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中国医学研究生对研究伦理和研究伦理委员会的知识和态度:一项横断面研究。

Knowledge and attitudes of Chinese medical postgraduates toward research ethics and research ethics committees: a cross-sectional study.

机构信息

Medical Ethics Committee, Xiangya Hospital of Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, People's Republic of China.

School of Humanities, Central South University, Changsha, Hunan, 410012, People's Republic of China.

出版信息

BMC Med Educ. 2023 Jun 28;23(1):482. doi: 10.1186/s12909-023-04459-y.

Abstract

BACKGROUND

Research ethics provides the ethical standards for conducting sound and safe research. The field of medical research in China is rapidly growing and facing various ethical challenges. However, in China, little empirical research has been conducted on the knowledge and attitudes of medical postgraduates toward research ethics and RECs. It is critical for medical postgraduates to develop a proper knowledge of research ethics at the beginning of their careers. The purpose of this study was to assess the knowledge and attitudes of medical postgraduates toward research ethics and RECs.

METHODS

This cross-sectional study was conducted from May to July 2021 at a medical school and two affiliated hospitals in south-central China. The instrument of the study was an online survey that was distributed via WeChat.

RESULTS

We found that only 46.7% were familiar with the ethical guidelines for research with human subjects. In addition, 63.2% of participants were familiar with the RECs that reviewed their research, and 90.7% perceived RECs as helpful. However, only 36.8% were fully aware of the functions of RECs. In the meantime, 30.7% believed that review by an REC would delay research and make it more difficult for researchers. Furthermore, most participants (94.9%) believed that a course on research ethics should be mandatory for medical postgraduates. Finally, 27.4% of the respondents considered the fabrication of some data or results to be acceptable.

CONCLUSION

This paper serves to suggest that research ethics education should be prioritized in medical ethics curriculum, and course syllabi or teaching methods should be revised to provide medical postgraduates with a deeper understanding of the principles, regulations, and specifics of research ethics. We also recommend that RECs provide diverse approaches in their review procedure to facilitate the understanding of medical postgraduates of the functions and processes of RECs and to enhance their awareness of research integrity.

摘要

背景

研究伦理为开展健全和安全的研究提供了伦理标准。中国的医学研究领域正在迅速发展,并面临着各种伦理挑战。然而,在中国,对于医学研究生对研究伦理和伦理审查委员会(REC)的知识和态度,几乎没有进行过实证研究。对于医学研究生来说,在职业生涯的早期就对研究伦理有一个正确的认识是至关重要的。本研究的目的是评估医学研究生对研究伦理和 REC 的知识和态度。

方法

本横断面研究于 2021 年 5 月至 7 月在中国中南部的一所医学院和两家附属医院进行。研究工具是一份在线调查,通过微信分发。

结果

我们发现只有 46.7%的人熟悉涉及人体研究的伦理准则。此外,63.2%的参与者熟悉审查他们研究的 REC,90.7%的人认为 REC 有帮助。然而,只有 36.8%的人完全了解 REC 的功能。与此同时,30.7%的人认为 REC 的审查会延迟研究,使研究人员更难开展研究。此外,大多数参与者(94.9%)认为医学研究生应该必修研究伦理课程。最后,27.4%的受访者认为捏造一些数据或结果是可以接受的。

结论

本文建议在医学伦理学课程中优先考虑研究伦理教育,修订课程大纲或教学方法,使医学研究生更深入地了解研究伦理的原则、规定和具体内容。我们还建议 REC 采用多种方法进行审查,以促进医学研究生对 REC 的功能和程序的理解,增强他们对研究诚信的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e2/10303304/85434b2f4db3/12909_2023_4459_Fig1_HTML.jpg

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