Barriers and facilitators to conducting research by early career psychiatrists: a literature review

Abstract Objectives To understand and identify factors that promote and prevent research participation among early career psychiatrists (ECPs), in order to understand what would encourage more ECPs to pursue a research career. Methods We conducted an electronic search of databases (PubMed and the Cochrane library) using the keywords ‘doctors’, ‘trainees’, ‘residents’, ‘physicians’ and ‘psychiatric trainees’ as well as ‘research’ (MeSH) and ‘publishing’ (MeSH). This search was complemented by a secondary hand search. Results We identified 524 articles, of which 16 fulfilled inclusion criteria for this review. The main barriers included lack of dedicated time for research, lack of mentoring and lack of funding. The main facilitators were opportunities to receive mentorship and access to research funding. Conclusions Action is needed to counteract the lack of ECPs interested in a career in research. Specific programs encouraging ECPs to pursue research careers and having access to mentors could help increase the current numbers of researching clinicians in the field.

[1]  A. Giurgiuca,et al.  Women, Partners, and Mothers–Migratory Tendencies of Psychiatric Trainees Across Europe , 2019, Front. Public Health.

[2]  S. Guloksuz,et al.  Mobility trends of psychiatric trainees in Turkey: hard to leave, harder to stay? , 2018, European archives of psychiatry and clinical neuroscience.

[3]  S. Friedman,et al.  Supervising trainees in research: what does it take to be a scholarly project supervisor? , 2018, Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists.

[4]  A. Giurgiuca,et al.  To which countries do European psychiatric trainees want to move to and why? , 2017, European Psychiatry.

[5]  T. Joiner,et al.  Increasing Research Productivity and Professional Development in Psychology With a Writing Retreat. , 2017, Scholarship of teaching and learning in psychology.

[6]  D. Daye,et al.  Exploring intentions of physician-scientist trainees: factors influencing MD and MD/PhD interest in research careers , 2017, BMC medical education.

[7]  R. Lencer,et al.  The PsyLOG mobile application: development of a tool for the assessment and monitoring of side effects of psychotropic medication. , 2017, Psychiatria Danubina.

[8]  D. K. Williams,et al.  Stability of and Factors Related to Medical Student Specialty Choice of Psychiatry. , 2017, The American journal of psychiatry.

[9]  Sara Reardon,et al.  US mental-health agency’s push for basic research has slashed support for clinical trials , 2017, Nature.

[10]  C. Cerny,et al.  Measuring Perceived Educational Impact of a Resident-Led Research Newsletter , 2017, Academic Psychiatry.

[11]  R. Rohrbaugh,et al.  Effective Research Mentorship for Residents: Meeting the Needs of Early Career Physicians , 2017, Academic Psychiatry.

[12]  Sarah Al Youha,et al.  Barriers and Attitudes to Research Among Residents in Plastic and Reconstructive Surgery: A National Multicenter Cross-Sectional Study. , 2017, Journal of surgical education.

[13]  Biswadev Mitra,et al.  Barriers to conducting research: A survey of trainees in emergency medicine , 2017, Emergency medicine Australasia : EMA.

[14]  V. Kumari,et al.  Enrichment activities in the medical school psychiatry programme – could this be a key to engaging medical students in psychiatry? A study from a high secure forensic psychiatric UK hospital , 2017, BMC Psychiatry.

[15]  L. Ng,et al.  Things I wish I’d known: desiderata for early career psychiatrists , 2017, Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists.

[16]  M. Pinto da Costa,et al.  Reply to: Research by psychiatry residents in Indian scenario: Challenges and opportunities. , 2016, Asian journal of psychiatry.

[17]  W. Readdy,et al.  Remodeling neuroscience education in medical student training: how early exposure and mentorship are promoting student interest in neurology and neurosurgery , 2016, Neural regeneration research.

[18]  R. Radhakrishnan,et al.  The American Journal of Psychiatry Residents' Journal: Training the Next Generation of Academic Psychiatrists. , 2016, The American journal of psychiatry.

[19]  D. Wasserman,et al.  Training in psychiatry throughout Europe , 2016, European Archives of Psychiatry and Clinical Neuroscience.

[20]  M. Rapoport,et al.  Career Interests of Canadian Psychiatry Residents: What Makes Residents Choose a Research Career? , 2016, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[21]  N. Sartorius,et al.  Building an academic career in psychiatry , 2016 .

[22]  A. Parmar,et al.  Research by psychiatry residents in Indian scenario: Challenges and opportunities. , 2016, Asian journal of psychiatry.

[23]  J. Beezhold,et al.  Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice , 2016, European Psychiatry.

