Schreiber Martin A, Differding Jerome, Esposito Thomas J
Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA.
J Trauma. 2008 Apr;64(4):1113-7; discussion 1117-8. doi: 10.1097/TA.0b013e31816a2429.
The impact of recent social and professional influences on trauma research is unclear. This study characterizes current research practices, opinions on research quality, and barriers to academic productivity, expressed by academic trauma surgeons.
A survey tool was administered electronically to members of the Eastern Association for the Surgery of Trauma. Questions on demographics, current and past research experience, perceptions of research quality trends, and barriers to academic success were included.
Response rate was 40% (322 of 815). The mean age of respondents was 45 with 73% reporting completion of a critical care fellowship and 63% practicing in a university setting. The majority of respondents agreed or strongly agreed that both basic science (75%) and clinical (82%) research have become more difficult to perform. Greater difficulty in obtaining funding from their institutions was reported by 69% and by 61% for industry or private sources. Approximately 70% agreed that Institutional review board (IRB) regulations, confidentiality and consent requirements have impeded their research efforts whereas 86% agreed that increasing clinical requirements have inhibited their research efforts. Factors seen as impeding multi-institutional research, in order, were funding, IRB issues, poor coordination, commitment of investigators, and logistics. Perceived barriers to a successful research career were insufficient protected time (42%), funding (25%), personal motivation (11%), and IRB issues (11%).
Research is viewed as being more difficult to conduct. The primary barriers to research productivity are perceived to be decreased protected time, decreased funding availability, and increased regulatory requirements.
近期社会和专业因素对创伤研究的影响尚不清楚。本研究描述了学术创伤外科医生目前的研究实践、对研究质量的看法以及学术产出的障碍。
通过电子方式向东部创伤外科学会成员发放调查问卷。问卷内容包括人口统计学信息、当前和过去的研究经历、对研究质量趋势的看法以及学术成功的障碍。
回复率为40%（815人中322人回复）。回复者的平均年龄为45岁，73%的人报告完成了重症监护 fellowship，63%的人在大学环境中执业。大多数回复者同意或强烈同意基础科学研究（75%）和临床研究（82%）都变得更难开展。69%的人报告从所在机构获得资金变得更加困难，61%的人报告从行业或私人来源获得资金更加困难。约70%的人同意机构审查委员会（IRB）的规定、保密和同意要求阻碍了他们的研究工作，而86%的人同意临床要求的增加抑制了他们的研究工作。被视为阻碍多机构研究的因素依次为资金、IRB问题、协调不善、研究者的投入和后勤保障。认为成功开展研究事业存在障碍的因素包括受保护时间不足（42%）、资金（25%）、个人动力（11%）和IRB问题（11%）。
研究被认为更难进行。研究产出的主要障碍被认为是受保护时间减少、资金可用性降低和监管要求增加。
