中国西南地区住院医师对科研不端行为的认知、态度和实践：一项横断面研究。
Knowledge, attitudes and practices about research misconduct among medical residents in southwest China: a cross-sectional study.
机构信息
Department of Preventive Health, The Second Nanning People's Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning, People's Republic of China.
Department of Science and Education, The Second Nanning People's Hospital, The Third Affiliated Hospital of Guangxi Medical University, Nanning, People's Republic of China.
出版信息
BMC Med Educ. 2024 Mar 14;24(1):284. doi: 10.1186/s12909-024-05277-6.
BACKGROUND
With the emergence of numerous scientific outputs, growing attention is paid to research misconduct. This study aimed to investigate knowledge, attitudes and practices about research misconduct among medical residents in southwest China.
METHODS
A cross-sectional study was conducted in southwest China from November 2022 through March 2023. The links to the questionnaire were sent to the directors of the teaching management department in 17 tertiary hospitals. Answers were collected and analyzed. Logistic regression analysis was performed to explore the factors associated with research misconduct among residents.
RESULTS
6200 residents were enrolled in the study, and 88.5% of participants attended a course on research integrity, but 53.7% of participants admitted to having committed at least one form of research misconduct. Having a postgraduate or above, publishing papers as the first author or corresponding author, attending a course on research integrity, lower self-reported knowledge on research integrity and lower perceived consequences for research misconduct were positively correlated to research misconduct. Serving as a primary investigator for a research project was negatively associated with research misconduct. Most residents (66.3%) agreed that the reason for research misconduct is that researchers lack research ability.
CONCLUSIONS
The high self-reported rate of research misconduct among residents in southwest China underscores a universal necessity for enhancing research integrity courses in residency programs. The ineffectiveness of current training in China suggests a possible global need for reevaluating and improving educational approaches to foster research integrity. Addressing these challenges is imperative not only for the credibility of medical research and patient care in China but also for maintaining the highest ethical standards in medical education worldwide. Policymakers, educators, and healthcare leaders on a global scale should collaborate to establish comprehensive strategies that ensure the responsible conduct of research, ultimately safeguarding the integrity of medical advancements and promoting trust in scientific endeavors across borders.
背景
随着大量科学产出的出现，人们越来越关注研究不端行为。本研究旨在调查中国西南地区医学住院医师对研究不端行为的知识、态度和实践。
方法
2022 年 11 月至 2023 年 3 月在中国西南地区进行了一项横断面研究。研究向 17 家三级医院的教学管理部门主任发送了问卷链接。收集并分析了答案。采用逻辑回归分析探讨了与住院医师研究不端行为相关的因素。
结果
共有 6200 名住院医师参加了这项研究，88.5%的参与者参加了研究诚信课程，但 53.7%的参与者承认至少有一种形式的研究不端行为。具有研究生或以上学历、以第一作者或通讯作者身份发表论文、参加研究诚信课程、自我报告的研究诚信知识较低、对研究不端行为的感知后果较低与研究不端行为呈正相关。作为研究项目的主要研究者与研究不端行为呈负相关。大多数住院医师（66.3%）认为研究不端行为的原因是研究人员缺乏研究能力。
结论
中国西南地区住院医师自我报告的研究不端行为率较高，突显了在住院医师培训计划中加强研究诚信课程的普遍必要性。中国目前培训的无效性表明，可能需要重新评估和改进全球教育方法，以培养研究诚信。解决这些挑战不仅对中国的医学研究和患者护理的可信度至关重要，而且对维护全球医学教育的最高伦理标准也至关重要。全球的政策制定者、教育者和医疗保健领导者应合作制定全面战略，确保负责任地开展研究，最终保护医学进步的完整性，并在全球范围内促进对科学努力的信任。
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