[24]  Jonathan Pimm,et al.  BJPsych Bulletin author mentoring scheme – helping trainees become published authors , 2016, BJPsych Bulletin.

[25]  O. Andlauer,et al.  Interventions for posttraumatic stress disorder in psychiatric practice across Europe: a trainees’ perspective , 2015, European journal of psychotraumatology.

[26]  S. Himelhoch,et al.  Teaching Lifelong Research Skills in Residency: Implementation and Outcome of a Systematic Review and Meta-Analysis Course. , 2015, Journal of graduate medical education.

[27]  Daniel J Lee,et al.  Both Feet In: Maintaining an Academic Focus During the Transition from Residency to a First Military Assignment , 2015, Academic Psychiatry.

[28]  S. Rosenkranz,et al.  Motivating medical students to do research: a mixed methods study using Self-Determination Theory , 2015, BMC medical education.

[29]  Michelle L. Black,et al.  Perceived Barriers and Facilitators for an Academic Career in Geriatrics: Medical Students’ Perspectives , 2015, Academic Psychiatry.

[30]  O. Andlauer,et al.  Exkurs: Internationale Kooperation European Psychiatric Association (EPA): Zurück in die Zukunft! , 2015 .

[31]  M. Costa Workforce Migration and Brain Drain in Psychiatry Trainees , 2015 .

[32]  P. Falkai,et al.  EPA guidance on the role and responsibilities of psychiatrists , 2015, European Psychiatry.

[33]  J. Torous,et al.  Research by residents: obstacles and opportunities. , 2015, Asian journal of psychiatry.

[34]  O. Andlauer,et al.  Junior psychiatrists and independent research. , 2014, JAMA psychiatry.

[35]  W. Parnell,et al.  Impact of dietary benzoic acid on treatment response in schizophrenia. , 2014, JAMA psychiatry.

[36]  A. V. Effenterre,et al.  Enquête auprès des PU-PH sur la formation en psychiatrie en France , 2014 .

[37]  S. Wessely,et al.  The role of mentoring in academic career progression: a cross-sectional survey of the Academy of Medical Sciences mentoring scheme , 2014, Journal of the Royal Society of Medicine.

[38]  D. Blazer Independent research by early investigators: an underutilized option. , 2014, JAMA psychiatry.

[39]  Mi-Oak Ha,et al.  Perceptions, attitudes, and practices towards research among resident physicians in training in Saudi Arabia. , 2014 .

[40]  D. Regier,et al.  Targeted Research Training: Developing Minority Psychiatric Investigators , 2014, Academic Psychiatry.

[41]  Gwenn S. Smith,et al.  Promoting Careers in Academic Research to Psychiatry Residents , 2014, Academic Psychiatry.

[42]  T. Vos,et al.  Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010 , 2013, The Lancet.

[43]  K. Boydell,et al.  Choosing child and adolescent psychiatry: factors influencing medical students. , 2013, Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent.

[44]  A. Papatsoris,et al.  Why should I do research? Is it a waste of time? , 2013, Arab journal of urology.

[45]  Elizabeth A. Lowenhaupt,et al.  Does Early Mentorship in Child and Adolescent Psychiatry Make a Difference? The Klingenstein Third-Generation Foundation Medical Student Fellowship Program , 2013, Academic Psychiatry.

[46]  M. Pinto da Costa,et al.  Psychiatry training towards a global future: trainees' perspective in Portugal. , 2013, Acta medica portuguesa.

[47]  V. Reus,et al.  Eleven-Year Outcomes From an Integrated Residency Program to Train Research Psychiatrists , 2013, Academic medicine : journal of the Association of American Medical Colleges.

[48]  Melissa R. Arbuckle,et al.  Bridging the Gap: Supporting Translational Research Careers Through an Integrated Research Track Within Residency Training , 2013, Academic medicine : journal of the Association of American Medical Colleges.

[49]  Joyce Y Chung,et al.  Stepping stones for psychiatry residents who pursue scientific research careers , 2013, International review of psychiatry.

[50]  N. Okkels How to Succeed in Psychiatry: A guide to training and practice , 2012 .

[51]  P. Wilkinson,et al.  Trainee experiences of Child and Adolescent Psychiatry (CAP) training in Europe: 2010–2011 survey of the European Federation of Psychiatric Trainees (EFPT) CAP working group , 2012, European Child & Adolescent Psychiatry.

[52]  C. Nadelson,et al.  Recruiting Researchers in Psychiatry: The Influence of Residency vs. Early Motivation , 2012, Academic Psychiatry.

[53]  H. Sass,et al.  How to Succeed in Psychiatry: A Guide to Training and Practice , 2012 .

