Czoli Christine, Da Silva Michael, Shaul Randi Zlotnik, d'Agincourt-Canning Lori, Simpson Christy, Boydell Katherine, Rashkovan Natalie, Vanin Sharon
The Hospital for Sick Children, c/o Bioethics Department, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada.
Philos Ethics Humanit Med. 2011 Oct 5;6:15. doi: 10.1186/1747-5341-6-15.
Physician-researchers are bound by professional obligations stemming from both the role of the physician and the role of the researcher. Currently, the dominant models for understanding the relationship between physician-researchers' clinical duties and research duties fit into three categories: the similarity position, the difference position and the middle ground. The law may be said to offer a fourth "model" that is independent from these three categories.These models frame the expectations placed upon physician-researchers by colleagues, regulators, patients and research participants. This paper examines the extent to which the data from semi-structured interviews with 30 physician-researchers at three major pediatric hospitals in Canada reflect these traditional models. It seeks to determine the extent to which existing models align with the described lived experience of the pediatric physician-researchers interviewed.Ultimately, we find that although some physician-researchers make references to something like the weak version of the similarity position, the pediatric-researchers interviewed in this study did not describe their dual roles in a way that tightly mirrors any of the existing theoretical frameworks. We thus conclude that either physician-researchers are in need of better training regarding the nature of the accountability relationships that flow from their dual roles or that models setting out these roles and relationships must be altered to better reflect what we can reasonably expect of physician-researchers in a real-world environment.
医生-研究人员受到源于医生角色和研究人员角色的专业义务的约束。目前，理解医生-研究人员临床职责与研究职责之间关系的主流模式可分为三类：相似性立场、差异性立场和中间立场。法律可以说是提供了一种独立于这三类的第四种“模式”。这些模式构成了同事、监管机构、患者和研究参与者对医生-研究人员的期望。本文探讨了对加拿大三家主要儿童医院的30名医生-研究人员进行半结构化访谈所获得的数据在多大程度上反映了这些传统模式。它试图确定现有模式与接受访谈的儿科医生-研究人员所描述的实际经历的契合程度。最终，我们发现，尽管一些医生-研究人员提到了类似于相似性立场弱版本的内容，但本研究中接受访谈的儿科研究人员并未以紧密反映任何现有理论框架的方式描述他们的双重角色。因此，我们得出结论，要么医生-研究人员需要就其双重角色所产生的问责关系的性质接受更好的培训，要么必须改变阐述这些角色和关系的模式，以更好地反映在现实环境中我们对医生-研究人员的合理期望。
