A quantitative assessment of the time to complete the Master of Medicine research thesis in a cohort of paediatrics registrars at the University of the Witwatersrand, South Africa

Authors

  • J Parry Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa https://orcid.org/0000-0002-2909-5918
  • A Coovadia Head of Department of Paediatrics and Child Health, Rahima Moosa Mother and Child Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa https://orcid.org/0000-0002-6372-8846

DOI:

https://doi.org/10.7196/SAMJ.2024.v114i10.2337

Keywords:

Paediatrics, MMed, duration

Abstract

Background. The Health Professions Council of South Africa implemented a compulsory research component for specialist practitioner registration through the Master of Medicine (MMed) degree in 2011, eliciting both commendation and critique. Chief among the concerns is the extended time required for MMed completion. This study explores the duration of each component of the MMed research thesis and discusses the potential problematic areas in terms of its timeous completion, about which there is currently a lack of data, with particular regard to the South African (SA) setting.

Objectives. To quantitatively delineate the various components of the MMed research thesis process, identify potential barriers to its completion, and formulate a recommended evidence-based proposed timeline allowing for successful and timeous completion of the MMed.

Methods. We conducted a retrospective review of MMed degrees completed by paediatrics registrars at the University of the Witwatersrand, Johannesburg, SA, from 1 January 2011 to 31 December 2018, and an electronic survey of former MMed students, detailing the duration of each of the components of the MMed research thesis process.

Results. The survey had a 70.5% response rate (n=148 respondents, of whom 141 fully completed the survey). The median (interquartile range) time to complete the MMed research thesis was 30 (21 - 42) months. While 78.0% of respondents deemed 4 years adequate for completion, 15.6% reported durations exceeding 4 years, and 2.1% had not completed the MMed. The components of the research thesis with the longest duration in terms of completion included development of a first draft of the research protocol, data analysis, and development of the first draft of the final report. Factors reportedly associated with successful completion of the thesis were a supportive supervisor and the provision of a research rotation.

Conclusion. A significant portion of candidates do not complete the MMed research thesis within the 4-year training period, hindering specialist registration. The major contributing factors appear to be related to candidates’ inexperience regarding the research process and lack of exposure to it, as well as some of the administrative procedures involved. Utilisation of the recommendations and structured timeline will help identify problematic areas timeously and ensure successful completion of the thesis.

Author Biographies

  • J Parry, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

    Department of Paediatrics (Registrar), 

    University of Witwatersrand

  • A Coovadia, Head of Department of Paediatrics and Child Health, Rahima Moosa Mother and Child Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

    Head of Department of Paediatrics and Child Health

    Rahima Moosa Mother and Child Hospital

    University of Witwatersrand

References

1. Health Professions Council of South Africa. Form 57 – application for registration: Independent practice – (medical practitioner). https://www.hpcsa.co.za/?contentId=44 (accessed 28 February 2022). 2. Senkubuge F, Mayosi BM. The state of the national health research system in South Africa. In: Padarath A, English R, eds. South African Health Review 2012/13. Durban: Health Systems Trust, 2013:141-149. http://www.hst.org.za/publications/south-african-health-review-2012/13 (accessed 23 September 2024). 3. AbramsonEL,NaifehMM,StevensonMD,etal.Researchtrainingamongpediatricresidencyprograms:A

national assessment. Acad Med 2014;89(12):1674-1680. https://doi.org/10.1097/ACM.0000000000000404 4. Szabo CP, Ramlall S. Research competency and specialist registration: Quo vadis? S Afr Med J

2016;106(12):1183-1185. https://doi.org/10.7196/SAMJ.2017.v106i12.11217

5. World Health Organization. Global strategy on human resources for health: Workforce 2030. 2016. https://iris.who.int/bitstream/handle/10665/250368/9789241511131-eng.pdf ?sequence=1 (accessed