[54]  M. Orrell,et al.  A survey of geriatric psychiatry training across Europe , 2012, International Psychogeriatrics.

[55]  Martin Cohen,et al.  Hunter New England Training (HNET): How to Effect Culture Change in a Psychiatry Medical Workforce , 2011, Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists.

[56]  A. V. Effenterre Formation et information des internes en psychiatrie : quelle place pour la recherche ? , 2011 .

[57]  D. Goldberg Teaching Research Methods: ‘Doing Your Own Research’ , 2011 .

[58]  D. Giacco,et al.  Mental health reforms in Europe: challenges of postgraduate psychiatric training in Europe: a trainee perspective. , 2010, Psychiatric services.

[59]  G. Lenz,et al.  Research skills training for child psychiatry residents , 2010, European Child & Adolescent Psychiatry.

[60]  B. Lebowitz,et al.  Programs for Developing the Pipeline of Early-Career Geriatric Mental Health Researchers: Outcomes and Implications for Other Fields , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[61]  J. Yesavage,et al.  Increasing the Ranks of Academic Researchers in Mental Health: A Multisite Approach to Postdoctoral Fellowship Training , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[62]  P. Gorwood French University Psychiatry and Research , 2009 .

[63]  Author Index , 2009 .

[64]  N. McNaughton,et al.  The Research Innovation and Scholarship in Education Program: An Innovative Way to Nurture Education , 2009, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[65]  S. George,et al.  Publishing non-research papers as a trainee: a recipe for beginners. , 2009, Singapore medical journal.

[66]  D. Kupfer,et al.  The Career Development Institute for Psychiatry: An Innovative, Longitudinal Program for Physician-Scientists , 2009, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[67]  J. Fogel Research as part of the career of a psychiatrist entering clinical practice , 2009 .

[68]  I. Galynker,et al.  Ensuring Research Competency in Psychiatric Residency Training , 2009, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[69]  Randal G. Ross,et al.  An Institutional Postdoctoral Research Training Program: Predictors of Publication Rate and Federal Funding Success of Its Graduates , 2009, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[70]  G. Haas,et al.  Inspiring urology trainees to enter academic careers , 2009, Indian journal of urology : IJU : journal of the Urological Society of India.

[71]  D. A. Lewis,et al.  The future of psychiatry as clinical neuroscience. , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[72]  B. Milekic,et al.  How medical students in their pre-clinical year perceive psychiatry as a career: the study from Belgrade. , 2009, Psychiatria Danubina.

[73]  N. Jovanović,et al.  Problems in the current psychiatry residency training program in Croatia: residents' perspective. , 2009, Collegium antropologicum.

[74]  J. Kirchner,et al.  Growing Our Own: A Regional Approach to Encourage Psychiatric Residents to Enter Research , 2008, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[75]  D. Vidyasagar Integrating International Medical Graduates into the Physician-Scientist Pool , 2007, Journal of Investigative Medicine.

[76]  M. Khan,et al.  Mapping exercise of mental health research and researchers in Pakistan. , 2007, JPMA. The Journal of the Pakistan Medical Association.

[77]  J. Yager,et al.  Educating, Training, and Mentoring Minority Faculty and Other Trainees in Mental Health Services Research , 2007, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[78]  A. Heinz,et al.  Postgraduate training for young psychiatrists—experience of the Berlin Summer School , 2006, European Psychiatry.

[79]  A. MacLullich,et al.  The role of research training during higher medical education in the promotion of academic medicine in the UK , 2006, Postgraduate Medical Journal.

[80]  T. Lambert,et al.  Reasons why some UK medical graduates who initially choose psychiatry do not pursue it as a long-term career , 2006, Psychological Medicine.

[81]  Scott Y H Kim,et al.  Is psychiatric research stigmatized? An experimental survey of the public. , 2005, Schizophrenia bulletin.

[82]  T. Ley,et al.  The physician-scientist career pipeline in 2005: build it, and they will come. , 2005, JAMA.

[83]  L. Eisenberg Research Training in Psychiatry Residency: Strategies for Reform. , 2004, The American journal of psychiatry.

[84]  A. Strydom,et al.  Are dedicated research posts of value to psychiatry trainees , 2004 .

[85]  Board on Neuroscience Research Training in Psychiatry Residency: Strategies for Reform , 2004 .

[86]  T. Schulze,et al.  The European Federation of Psychiatric Trainees (EFPT) - an integral part of the European harmonisation of psychiatric education and practise , 2002, European Psychiatry.

[87]  D. Kupfer,et al.  Recruiting and retaining future generations of physician scientists in mental health. , 2002, Archives of general psychiatry.

