Andresen Nicholas S, Olson Tyler S, Krasowski Matthew D
University of Iowa, Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, 52242, USA.
Department of Pathology, University of Iowa, Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, 52242, USA.
BMC Res Notes. 2017 Jul 11;10(1):272. doi: 10.1186/s13104-017-2596-7.
Attitudes towards conflict of interest (COI) and COI policy are shaped during medical school and influence both the education of medical students and their future medical practice. Understanding the current attitudes of medical students and medical school teaching faculty may provide insight into what is taught about COI and COI policy within the 'hidden' medical curriculum. Differences between medical student and medical school teaching faculty perceptions of COI and COI policy have not been compared in detail. The authors surveyed first year medical students and medical school teaching faculty at one academic medical center.
The response rate was 98.7% (150/152) for students and 34.2% (69/202) for faculty. Students were less likely than faculty to agree that lecturers should disclose COI to any learners (4.06 vs. 4.31, p = 0.01), but more likely to agree that COI disclosure decreases the presentation of biased material (3.80 vs. 3.21, p < 0.001). Student and faculty responses for all other questions were not different. Many of these responses suggest student and faculty support for stronger COI policy at academic medical centers.
Students and faculty perceptions regarding COI and COI policy are largely similar, but differ in terms of the perceived effectiveness of COI disclosure. This study also suggests that medical students and medical school teaching faculty support for stronger COI policy at academic medical centers.
对利益冲突(COI)和COI政策的态度在医学院校学习期间形成,并影响医学生的教育及其未来的医疗实践。了解医学生和医学院教师目前的态度,可能有助于洞察“隐性”医学课程中关于COI和COI政策的教学内容。医学生和医学院教师对COI和COI政策的认知差异尚未得到详细比较。作者对一所学术医疗中心的一年级医学生和医学院教师进行了调查。
学生的回复率为98.7%(150/152),教师的回复率为34.2%(69/202)。学生比教师更不太可能同意讲师应向所有学习者披露COI(4.06对4.31,p = 0.01),但更有可能同意披露COI会减少有偏见材料的呈现(3.80对3.21,p < 0.001)。学生和教师对所有其他问题的回答没有差异。这些回答中的许多表明学生和教师支持在学术医疗中心制定更强有力的COI政策。
学生和教师对COI和COI政策的认知在很大程度上相似,但在COI披露的感知有效性方面存在差异。这项研究还表明,医学生和医学院教师支持在学术医疗中心制定更强有力的COI政策。