丹麦-美国研究交流（DARE）：一项中丹合作研究教育项目的横断面研究。

The Danish-American Research Exchange (DARE): a cross-sectional study of a binational research education program.

机构信息

Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.

Independent Consultant, Copenhagen, Denmark.

出版信息

BMC Med Educ. 2023 Feb 6;23(1):96. doi: 10.1186/s12909-023-04002-z.

DOI:10.1186/s12909-023-04002-z

PMID:36747167

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9902060/

Abstract

BACKGROUND

Most medical educational programs emphasize clinical observation or clinical skill acquisition, fewer focus upon research. The Danish-American Research Exchange (DARE) program, sponsored by the Lundbeck Foundation, is unique in that the medical student initiates biomedical research collaboration between Danish and US medical institutions. To achieve this, Danish medical students (DARE students) conduct binational mentored research projects while based in the United States for 10 months. In addition, DARE students are introduced to interdisciplinary thinking about how to develop ultra-low-cost healthcare interventions through the '$10 Challenge'.

METHODS

We conducted a cross-sectional study of DARE alumni over five consecutive years (2015-2020, n = 24). Research metrics included completion of a research project, primary authorship, and co-authorship of publications. The number of publications, prior to and after the DARE program were enumerated. For the first four cohorts, graduation from medical school and acceptance or intention to enter a joint MD-PhD program also were assessed. Two focus groups were conducted using constructivist grounded theory. Discussions were transcribed, redacted, and coded using Dedoose software.

RESULTS

DARE Medical students were 31.2 years (range 24-35), the majority were women (67%;16/24). The majority (17/24;71%) completed a first author publication in a peer-reviewed journal with a median of 3.9 per DARE alumnus. DARE alumnus reported increased proficiency in biostatistics, epidemiology, coding and public speaking as well as stronger research qualities in creativity, critical thinking, comfort in approaching scientist in both the US and Denmark (p < 0.001 for all). Qualitative key themes included: increased confidence, a deepening of research inquiry and linkage to a research network.

CONCLUSIONS

Preliminarily, this study suggests that medical students can initiate binational collaboration in medicine. Benefits include research productivity, intention to pursue academic medical careers, as well as positive impacts on motivation. This medical student-initiated research model lays the groundwork for using this model across other country pairs to promote binational collaboration.

摘要

背景

大多数医学教育项目强调临床观察或临床技能的获取，而较少关注研究。由伦德贝克基金会赞助的丹麦-美国研究交流（DARE）计划是独一无二的，因为医学生在美国进行为期 10 个月的丹麦和美国医疗机构之间的生物医学研究合作。为此，丹麦医学生（DARE 学生）在美国进行双边指导研究项目。此外，DARE 学生通过“10 美元挑战”，了解如何开发超低成本医疗干预措施的跨学科思维。

方法

我们对连续五年（2015-2020 年，n=24）的 DARE 校友进行了横断面研究。研究指标包括完成研究项目、主要作者和发表论文的合著者。在 DARE 项目之前和之后，分别计算了出版物的数量。对于前四个队列，还评估了从医学院毕业以及接受或打算进入联合 MD-PhD 课程的情况。使用建构主义扎根理论进行了两次焦点小组讨论。使用 Dedoose 软件对讨论记录进行转录、编辑和编码。

结果

DARE 医学生的年龄为 31.2 岁（24-35 岁），大多数是女性（67%；16/24）。大多数（17/24；71%）在同行评议期刊上完成了第一作者的出版物，每位 DARE 校友的中位数为 3.9 篇。DARE 校友报告说，他们在生物统计学、流行病学、编码和公开演讲方面的熟练程度有所提高，并且在创造力、批判性思维、在美国和丹麦与科学家接触的舒适度方面的研究素质也有所增强（所有 p<0.001）。定性关键主题包括：增强了信心、深化了研究探究以及与研究网络的联系。