (69.0%) | 17/42 (40.5%) |
Participants were instructed to select all options that were applicable, and so results may total more than 100%.
Results of qualitative analysis for education researchers.
| Question | Major themes | Number of comments | Examples |
|---|---|---|---|
| What factors motivate you to perform research? | Dissemination of knowledge | 21 | “intellectual stimulation, promotion, contribution to the knowledge of the field” |
| Support evidence-based practice | 20 | ||
| Personal interest | 14 | ||
| Intellectual stimulation | 11 | ||
| Promotion | 10 | ||
| What factors discourage you from spending time working on your research projects? | Administrative/education demands | 22 | “other admin/teaching responsibilities; less of a focus for promotion; less hope that grants will buy-down time” |
| Clinical demands | 17 | ||
| Lack of time | 16 | ||
| Personal/family demands | 7 | ||
| Perceived futility | 5 | ||
| Lack of research support | 5 | ||
| What challenges have you encountered in performing education research? | Lack of time | 31 | “1. Funding opportunities in med educ research often modest limiting ambition of research undertaken. 2. Med ed research tends to focus on problem description and diagnosis and less on development and robust evaluation of potential solutions to improve med education. 3. Linked to this there are often epistemiological battles and silos that hinder the development of interdisciplinary impactful research.” |
| Lack of funding | 18 | ||
| Work not valued/lack of leadership support | 14 | ||
| Lack of methodologic expertise | 13 | ||
| Lack of access to collaborators | 11 | ||
| Overall, what do you feel would help you achieve your research goals? | Time | 17 | “Local recognition of its value, financial support, a community locally that supports this interest” |
| Collaborative community/research network | 11 | ||
| Access to expertise | 9 | ||
| Funding | 9 | ||
| Mentorship | 6 | ||
| Research support | 6 | ||
| What advice would you give an EM educator who wants to become more involved in education research? | Obtain formal training | 17 | “Cultivate mentors, gain a more formal education in education scholarship and don’t go there unless you love it” |
| Find collaborators | 14 | ||
| Secure mentorship | 14 | ||
| Practice patience and persistence | 6 | ||
| Inform yourself of current practices/literature | 6 |
Results of qualitative analysis of core educators.
| Question | Major themes | Number of comments | Examples |
|---|---|---|---|
| What are the major contributors to your career satisfaction? | Teaching | 86 | “When I witness my residents become a better clinician, educator, or researcher than I am.” |
| Mentorship | 37 | ||
| Professional relationships | 35 | ||
| Clinical work | 35 | ||
| Sense of accomplishment | 21 | ||
| Variety | 17 | ||
| What challenges have you encountered in performing education research? | Lack of time | 47 | “Mentorship, methodology, time, lack of people interest in the same things…” |
| Lack of methodologic expertise | 41 | ||
| Challenges with learners as study population | 24 | ||
| Work not valued/lack of leadership support | 22 | ||
| Lack of funding | 18 | ||
| Lack of mentorship | 15 | ||
| Lack of research resources | 13 | ||
| What advice would you give to an EM educator who wants to become more involved in education research? | Obtain formal training | 35 | “Seek good mentorship. Consult someone with methodological expertise and someone with statistical expertise while your study is in the design phase.” |
| Secure mentorship | 30 | ||
| Find collaborators | 20 | ||
| Access expertise | 11 | ||
| Secure protected time | 11 | ||
| Gather leadership support | 10 | ||
| What factors motivate you to perform research? | Dissemination of knowledge | 47 | “demonstrate best practices and disseminate knowledge to help others” |
| Promotion | 46 | ||
| Personal interest | 41 | ||
| Intellectual stimulation | 31 | ||
| Job requirements | 28 | ||
| Support evidence based practice | 23 | ||
| Sense of accomplishment | 11 | ||
| Contribution to improvement of healthcare | 11 | ||
| What factors discourage you from spending time working on your research? | Lack of time | 74 | “wanting to spend time with kids & friends which have greater value to me, desire to create new educational programs” |
| Administrative/education demands | 55 | ||
| Clinical demands | 36 | ||
| Lack of research support | 34 | ||
| Perceived futility | 16 | ||
| Personal/family demands | 13 | ||
| Overall, what do you feel would help you achieve your research goals? | Time | 61 | “Protected time for research. Evidence about successful infrastructures. A method of subdividing education research might enhance collaboration. “ |
| Mentorship | 28 | ||
| Expertise | 27 | ||
| Research support | 23 | ||
| Funding | 16 | ||
| Collaborative community | 15 | ||
| Leadership support | 13 | ||
| How has your mentor impacted your ability to perform education scholarship? | Positive impact | 18 | “Has helped me traverse some of the barriers, questioned my proposals in a thoughtful way and suggested strategies for improvement” |
| No impact | 18 | ||
| Motivation | 19 | ||
| Training | 14 | ||
| Resources | 14 | ||
| Ideas/innovation | 10 | ||
| How did you find your mentor? | In department | 33 | “Through a research conference, an education conference, one from my medical school long ago and one from my current department (my chair)” |
| During training | 24 | ||
| Collaborative work | 10 | ||
| Why don’t you have a mentor? | Lack of identifiable candidate | 46 | “no one locally interested in what I am interested in with expertise more than I have” |
Figure 1Mean ratings for motivating factors to perform research for a) education researchers and b) core educators (1= Does not motivate me at all; 10= Extremely motivates me).
Figure 2Response rates* for rewards of performing research for a) education researchers and b) core educators.
*Participants were instructed to select all options that were applicable, and so results may total more than 100%.
Figure 3Mean impact ratings of barriers for core educators (1= Does not impact me at all; 10= Greatly impacts me).