[88]  M A Mintun,et al.  The hippocampus and depression , 2002, European Psychiatry.

[89]  G. Sedvall Internationalization of psychiatric research – the prospective for the European Association of Psychiatrists , 2002, Acta psychiatrica Scandinavica.

[90]  V. Patel,et al.  International representation in psychiatric literature , 2001, British Journal of Psychiatry.

[91]  R. Emsley Focus on psychiatry in South Africa. , 2001, The British journal of psychiatry : the journal of mental science.

[92]  A. Kablinger,et al.  Psychiatry Residents’ Participation in Research , 2001 .

[93]  R. Balon,et al.  Status of Research Training in Psychiatry , 2001 .

[94]  J. Collins,et al.  Getting residents involved in research: a challenge in the era of managed care. , 1999, Academic medicine : journal of the Association of American Medical Colleges.

[95]  N. Swerdlow,et al.  Attitudes toward psychiatry as a prospective career among students entering medical school. , 1999, The American journal of psychiatry.

[96]  L L Fajardo,et al.  The RSNA-AUR-ARRS introduction to research program for 2nd year radiology residents: effect on career choice and early academic performance. Radiological Society of North America. Association of University Radiologists. American Roentgen Ray Society. , 1998, Radiology.

[97]  S. Curran,et al.  Research by senior registrars in psychiatry , 1998 .

[98]  H. Pincus,et al.  The relationship of postdoctoral research training to current research activities of faculty in academic departments of psychiatry. , 1995, The American journal of psychiatry.

[99]  E. Leibenluft,et al.  Sex differences in rank attainment and research activities among academic psychiatrists. , 1993, Archives of general psychiatry.

[100]  Thomas Mattair,et al.  Obstacles and Opportunities , 1993 .

[101]  F. Lovejoy,et al.  Factors influencing the interests, career paths, and research activities of recent graduates from an academic, pediatric residency program. , 1993, Pediatrics.

[102]  R. Bjugn,et al.  Forskningsinteresse og rekrutteringspotensiale--medisinstudenter og forskning. , 1992 .

[103]  B. Hillman,et al.  The RSNA‐AUR‐ARRS Introduction to Research Program , 1992, Investigative radiology.

[104]  H. Pincus,et al.  Current status of research activity in American child and adolescent psychiatry: II. A developmental analysis by age cohorts. , 1991, Journal of the American Academy of Child and Adolescent Psychiatry.

[105]  S. Lewis The right stuff? a prospective controlled trial of trainees' research , 1991 .

[106]  Schwartz Js,et al.  CORRELATES OF EXTERNAL RESEARCH SUPPORT AMONG RESPONDENTS TO THE 1990 AMERICAN FEDERATION FOR CLINICAL RESEARCH SURVEY , 1991 .

[107]  G. Meadows,et al.  How useful is a six month research option for trainee psychiatrists , 1989 .

[108]  D. Ben-Tovim,et al.  A Group Method for Learning about Psychiatric Research , 1987, The Australian and New Zealand journal of psychiatry.

[109]  J. D. Burke,et al.  The clinician-researcher in psychiatry. , 1986, The American journal of psychiatry.

[110]  J. Yager,et al.  Research training in psychiatry: a survey of current practices. , 1980, The American journal of psychiatry.

[111]  P. Llorca,et al.  [Survey among academic teachers about psychiatric training in France]. , 2014, L'Encephale.

[112]  O. Gureje,et al.  Stigmatization of psychiatrists and general practitioners: results of an international survey , 2014, European Archives of Psychiatry and Clinical Neuroscience.

[113]  D. Giacco,et al.  [Can psychiatric trainees have a role in the improvement of training? The first 20 years of European Federation of Psychiatric Trainees]. , 2014, Rivista di psichiatria.

[114]  A. van Effenterre [Education and training of young psychiatrists: is there time for research?]. , 2011, L'Encephale.

[115]  D. Kupfer,et al.  A Developmental Model for Enhancing Research Training During Psychiatry Residency , 2006, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[116]  G. Heninger,et al.  Medical School Research Pipeline: Medical Student Research Experience in Psychiatry , 2006, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[117]  R. Bjugn,et al.  [Research interest and recruitment potential--medical students and research]. , 1992, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke.

[118]  F. Ognibene,et al.  Correlates of external research support among respondents to the 1990 American Federation for Clinical Research survey. , 1991, Clinical research.

[119]  D. Babbott,et al.  Research activities of faculty in academic departments of medicine. , 1986, Annals of internal medicine.

[120]  J. C. Meakins,et al.  The Royal College of Physicians and Surgeons of Canada , 1936, Canadian Medical Association journal.