School of Medicine, University College Dublin, Belfield, Dublin, Ireland.
PLoS One. 2021 Sep 27;16(9):e0257799. doi: 10.1371/journal.pone.0257799. eCollection 2021.
Research is a core competency of a modern-day doctor and evidence-based practice underpins a career in medicine. Early exposure encourages graduates to embed research in their medical career and improves graduate attributes and student experience. However, there is wide variability of research and scholarly experiences offered in medicals schools, many developed with a significant degree of pragmatism based on resources and financial and time constraints. We examined undergraduate medical students' awareness and experience of research throughout their degree to provide recommendations for implementation and improvement of research and scholarly experiences.
Focus groups were conducted with medical students at all five stages of the medical degree programme. Data was coded to facilitate qualitative analysis for identification of important themes from each stage.
Students reported positive impacts of research on undergraduate experience, future career and society in general. Two important themes emerged from the data, the opportunity for research and timing of research experiences. Early-stage students were concerned by their lack of experience and opportunity, whereas later-stage students identified the importance of research to employability, personal development and good medical practice, but ironically suggested it should be integrated in early stages of the course due to limitations of time.
Students provided feedback for improving research and scholarly experiences, ideally involving early exposure, a clear programme overview, with equality of access and a longitudinal approach. An emerging framework is proposed summarising the important issues identified by students and the positive impacts research experiences provide for them. These recommendations can be applied to both existing and new research programmes to provide a student-centred approach designed to augment the students' critical analysis, inspire life-long learning, enhance the student experience and inevitably train better physicians.
研究是现代医生的核心能力,循证实践是医学职业的基础。早期接触鼓励毕业生将研究融入他们的医学职业,并提高毕业生的素质和学生体验。然而,医学院提供的研究和学术经验存在很大的差异,许多都是基于资源以及财务和时间限制,具有很大的实用性。我们调查了医学生在整个学位期间对研究的认识和经验,为实施和改进研究和学术经验提供建议。
对医学学位课程的所有五个阶段的医学生进行了焦点小组讨论。对数据进行编码,以促进定性分析,从而从每个阶段确定重要主题。
学生报告研究对本科经历、未来职业和整个社会的积极影响。数据中出现了两个重要主题,即研究的机会和研究经验的时间安排。低年级学生对缺乏经验和机会感到担忧,而高年级学生则认为研究对就业能力、个人发展和良好的医疗实践很重要,但讽刺的是,由于时间限制,他们认为研究应该在课程的早期阶段进行整合。
学生为改进研究和学术经验提供了反馈,理想情况下包括早期接触、明确的课程概述、平等的机会和纵向方法。提出了一个新的框架,总结了学生提出的重要问题以及研究经验为他们提供的积极影响。这些建议可应用于现有和新的研究计划,以提供以学生为中心的方法,旨在增强学生的批判性分析能力、激发终身学习、提高学生体验,并不可避免地培养更好的医生。