A Mixed-methods Evaluation of Attitudes and Perceptions of Multispecialty Learners Undertaking a Hybrid Research Methodology Course in Low-resourced Settings.

Abstract

Background: Addressing the surgical burden of disease in low- and middle-income countries (LMICs) requires an increased number of medical researchers who understand local systems and resources. Advanced research training in medical programs in LMICs has been limited. To address this need, a hybrid, flipped-classroom research methods course was developed in a nurse anesthetist training program and expanded to surgery and anesthesiology training programs and an anesthesiology faculty development program in two countries. We assessed the effectiveness of the research methods course in strengthening research skills across anesthesiology and surgery specialties by evaluating participants' attitudes and perceptions of the course.

Methods: Using an online course survey, we collected qualitative and quantitative data on trainees' perceptions of the course and their self-reported confidence to perform research competencies taught in the course. Quantitative data were analyzed through calculating descriptive statistics, and qualitative findings were reviewed through thematic coding.

Results: Respondents were distributed across the three training programs as follows: surgical residency (n=17), registered nurse anesthetist (n=16), and anesthesiologist faculty development (n=3). Most (94%) agreed that they will use knowledge from this course. Using a scale of 1-5 with 5 corresponding to very confident, the respondents reported being confident in their abilities to engage in all phases of research consistent with the course competencies, with means ranging from 3.83 to 4.11. They were most confident in performing a scientific literature review and identifying a research topic.

Conclusion: This course helped strengthen trainees' confidence in the seven phases of conducting and disseminating research. The course helped trainees from different specialties and training programs build skills in research methods. This novel, hybrid, flipped-classroom research methods course was effective in building self-confidence for healthcare professionals across the practice continuum to tackle, develop, and perform research.