临床中的科学：一项在日常临床环境中定位 MD-PhD 的定性研究。
Science in the clinic: a qualitative study of the positioning of MD-PhDs in the everyday clinical setting.
机构信息
Centre for Health Sciences Education, Aarhus University, INCUBA Science Park - Skejby, Palle Juul-Jensens Boulevard 82, building B, 8200, Aarhus N, Denmark.
出版信息
BMC Med Educ. 2018 May 25;18(1):115. doi: 10.1186/s12909-018-1222-2.
BACKGROUND
MD-PhDs have been hailed as significant to the advancement of medicine and health care. Yet when it comes to which positions MD-PhDs should be holding in the clinic and the academic world, there seems to be no real consensus. This article examines the ways in which a PhD-degree may contribute to medical doctors' professional practice in the clinic and discusses the positioning of MD-PhDs in the clinic.
METHODS
The study is explorative and qualitative, based on interviews with MD-PhDs, their physician colleagues without a PhD-degree, and their leaders. Positioning theory was applied as the analytical framework for data analysis.
RESULTS
We found two opposing positions cutting across the groups of informants with one side critiquing the MD-PhDs for not doing enough research and for using the PhD-degree to climb the career ladder, while the other side emphasized the ways in which MD-PhDs increase the clinical focus on evidence-based medicine and integrate it with clinical decision making, thereby enhancing patient care.
CONCLUSIONS
A debate is needed to establish more clearly how we wish to position MD-PhDs in the clinic, which in turn will give us a better idea of how many to educate and how to make better use of their competencies.
背景
医学博士被认为对医学和医疗保健的发展至关重要。然而，当涉及到医学博士应该在临床和学术领域担任哪些职位时，似乎没有真正的共识。本文探讨了博士学位如何有助于医生在临床实践中的专业工作，并讨论了医学博士在临床中的定位。
方法
本研究是探索性和定性的，基于对医学博士、没有博士学位的医生同事及其领导的访谈。定位理论被应用于数据分析的分析框架。
结果
我们发现了两种截然相反的立场，贯穿于信息提供者群体，一方批评医学博士做的研究不够，利用博士学位攀登职业阶梯，而另一方则强调医学博士如何增加对循证医学的临床关注，并将其与临床决策相结合，从而提高患者护理水平。
结论
需要进行一场辩论，以更明确地确定我们希望如何在临床中定位医学博士，这反过来将使我们更好地了解需要培养多少医学博士，以及如何更好地利用他们的能力。
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