L.A. Maggio is associate professor of medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. A.R. Artino Jr is professor of medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. K. Picho is assistant professor of medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. E.W. Driessen is professor of medical education, Faculty of Health, Medicine and Life Science, Maastricht University, the Netherlands.
Acad Med. 2018 Apr;93(4):544-549. doi: 10.1097/ACM.0000000000001805.
Engaging in questionable research practices (QRPs) is a noted problem across many disciplines, including medical education. While QRPs are rarely discussed in the context of medical education, that does not mean that medical education researchers are immune. Therefore, the authors seek to raise medical educators' awareness of the responsible conduct of research (RCR) and call the community to action before QRPs negatively affect the field.The authors define QRPs and introduce examples that could easily happen in medical education research because of vulnerabilities particular to the field. The authors suggest that efforts in research, including medical education research, should focus on facilitating a change in the culture of research to foster RCR, and that these efforts should make explicit both the individual and system factors that ultimately influence researcher behavior. They propose a set of approaches within medical education training initiatives to foster such a culture: empowering research mentors as role models, open airing of research conduct dilemmas and infractions, protecting whistle blowers, establishing mechanisms for facilitating responsibly conducted research, and rewarding responsible researchers.The authors recommend that efforts at culture change be focused on the growing graduate programs, fellowships, and faculty academies in medical education to ensure that RCR training is an integral component for both students and faculty. They encourage medical education researchers to think creatively about solutions to the challenges they face and to act together as an international community to avoid wasting research efforts, damaging careers, and stunting medical education research through QRPs.
在许多学科中，从事有问题的研究实践（QRPs）是一个众所周知的问题，包括医学教育。虽然 QRPs 在医学教育背景下很少被讨论，但这并不意味着医学教育研究人员不受影响。因此，作者旨在提高医学教育工作者对负责任研究行为（RCR）的认识，并呼吁在 QRPs 对该领域产生负面影响之前采取行动。
作者定义了 QRPs，并介绍了一些在医学教育研究中由于该领域的特殊脆弱性很容易发生的例子。作者建议，包括医学教育研究在内的研究工作应侧重于促进研究文化的变革，以培养 RCR，并且这些工作应该明确影响研究人员行为的个人和系统因素。他们提出了一套在医学教育培训计划中培养这种文化的方法：授权研究导师作为榜样，公开研究行为困境和违规行为，保护举报者，建立促进负责任研究的机制，并奖励负责任的研究人员。
作者建议，文化变革的努力应集中在不断发展的研究生课程、奖学金和医学教育教师学院，以确保 RCR 培训成为学生和教师的一个组成部分。他们鼓励医学教育研究人员创造性地思考他们所面临的挑战的解决方案，并作为一个国际共同体共同行动，避免浪费研究努力、破坏职业生涯，并通过 QRPs 阻碍医学教育研究的发展。
