Chan Jason Yongsheng, Narasimhalu Kaavya, Goh Orlanda, Xin Xiaohui, Wong Tien Yin, Thumboo Julian, Phua Ghee Chee
Department of Medical Oncology, National Cancer Centre Singapore, Singapore.
Department of Internal Medicine, Singapore General Hospital, Singapore.
Singapore Med J. 2017 Apr;58(4):212-217. doi: 10.11622/smedj.2016059. Epub 2016 Mar 15.
Although research is widely considered to be a relevant and essential skill to resident development, the actual participation rate of residents in research remains low, and the factors associated with participation are unclear.
We examined the participation rate of junior residents in research, and their attitudes and perceived barriers toward research, via an anonymised survey carried out from October to November 2013. The residents were from an established Accreditation Council for Graduate Medical Education-accredited internal medicine residency training programme in Singapore.
The overall response rate was 64.1% (82/128 residents). The most frequently cited barrier was lack of time. Only a third of the residents surveyed were actively participating in research. Those with postgraduate qualifications were more likely to be involved in research (odds ratio 4.71, p = 0.015). Among the 82 residents, 40.2% reported an interest in research as part of their career; these were mainly graduates from overseas universities or postgraduates. A belief that research is an intrinsically valuable activity distinguished residents who chose research as a career path from those who were undecided (p = 0.004). The belief that research is a means to better clinical practice also divided those who chose research from those who rejected it (p = 0.02).
Our findings suggest that specific beliefs determine the level of research activity and career interest among residents. Novel strategies may be incorporated in training programmes to improve the interest and participation of residents in research, and to facilitate the development of academic clinicians.
尽管研究被广泛认为是住院医师培养的一项相关且必不可少的技能,但住院医师实际参与研究的比例仍然很低,且与参与相关的因素尚不清楚。
我们通过2013年10月至11月进行的一项匿名调查,研究了初级住院医师的研究参与率、他们对研究的态度以及感知到的研究障碍。这些住院医师来自新加坡一个已获得研究生医学教育认证委员会认可的内科住院医师培训项目。
总体回复率为64.1%(128名住院医师中的82名)。最常提到的障碍是时间不足。接受调查的住院医师中只有三分之一积极参与研究。拥有研究生学历的人更有可能参与研究(优势比4.71,p = 0.015)。在82名住院医师中,40.2%表示对将研究作为其职业的一部分感兴趣;这些人主要是海外大学的毕业生或研究生。认为研究是一项具有内在价值的活动,这使得选择研究作为职业道路的住院医师与尚未做出决定的住院医师区分开来(p = 0.004)。认为研究是改善临床实践的一种手段,这也将选择研究的人与拒绝研究的人区分开来(p = 0.02)。
我们的研究结果表明,特定的信念决定了住院医师的研究活动水平和职业兴趣。可以在培训项目中纳入新的策略,以提高住院医师对研究的兴趣和参与度,并促进学术临床医生的培养。