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一项探索医学住院医师研究经历、阻碍发表论文因素以及提高医学住院医师论文发表率策略的定性研究。

A qualitative study exploring graduated medical residents' research experiences, barriers to publication and strategies to improve publication rates from medical residents.

机构信息

5th Floor The Aga Khan University Centre, 3rd Parklands Avenue, P.O. Box 30270-00100, Nairobi, Kenya.

出版信息

BMC Med Educ. 2024 Oct 4;24(1):1091. doi: 10.1186/s12909-024-06068-9.

DOI:10.1186/s12909-024-06068-9
PMID:39367434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11453066/
Abstract

BACKGROUND

In Kenya, postgraduate medical residents must complete a research dissertation for their Master of Medicine studies. However, the subsequent publication rate is lower than in higher-income settings, limiting the availability of population-specific data. This study explored residents' experiences with research, reasons for the low publication rate, and strategies to improve publication rates.

METHODS

In-depth interviews were conducted with 9 faculty members and non-academic support staff, as well as 18 Master of Medicine graduates who had successfully completed their research projects, to investigate their experiences with conducting, supervising, and publishing research. The interview data was analysed using inductive thematic analysis. The study also explored strategies to improve publication rates.

RESULTS

The graduates (former medical residents) described difficult research journeys - from concept development to final submission of dissertation - which discouraged them from seeking publication. Many faculty and staff lacked time or sufficient expertise to successfully guide residents to publication. Departmental research culture, faculty expertise as supervisors and prioritisation of clinical work over research and lack of dedicated research time impacted both residents' and faculty capacity for research. Strategies to improve publication rates focused on developing faculty research expertise, more protected research time, and a more structured approach to teaching research methodology, including academic writing skills.

CONCLUSIONS

Residents in low- and middle-income countries such as Kenya encounter systemic and personal challenges to successful publication of research. The ease or difficulty of a resident's research journey influences their attitudes to subsequent publication. Strategies to improve publication rates can improve the dissemination of relevant research data in such settings.

摘要

背景

在肯尼亚,医学研究生在攻读医学硕士期间必须完成一篇研究论文。然而,随后的发表率低于高收入国家,限制了特定人群数据的可获得性。本研究探讨了住院医师的研究经验、低发表率的原因以及提高发表率的策略。

方法

对 9 名教师和非学术支持人员以及 18 名成功完成研究项目的医学硕士毕业生进行了深入访谈,以调查他们在进行、监督和发表研究方面的经验。使用归纳主题分析对访谈数据进行分析。该研究还探讨了提高发表率的策略。

结果

毕业生(以前的住院医师)描述了艰难的研究之旅——从概念开发到最终提交论文——这使他们对寻求发表论文失去了兴趣。许多教师和工作人员缺乏时间或足够的专业知识,无法成功指导住院医师发表论文。部门的研究文化、教师作为导师的专业知识以及对临床工作的重视程度超过了研究以及缺乏专门的研究时间,都影响了住院医师和教师的研究能力。提高发表率的策略侧重于提高教师的研究专业知识、更多的受保护的研究时间以及更结构化的教学方法,包括学术写作技巧。

结论

肯尼亚等低收入和中等收入国家的住院医师在成功发表研究方面遇到了系统和个人挑战。住院医师研究之旅的难易程度影响了他们对后续发表的态度。提高发表率的策略可以改善此类环境中相关研究数据的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e63d/11453066/19c887d99d8c/12909_2024_6068_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e63d/11453066/19c887d99d8c/12909_2024_6068_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e63d/11453066/19c887d99d8c/12909_2024_6068_Fig1_HTML.jpg

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