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Research activity during the residency program. Are we in the 

good way? 

Eduardo Esteban-Zubero ®"\®, Cristina Garcia-Muro °“® 

°Department of Emergency Medicine, Hospital San Pedro, Logrofo, Spain 

> Department of Pediatrics, Hospital San Pedro, Logrofio, Spain 


Article history: 

Received 22 March 2022 

Received in revised form 14 April 2022 
Accepted 22 April 2022 


© 2022 The Authors. Published by Iberoamerican Journal of Medicine. This is an open access article under the CC BY license 


Actividad investigadora durante el programa de residencia. ;Estamos en el buen 



Historia del articulo: 

Recibido 22 March 2022 

Recibido en forma revisada 14 Abril 2022 
Aceptado 22 Abril 2022 

Palabras clave: 


© 2022 Los Autores. Publicado por Iberoamerican Journal of Medicine. Este es un articulo en acceso abierto bajo licencia CC BY 

(http://creativecommons. org/licenses/by/4.0/). 

HOW TO CITE THIS ARTICLE: Esteban-Zubero E, Garcia-Muro C. Research activity during the residency program. Are we in the 
good way? Iberoam J Med. 2022;4(2):80-82. doi: 10.53986/ibjm.2022.0021. 

Scientific publications are a source of knowledge that help 
us improve treatments and _ practice evidence-based 
medicine. It is important during all the medical practice. 
However, it 1s necessary to know when is appropriate to 
initiate this process as well as find an equilibrium between 
clinical practice and scientific research [1]. 

* Corresponding author. 
E-mail address: eezubero @ 

During the training of the medical specialist, research is an 
important component. Its practice allows achieving a better 
clinical management of patients, developing skills of critical 
appreciation of scientific articles, fostering critical thinking 
and lifelong learning, and having greater satisfaction with 
their academic training [2, 3]. To this end, strategies have 

ISSN: 2695-5075 / © 2022 The Authors. Published by Iberoamerican Journal of Medicine. This is an open access article under the CC BY license 

(http://creativecommons. org/licenses/by/4.0/). 


been designed to promote research during the residency, 
many of which have had successful results in terms of 
scientific production and the prestige of the academic 
programs where they have been carried out [4, 5]. These 
strategies should include identifying the leadership of the 
group, an appropriate selection of the group members as 
well as their roles, and selecting an area to study [6] 

Few residency programs include a final research to achieve 
the medical specialty. In fact, some countries suppressed this 
point, being a polemic decision [7]. In addition, it is well 
known that all research should culminate in a publication in 
indexed scientific journals in order to ensure its quality and 
disseminate the results obtained [8]. If the residency period 
1S a continuous process of learning and research, why it is 
not accepted as a common practice a final research to 
acquire the medical specialty? It could be an adequate 
reasoning. However, attending to the literature, the daily 
practice is so far from this theory. 

In addition to the lack of obligation to carry out a scientific 
project at the end of the residency, the number of residents 
who have published an article is not elevated. In the United 
States, it is observed a relationship between the number of 
publications of residents who have not carried out and have 
carried out a rotation under investigation (5% and 21%, 
respectively) [9, 10]. In this country are observed higher 
ratios of scientific publication [11]. However, in this study, 
authors observed a_ relationship between — scholarly 
productivity based on journal publication and clinical 
performance during residency training, observing that 
residents who invest substantial efforts in research are not 
compromised in their abilities to learn medicine and care for 
patients. In Latin American countries, the data is not 
different. The proportion of residents with some publication 
was 28.2% in Galicia [12], 5% among pediatric residents in 
Argentina [13], and 10% in Peru [14]. Being an older 
resident, the absence of external rotation or focused on 
research, a worse opinion of the training process and the 
presence of depressive symptoms have been seen to have a 
negative effect on scientific production during the residency 
period [14]. Moreover, it is observed a lack of knowledge to 
elaborate a critical review of scientific papers, despite the 
subjective consideration of adequate skills to do it [15]. In 
addition, it is observed that residents who publish at least 
one paper before residency are nearly six times more likely 
to publish during residency than those who did not publish 
before residency [16]. 

In our opinion, it is necessary to analyze the actual approach 
to scientific knowledge during the residency period. It is 
necessary to stimulate the resident, providing the enough 
time to acquire the skills in this field without forget the 

requirements to achieve the goals in the clinical practice. In 
addition, it is necessary to find the points in the local system 
that may influence in a negative manner in the scientific 
production, like depression or different problems with the 
residency program. This work should be realized in the 
different Universities and Hospitals. Finally, it must 
considered the implementation of regulated teaching in the 
area of scientific research in the medical school to make 
easier this process. 


The authors have no conflict of interest to declare. The 
authors declared that this study has received no financial 


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