Navarro-Chumbes Gian Carlos, Montano-Torres Silvia Margarita, Díaz-Vásquez Alberto, Zunt Joseph Raymond
School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru;
Neurol Int. 2010 Jun 21;2(1):e6. doi: 10.4081/ni.2010.e6.
In Peru, despite a strong clinical research infrastructure in Lima, and Masters degree programs in epidemiology at three universities, few neurologists participate in clinical research. It was our objective to identify perceived needs and opportunities for increasing clinical research capacity and training opportunities for Peruvian neurologists. We conducted a descriptive, cross-sectional survey of Peruvian neurologists in Lima and Arequipa, Peru. Forty-eight neurologists completed written surveys and oral interviews. All neurologists reported interest in clinical research, but noted that lack of time and financial resources limited their ability to participate. Although most neurologists had received some training in epidemiology and research design as medical students or residents, the majority felt these topics were not adequately covered. Neurologists in Arequipa noted international funding for clinical research was uncommon outside the capital city of Lima. We concluded that clinical research is important to Peruvian neurologists. The three main barriers to increased participation in clinical research identified by neurologists were insufficient training in clinical research methodology, meager funding opportunities, and lack of dedicated time to participate in clinical research. Distance learning holds promise as a method for providing additional training in clinical research methodology, especially for neurologists who may have difficulty traveling to larger cities for additional training.
在秘鲁,尽管利马拥有强大的临床研究基础设施,且三所大学设有流行病学硕士学位课程,但很少有神经科医生参与临床研究。我们的目标是确定秘鲁神经科医生在提高临床研究能力和培训机会方面所感知到的需求与机遇。我们对秘鲁利马和阿雷基帕的神经科医生进行了一项描述性横断面调查。48名神经科医生完成了书面调查和口头访谈。所有神经科医生均表示对临床研究感兴趣,但指出时间和资金资源的匮乏限制了他们参与的能力。尽管大多数神经科医生在医学院学生或住院医师阶段接受过一些流行病学和研究设计方面的培训,但大多数人认为这些主题的涵盖并不充分。阿雷基帕的神经科医生指出,在首都利马以外,临床研究的国际资金并不常见。我们得出结论,临床研究对秘鲁神经科医生很重要。神经科医生确定的增加参与临床研究的三个主要障碍是临床研究方法培训不足、资金机会匮乏以及缺乏参与临床研究的专门时间。远程学习有望成为提供临床研究方法额外培训的一种方式,特别是对于那些前往大城市接受额外培训可能有困难的神经科医生。