整形外科住院医师开展研究的障碍和态度:一项全国多中心横断面研究。

Barriers and Attitudes to Research Among Residents in Plastic and Reconstructive Surgery: A National Multicenter Cross-Sectional Study.

出版信息

J Surg Educ. 2017 Nov-Dec;74(6):1094-1104. doi: 10.1016/j.jsurg.2017.04.004. Epub 2017 May 24.

Abstract

OBJECTIVE

Research sets the foundation for developing plastic surgeons who think critically and approach clinical practice with an inquisitive mind. The objective of this study was to characterize current attitudes and perceived barriers towards conducting research during residency.

DESIGN

A validated 36-item questionnaire was developed by a national task-force of Canadian plastic surgery trainees. The survey was distributed to all 13 plastic surgery programs in Canada. Data was collected for a period of 2 months in the form of multiple choice, Likert scales and short answers.

RESULTS

The response rate was 64% (95/149) with representation from all 13 plastic surgery programs across Canada. The top three perceived barriers to conducting research were lack of time (83%), insufficient access to research supervisors and mentors (42%) and the research ethics process (38%). More than 70% of residents were interested in conducting research during residency and 74% of programs have a research requirement integrated into their curriculum. Despite this, less than half of residents (47%) believed that their program fosters a culture that promotes research. This was attributed to multiple factors, including a lack of internal research funding (78%), limited access to a research methods or clinical trials unit (78%), and insufficient research training (68%). University research ranking had no correlation with residents' scholarly output or their perceptions towards research barriers.

CONCLUSION

Canadian Plastic Surgery residents identified several important factors considered to be barriers to research. Programs can use these findings to address barriers and improve the integration of research throughout residency training.

摘要

目的

研究为培养批判性思维的整形外科医生奠定了基础,使他们能够以好奇的心态进行临床实践。本研究的目的是描述当前在住院医师培训期间进行研究的态度和感知障碍。

设计

由加拿大整形外科住院医师国家特别工作组制定了一个经过验证的 36 项问卷。该调查分发给加拿大所有 13 个整形外科项目。以多项选择题、李克特量表和简短回答的形式收集了为期 2 个月的数据。

结果

回复率为 64%(95/149),代表了加拿大所有 13 个整形外科项目。进行研究的前三大感知障碍是缺乏时间(83%)、缺乏研究导师和指导者(42%)以及研究伦理过程(38%)。超过 70%的住院医师有兴趣在住院医师培训期间进行研究,并且 74%的项目将研究要求纳入其课程。尽管如此,只有不到一半的住院医师(47%)认为他们的项目培养了促进研究的文化。这归因于多个因素,包括缺乏内部研究资金(78%)、缺乏研究方法或临床试验单位的机会(78%)以及研究培训不足(68%)。大学的研究排名与住院医师的学术成果或他们对研究障碍的看法没有相关性。

结论

加拿大整形外科住院医师确定了几个被认为是研究障碍的重要因素。各项目可以利用这些发现来解决障碍,并在住院医师培训期间加强研究的整合。

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