S audi Arabia spends 5.1% of its gross domestic product (GDP) on education and 4.7% of GDP on health, with the result that there are 2.39 physicians per 1000 population, which is highest in the Middle East and comparable to the United States (2.59), the United Kingdom (2.81) and the United Arab Emirates (2.39). 1 The literacy rate in Saudi Arabia is 94.7%. Research and development have been prioritized in the Saudi Vision 2030 program with ambitious goals set to attain an international standard in higher education. A goal of Saudi Vision 2030 is that at least five Saudi universities be among the top 200 universities in the world by 2030. 2 The 2020 Times Higher Education World University Ranking includes seven Saudi universities among the 1400 universities of the world. This ranking criterion takes into account important parameters of research productivity namely teaching, research, citations, industry outcome and international outlook. 3 King Abdulaziz University (KAU), the number 1 university in Saudi Arabia, has reached a world ranking in the 201-250 universities group. KAU is followed by Alfaisal University that is ranked in the 251-300 group. King Saud University (KSU) and King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) are within the 501-600 rank√. KSAU-HS, a specialized health sciences university has been included in this ranking recently. 3 To ensure that a certain policy is producing the desired benefits, it is important to monitor and evaluate the programs. Productivity in the field of medical education and research can be measured by several variables. The