Gold Coast Hospital and Health Service, Queensland Health, Gold Coast, QLD, Australia.
Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia.
BMC Med Educ. 2024 Sep 18;24(1):1021. doi: 10.1186/s12909-024-05954-6.
Many medical trainees, prior to achieving specialist status, are required to complete a mandatory research project, the usefulness of which has been debated. The aim of this study was to gain an in-depth understanding of trainees' experiences and satisfaction of conducting such research projects in Australia.
A qualitative descriptive approach was used. Semi-structured interviews with trainees were undertaken between May 2021 and June 2022. Australian medical trainees who had completed a research project as part of specialty training within the past five years were invited to participate. The purposive sample was drawn from participants in a survey on the same topic who had indicated interest in participating in an interview. Interviews explored trainees' overall experience of and satisfaction with conducting research projects, as well as their perceptions of research training, support, barriers, enablers, and perceived benefits. Interviews were transcribed verbatim and thematically analysed.
Sixteen medical doctors from seven medical colleges were interviewed. Trainee experience and satisfaction was highly variable between participants and was shaped by four factors: 1) trainees entered their specialty training with their own perspectives on the value and purpose of the research project, informed by their previous experiences with research and perceived importance of research in their planned career path; 2) in conducting the project, enablers including protected time, supervisor support and institutional structures, were vital to shaping their experience; 3) trainees' access to these enablers was variable, mediated by a combination of luck, and the trainees' own drive and research skill; and 4) project outcomes, in terms of research merit, learning, career benefits and impacts on patient care.
Trainee experiences of doing research were mixed, with positive experiences often attributed to chance rather than an intentionally structured learning experience. We believe alternatives to mandatory trainee research projects must be explored, including recognising other forms of research learning activities, and directing scarce resources to supporting the few trainees who plan to pursue clinician researcher careers.
在获得专科医师资格之前，许多医学受训者都需要完成一项强制性的研究项目，其有用性一直存在争议。本研究旨在深入了解澳大利亚受训者在进行此类研究项目时的经验和满意度。
采用定性描述方法。2021 年 5 月至 2022 年 6 月期间，对受训者进行了半结构化访谈。邀请在过去五年内完成专业培训中研究项目的澳大利亚医学受训者参加。从对同一主题进行调查并表示有兴趣参加访谈的参与者中，抽取了有目的的样本。访谈探讨了受训者对进行研究项目的总体经验和满意度，以及他们对研究培训、支持、障碍、促进因素和感知收益的看法。访谈记录被逐字转录，并进行了主题分析。
从七所医学院的 16 名医生中进行了访谈。受训者的经验和满意度在参与者之间差异很大，这受到四个因素的影响：1）受训者在进入专业培训时，对研究项目的价值和目的有自己的看法，这些看法是基于他们之前的研究经验和对自己计划职业道路中研究重要性的认识；2）在进行项目时，包括受保护的时间、导师支持和机构结构在内的促进因素对于塑造他们的经验至关重要；3）受训者获得这些促进因素的机会各不相同，这是由运气以及他们自己的动力和研究技能共同决定的；4）项目结果，包括研究价值、学习、职业收益以及对患者护理的影响。
受训者做研究的经验参差不齐，积极的经验往往归因于偶然，而不是有目的的结构化学习体验。我们认为，必须探索替代强制性受训者研究项目的方法，包括承认其他形式的研究学习活动，并将稀缺资源用于支持少数计划从事临床研究人员职业的受训者。
