School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa.
BMJ Open. 2023 Aug 3;13(8):e070836. doi: 10.1136/bmjopen-2022-070836.
Medical curricula should prepare doctors for roles that extend beyond that of a clinician. But the formal inclusion of both management and research training still appear to be neglected. It is important to understand what the profession would be willing to give up in terms of clinical training time for management and research content teaching prior to making any changes in a medical curriculum.
A discrete choice experiment will elicit the preferences and trade-offs that medical doctors in Southern Africa are prepared to make about the management, research and clinical training. Attention will also be given to the teaching method and placement of the content. DCE data will be collected using an online survey with an estimated sample size of 368 medical doctors. Data regarding participants' preference for a traditional or revised curriculum will be assessed using the Resistance to Change-Beliefs (RC-B) scale and demographic information will also be collected to assess preference heterogeneity.Analysis of the DCE data will be based on the Random Utility Maximisation framework using variants of the multinomial logit model. Data quality will be assessed. Value will be estimated in terms of clinical time, that is, how much clinical training time medical doctors are willing to give up to have research and management training within a curriculum that has a maximum of 40 hours per week. Observed preference heterogeneity will be assessed using the RC-B scale data and characteristics of respondents. Latent class models will be used to test for unobserved heterogeneity.
The research ethics and institutional committees of the sites have approved the study. The survey includes an informed consent section. Study findings will be reported to the medical schools and papers will be submitted to peer-reviewed, accredited journals and higher education and health economic conferences.
医学课程应使医生能够胜任超出临床医生范畴的角色。然而，管理和研究培训的正式纳入似乎仍然被忽视。在对医学课程进行任何更改之前，了解专业人员愿意在临床培训时间方面为管理和研究内容教学做出哪些让步是很重要的。
离散选择实验将引发南非医生对管理、研究和临床培训的偏好和权衡取舍。同时，也将关注教学方法和内容的设置。DCE 数据将通过一项在线调查进行收集，预计样本量为 368 名医生。使用 Resistance to Change-Beliefs (RC-B) 量表评估参与者对传统或修订课程的偏好，并收集人口统计信息以评估偏好异质性。DCE 数据的分析将基于随机效用最大化框架，使用多项逻辑回归模型的变体。将评估数据质量。将根据临床时间来评估价值，即医生愿意放弃多少临床培训时间，以便在每周最多 40 小时的课程中获得研究和管理培训。使用 RC-B 量表数据和受访者特征评估观察到的偏好异质性。潜在类别模型将用于测试未观察到的异质性。
该研究的伦理和机构委员会已批准了该研究。调查包括知情同意部分。研究结果将报告给医学院，并将论文提交给同行评议的、认可的期刊以及高等教育和健康经济会议。
