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培养未来的医学科学家:评估研究动机、实践以及医学学生从事学术职业所感知到的障碍的影响。

Grooming Future Physician-scientists: Evaluating the Impact of Research Motivations, Practices, and Perceived Barriers Towards the Uptake of an Academic Career Among Medical Students.

作者信息

Mahmood Shah Sayed Mustafa, Sohail Mahnoor, Ahmad Khwaja Mubeen, Imtiaz Fouzia, Iftikhar Sundus

机构信息

Department of Internal Medicine, Dow University of Health Sciences (DUHS), Karachi, Pakistan.

Biochemistry, Dow University of Health Sciences (DUHS), Karachi, Pakistan.

出版信息

Cureus. 2017 Dec 27;9(12):e1991. doi: 10.7759/cureus.1991.

Abstract

PURPOSE

To evaluate the research trends and underlying motivations that shape intentions for the future uptake of an academic career among medical students. Further, to investigate the barriers and sought-after interventions which may optimise research outcomes in a resource-limited setting.

METHODS

A cross-sectional study was conducted among 294 undergraduate (UG) medical students in Karachi, Pakistan. A self-administered questionnaire was employed to assess current research practices and future intentions, and to evaluate related motivations, barriers, and sought-after interventions.

RESULTS

Almost two-thirds of medical students reported some form of involvement in medical research and expressed positive attitudes towards the same. However, intentions to pursue research at a professional level not only remained low (19.7%) but were found to decrease with each passing year of study (p<0.01). The most commonly expressed motivation for pursuing research was "admission into a residency program" (71.8%), and was associated with a decreased likelihood of pursuing research professionally. The most cited barriers to conducting UG research were a "lack of time" (72.4%), "lack of supervisors" (50.3%) and a "lack of opportunities in the university" (48.3%). A dichotomy in sought-after interventions was observed among research-naïve and research-experienced students.

CONCLUSIONS

Despite promising trends in UG medical research, the intentions for uptake of an academic career remain low. Research practices driven by career enhancement alone may be detrimental. Interventions to increase research output must promote the capacity building of research-naïve students and facilitate the ongoing practices of research-experienced students.

摘要

目的

评估影响医学生未来从事学术职业意向的研究趋势及潜在动机。此外,调查在资源有限的环境中可能优化研究成果的障碍及理想干预措施。

方法

在巴基斯坦卡拉奇的294名本科医学生中开展了一项横断面研究。采用自填式问卷评估当前的研究实践和未来意向,并评估相关动机、障碍及理想干预措施。

结果

近三分之二的医学生报告参与过某种形式的医学研究,并对其持积极态度。然而,打算在专业层面从事研究的意向不仅仍然很低(19.7%),而且随着学习年份的增加而降低(p<0.01)。从事研究最常见的动机是“进入住院医师培训项目”(71.8%),且这与专业从事研究可能性降低有关。本科研究最常被提及的障碍是“时间不足”(72.4%)、“缺乏导师”(50.3%)和“大学缺乏机会”(48.3%)。在无研究经验和有研究经验的学生中观察到对理想干预措施的分歧。

结论

尽管本科医学研究有良好趋势,但从事学术职业的意向仍然很低。仅由职业发展驱动的研究实践可能有害。增加研究产出的干预措施必须促进无研究经验学生的能力建设,并为有研究经验的学生的现有实践提供便利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a816/5828671/84a6585cf82d/cureus-0009-00000001991-i01.jpg

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