Table 2.

Personal Factors That Limit Output of Research in Family Medicine

No defined practice population, with mobile populations
Limitation or absence of reliable and comprehensive address lists to recruit participant physicians
Overworked physicians in primary care with limited time for research
No protected time for research or writing
Limited or no access to research funds and grants, with inexperience in the grant application process
Limited exposure to “culture of research”
Lack of peer group in many countries to discuss, stimulate, or criticize work
Limited research expertise of individual physician, and little access to training in research methodology, epidemiology, and statistics
Limited support and supervision—supervisors are often at a distance because of sparse distribution of health personnel and often are insufficiently trained themselves
Prospect of rejection of developing world papers by international journals is inhibiting factor to a culture of research9
Poor or limited writing skills