Dodani Sunita, LaPorte Ronald E
Health Sciences Building, Medical College of Georgia, 997 St Sebastian Way, Room 4503, Augusta, GA 30912, USA.
Public Health. 2008 Jun;122(6):578-87. doi: 10.1016/j.puhe.2007.09.003. Epub 2008 Jan 28.
Developing countries are currently facing the burden of both communicable and non-communicable diseases. Physician-scientists, trained in patient care and research skills, are crucial in performing cutting-edge clinical research in developing countries. A major, unmet challenge has been lack of local expertise and the increasing problem of 'brain drain'.
The objective of this study was to present and assess a model of research training for healthcare professionals in Pakistan in order to increase research skills.
A 9-day research training workshop was offered to healthcare professionals in Pakistan using face-to-face (F2F) and video-teleconferencing (VTC) methods. In total, 38 F2F and 18 VTC participants were included in the workshop, which was conducted by research faculty from the University of Pittsburgh. The study measured short- and long-term effectiveness of research training. The training included courses in basic epidemiology, biostatistics, genetic epidemiology and international health.
A significant improvement in post-test scores was seen in both the F2F and VTC groups (P<0.001). In the F2F group, mean scores increased from 11.13 (pre-test) to 15.08 (post-test 1), and in the VTC group, mean scores increased from 10.67 (pre-test) to 13.22 (post-test 1). Two-sample t-tests indicated that these results were statistically significant (P<0.001). Two-way repeated measure analysis of variance in both groups showed significant changes in mean scores over time (P<0.001).
This model for training physicians in public health by providing in-house research training can be used to strengthen local capacity and reduce increasing problems of 'brain drain'.
发展中国家目前正面临着传染病和非传染病的双重负担。接受过患者护理和研究技能培训的医学科学家对于在发展中国家开展前沿临床研究至关重要。一个主要的、尚未解决的挑战是缺乏当地专业知识以及日益严重的“人才外流”问题。
本研究的目的是介绍并评估巴基斯坦针对医疗保健专业人员的研究培训模式，以提高研究技能。
采用面对面（F2F）和视频电话会议（VTC）的方式，为巴基斯坦的医疗保健专业人员举办了为期9天的研究培训研讨会。共有38名面对面参与者和18名视频电话会议参与者参加了该研讨会，该研讨会由匹兹堡大学的研究教员主持。该研究测量了研究培训的短期和长期效果。培训内容包括基础流行病学、生物统计学、遗传流行病学和国际卫生等课程。
面对面组和视频电话会议组的测试后分数均有显著提高（P<0.001）。在面对面组中，平均分数从11.13（预测试）提高到15.08（测试后1），在视频电话会议组中，平均分数从10.67（预测试）提高到13.22（测试后1）。双样本t检验表明这些结果具有统计学意义（P<0.001）。两组的双向重复测量方差分析显示，平均分数随时间有显著变化（P<0.001）。
通过提供内部研究培训来培训公共卫生医师的这种模式，可用于加强当地能力并减少日益严重的“人才外流”问题。
