Albert Mathieu, Hodges Brian, Regehr Glenn
Wilson Centre for Research in Education, Toronto General Hospital, University of Toronto Faculty of Medicine, 200 Elizabeth Street, Eaton-South 1-581, Toronto, ON, M5G 2C4, Canada.
Adv Health Sci Educ Theory Pract. 2007 Feb;12(1):103-15. doi: 10.1007/s10459-006-9026-2. Epub 2006 Oct 11.
Since the latter part of the 1990's, the English-speaking medical education community has been engaged in a debate concerning the types of research that should have priority. To shed light on this debate and to better understand its implications for the practice of research, 23 semi-structured interviews were conducted with "influential figures" from the community. The results were analyzed using the concept of "field" developed by the sociologist Pierre Bourdieu. The results reveal that a large majority of these influential figures believe that research in medical education continues to be of insufficient quality despite the progress that has taken place over the past 2 decades. According to this group, studies tend to be both redundant and opportunistic, and researchers tend to have limited understanding of both theory and methodological practice from the social sciences. Three factors were identified by the participants to explain the current problems in research: the working conditions of researchers, budgetary restraints in financing research in medical education, and the conception of research in the medical environment. Two principal means for improving research are presented: intensifying collaboration between PhD's and clinicians, and encouraging the diversification of perspectives brought to bear on research in medical education.
自20世纪90年代后期以来，英语医学教育界一直在就应优先开展的研究类型展开辩论。为了阐明这场辩论并更好地理解其对研究实践的影响，我们对该领域的“有影响力人物”进行了23次半结构化访谈。运用社会学家皮埃尔·布迪厄提出的“场域”概念对结果进行了分析。结果显示，这些有影响力人物中的绝大多数认为，尽管在过去20年里取得了进展，但医学教育研究的质量仍然不足。根据这一群体的观点，研究往往既多余又具有机会主义性质，而且研究人员对社会科学的理论和方法论实践的理解往往有限。参与者们确定了三个因素来解释当前研究中的问题：研究人员的工作条件、医学教育研究资金的预算限制以及医学环境中的研究观念。提出了两种改进研究的主要方法：加强博士生与临床医生之间的合作，以及鼓励在医学教育研究中采用多样化的视角。