24 February 2024).

6. Bourgeois JA, Hategan A, Azzam A. Competency-based medical education and scholarship: Creating

an active academic culture during residency. Perspect Med Educ 2015;4(5):254-258. https://doi.

org/10.1007/s40037-015-0218-4

7. Kurahara DK, Kogachi K, Yamane M, et al.A pediatric residency research requirement to improve collaborative resident and faculty publication productivity. Hawaii J Med Public Health 2012;71(8):224-228. 8. Sheridan PM, Pyke SW. Predictors of time to completion of graduate degrees. Can J Higher Educ

1994;24(2):68-88. https://doi.org/10.47678/cjhe.v24i2.188439

9. Smiljkovic M, Chevallier M, Freycon C, Mortamet G. Lack of dedicated research time was the main

barrier to French paediatric residents publishing academic papers. Acta Paediatr 2021;110(6):1963-

1964. https://doi.org/10.1111/apa.15770

10. AldousC,ClarkeD,vanWykJ,RoutC.Avoidingthedistantelephant:Amodeltoapproachtheresearch

component of specialization. BMC Med Educ 2016;16:147. https://doi.org/10.1186/s12909-016-0661-x 11. Wingfield B. How long does it take to get a PhD? S Afr J Sci 2010;106(11-12):469. https://doi.org/10.4102/

sajs.v106i11/12.469

12. Grossman ES. How long does it take a registrar to complete the compulsory research project enabling specialist registration? S Afr Med J 2019;109(4):254-258. https://doi.org/10.7196/SAMJ.2019.v109i4.13377 13. PatelN,SmithM,LovelandJ,GovenderT,NaidooP,KlopperJ.SouthAfricansurgicalregistrarperceptions

of the research project component of training: Hope for the future? S Afr Med J 2016;106(2):169-171.

https://doi.org/10.7196/SAMJ.2016.v106i2.10310

14. Barnard M, Jackson BS. South African surgical trainees Master of Medicine dissertation survey. S Afr J Surg 2023;61(1):7-13.

15. Farrokhyar F, Amin N, Dath D, et al.Impact of the surgical research methodology program on surgical residents’ research profiles. J Surg Educ 2014;71(4):513-520. https://doi.org/10.1016/j.jsurg.2014.01.012

16. Buehler R, Griffin D, Peetz J. The planning fallacy: Cognitive, motivational, and social origins. In: Zanna MP, Olson JM, eds. Advances in Experimental Social Psychology. Vol. 43. Cambridge, Mass.: Academic Press, 2010:1-62. https://doi.org/10.1016/S0065-2601(10)43001-4

17. Clarke DL. Auditing the process of ethics approval for Master’s degrees at a South African university. S Afr J Bioethics Law 2014;7(1):23-25. https://doi.org/10.7196/SAJBL.301

18. Angell EM, Sutton AJ, Windridge KA, Dixon-Woods M. Consistency in decision making by research ethics committees: A controlled comparison. J Med Ethics 2006;32(11):662-664. https://doi.org/10.1136/ jme.2005.014159

19. Kanna B, Deng C, Erickson SN, Valerio JA, Dimitrov V, Soni A. The research rotation: Competency- based structured and novel approach to research training of internal medicine residents. BMC Med Educ 2006;6:52. https://doi.org/10.1186/1472-6920-6-52

20. Sansone RA, Wiederman MW, Sawyer RJ. Effective research strategies for trainees in internal medicine residency programs. Prim Care Companion CNS Disord 2015;17(1):26291. https://doi.org/10.4088/ PCC.14r01712

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Published

2024-10-03

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Section

Research

How to Cite

1.
Parry J, Coovadia A. A quantitative assessment of the time to complete the Master of Medicine research thesis in a cohort of paediatrics registrars at the University of the Witwatersrand, South Africa. S Afr Med J [Internet]. 2024 Oct. 3 [cited 2024 Dec. 9];114(10):e2237. Available from: https://samajournals.co.za/index.php/samj/article/view/2237

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