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手术住院医师作为教育研究对象的保密性问题:一项试点研究。

Confidentiality concerns for surgical residents as educational research subjects: A pilot study.

机构信息

Oregon Health and Science University Department of Surgery, Portland, OR, USA.

Oregon Health and Science University Department of Surgery, Portland, OR, USA.

出版信息

Am J Surg. 2020 Sep;220(3):630-633. doi: 10.1016/j.amjsurg.2020.01.045. Epub 2020 Jan 25.

DOI:10.1016/j.amjsurg.2020.01.045
PMID:32033774
Abstract

BACKGROUND

Research within the field of surgical education has been expanding rapidly in order to guide future curricula. However, education studies often have minimal IRB oversight and evolving concerns exist regarding issues of informed consent of trainees.

METHODS

We conducted an electronic, single center, anonymous survey of general surgery residents. The survey study was IRB approved and subjects were provided with information and opt-out sheets.

RESULTS

The response rate was 43.5% (37/85). Approximately 76% of residents felt that education research was important and that they should participate. If a faculty member conducted the study, 18% of residents would feel coerced to participate and 21% would feel uncomfortable refusing to participate. The majority (81%) felt uncomfortable with peers viewing their identifiable records and a sizeable minority (24%) were uncomfortable with peers viewing de-identified records.

CONCLUSION

Surgical residents believe that educational research is important, but researchers should be cognizant of unintended consequences on resident autonomy and confidentiality.

摘要

背景

为了指导未来的课程,外科教育领域的研究一直在迅速扩展。然而,教育研究通常很少受到机构审查委员会的监督,而且关于学员知情同意的问题不断出现新的关注点。

方法

我们对普通外科住院医师进行了一项电子的、单中心的、匿名调查。这项调查研究获得了机构审查委员会的批准,并向受试者提供了信息和选择退出表。

结果

应答率为 43.5%(37/85)。大约 76%的住院医师认为教育研究很重要,他们应该参与。如果由一名教员进行研究,18%的住院医师会感到被迫参与,21%的住院医师会感到不舒服而拒绝参与。大多数(81%)住院医师对同行查看其可识别记录感到不舒服,相当一部分(24%)住院医师对同行查看去识别记录感到不舒服。

结论

外科住院医师认为教育研究很重要,但研究人员应该意识到这可能会对住院医师的自主权和保密性产生意外后果。

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