School of Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
Department of Obstetrics and Gynaecology, Monash University, Melbourne, Australia.
BMC Med Educ. 2021 May 10;21(1):267. doi: 10.1186/s12909-021-02713-9.
Research engagement plays an integral role in developing clinicians that practice effective, evidence-based medicine. Research participation by clinicians, however, is declining. Given the link between research during medical school and future research output, promotion of medical student research is one avenue by which this shortage can be addressed. Student research attitudes and participation in Australia are not well-documented in the literature. This study therefore aims to investigate research practices, motivators, and barriers amongst Australian medical students in order to determine whether there is a need for further integration of research within Australian medical school curriculums.
A cross-sectional study design was used to explore research experience and attitudes, as well as the enablers and barriers to research amongst students enrolled in all years of the five-year medical course at Monash University. A questionnaire was created by combining questions from several surveys on medical student research and comprised Likert scales, multiple choice options and free-text responses assessing research experience, attitudes, motivators, and barriers.
Seven hundred and four respondents (69.4% female; survey response rate 36.7%) reported variable research experience and interest. Less than half of the cohort (n = 296; 44.9%) had contributed to a research project. Increasing employability for specialty training programs was the primary motivating factor (n = 345; 51.9%) for pursuing research, with only 20.5% (n = 136) citing an interest in academia as a motivator. Time constraints (n = 460; 65.3%) and uncertainty surrounding how to find research opportunities (n = 449; 63.8%) were the most common barriers to research.
Medical students at Monash University are interested in but have limited experience with research. Students are, however, primarily motivated by the prospect of increasing employability for specialist training; medical schools should therefore focus on encouraging intrinsic motivation for pursuing research. Greater integration of research education and opportunities within medical school curricula may also be required to provide students with the skills necessary to both pursue research and practice evidence-based medicine.
研究参与在培养实践有效、基于证据的医学的临床医生方面发挥着不可或缺的作用。然而,临床医生的研究参与正在减少。鉴于医学院期间的研究与未来的研究产出之间存在联系,促进医学生的研究是解决这一短缺问题的一种途径。澳大利亚医学生的研究态度和参与情况在文献中没有得到很好的记录。因此,本研究旨在调查澳大利亚医学生的研究实践、动机和障碍,以确定是否需要进一步将研究纳入澳大利亚医学院课程。
采用横断面研究设计,调查莫纳什大学五年制医学课程所有年级学生的研究经验和态度,以及研究的促进因素和障碍。调查问卷由几个医学生研究调查的问题组合而成,包括李克特量表、多项选择题和自由文本回答,评估研究经验、态度、动机和障碍。
704 名受访者(女性占 69.4%;调查回复率为 36.7%)报告了不同的研究经验和兴趣。不到一半的学生(n=296;44.9%)参与了研究项目。增加就业机会以获得专科培训计划是从事研究的主要动机(n=345;51.9%),只有 20.5%(n=136)表示对学术界的兴趣是一个动机。时间限制(n=460;65.3%)和对如何寻找研究机会的不确定性(n=449;63.8%)是研究的最常见障碍。
莫纳什大学的医学生对研究感兴趣,但经验有限。学生主要受增加专科培训就业机会的前景所激励;因此,医学院应专注于鼓励从事研究的内在动机。可能还需要进一步将研究教育和机会纳入医学院课程,以使学生具备从事研究和实践循证医学所需的技能。