Background:
While medical research productivity is rapidly accelerating in the world generally, it remains poor in many third-world countries due to many factors including the lack of training and the brain drain of healthcare professionals. Syria had been showing a slow upward trend until the war broke out and severely hindered academic growth and productivity. A continued lack of data on the scale of, and factors behind, this phenomenon needs to be addressed to better understand the current academic productivity and inform educational policies and resource allocation. Additionally, one of the challenges is the small sample sizes of previous cross-sectional studies that evaluated the perspectives of Syrian academics to disentangle the factors that paved the way for these published healthcare workers to pursue research. Therefore, we present a case-control study that targeted this specific population and compared its characteristics and self-reported perceptions to matching controls without previous research involvement.
Methods:
We first identified Syrian early-career published authors in the healthcare field through an extensive search of PubMed and Google scholar. The questionnaire was subsequently publicly published to recruit matching controls: unpublished researchers and participants with no prior research contributions. The questionnaire covered participants’ research contributions, alongside their self-assessed knowledge, attitudes, and barriers towards research.
Results:
Six-hundred-sixteen participants were recruited. Their knowledge, attitudes, and perceived barriers explained 46% and 34% of the variability in research involvement and publication, respectively (P < 0.001). Getting involved in and publishing research studies associated with higher research-related knowledge and attitudes (P < 0.001). Respondents’ assessment of research-related barriers and their academic scores did not differ between cases and controls. Superior research-related knowledge and attitudes were associated with male gender, higher English competency, and better internet connectivity. Meanwhile, extracurricular training and mentors’ support were associated with more positive research-related attitudes and less perceived barriers.
Conclusions:
Research productivity of early-career medical professionals in Syria exhibits a positive correlation with their knowledge and favorable attitudes towards medical research. Noteworthy, demographic variations are linked to disparities in research-related knowledge and motivation. In conclusion, these results suggest a potential avenue for enhancement through concentrated efforts on improving extracurricular training interventions and mentors’ support.