Primary Care Clinical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
BMC Med Educ. 2014 May 14;14:94. doi: 10.1186/1472-6920-14-94.
Ensuring that doctors in training acquire sufficient knowledge, experience and understanding of medical research is a universal and longstanding issue which has been brought into sharper focus by the growth of evidence based medicine. All healthcare systems preparing doctors in training for practice have to balance the acquisition of specific clinical attitudes, knowledge and skills with the wider need to ensure doctors are equipped to remain professionally competent as medical science advances. Most professional medical bodies acknowledge that this requires trainee doctors to experience some form of research education, not only in order to carry out original research, but to acquire sufficient academic skills to become accomplished research consumers in order to remain informed throughout their professional practice. There are many barriers to accomplishing this ambitious aim.
This article briefly explains why research collaboratives are necessary, describes how to establish a collaborative, and recommends how to run one. It is based on the experiences of the pioneering West Midlands Research Collaborative and draws on the wider literature about the organisation and delivery of high quality research projects. Practical examples of collaborative projects are given to illustrate the potential of this form of research organisation.
The new trainee-led research collaboratives provide a supportive framework for planning, ownership and delivery of high quality multicentre research. This ensures clinical relevance, increases the chances of research findings being translated into changes in practice and should lead to improved patient outcomes. Research collaboratives also enhance the research skills and extend the scientific horizons of doctors in training.
确保培训中的医生获得足够的医学研究知识、经验和理解,是一个普遍且由来已久的问题,随着循证医学的发展,这个问题更加突出。所有培训医生的医疗体系都必须在获得特定临床态度、知识和技能与更广泛的需求之间取得平衡,以确保医生能够随着医学科学的进步保持专业能力。大多数专业医疗机构都承认,这需要实习医生接受某种形式的研究教育,不仅是为了进行原创研究,也是为了获得足够的学术技能,成为有成就的研究消费者,以便在整个职业生涯中保持信息灵通。要实现这一雄心勃勃的目标,存在许多障碍。
本文简要解释了为什么需要研究协作,描述了如何建立协作,并为如何管理协作提供了建议。它基于开创性的西米德兰兹研究协作组织的经验,并借鉴了关于组织和交付高质量研究项目的更广泛文献。协作项目的实际例子被给出,以说明这种研究组织形式的潜力。
新的由培训生主导的研究协作组织为规划、拥有和交付高质量的多中心研究提供了一个支持性框架。这确保了研究的临床相关性,增加了研究结果转化为实践改变的机会,并应导致患者结局的改善。研究协作组织还提高了实习医生的研究技能和拓展了他们的科学视野。