医生作为研究参与者——这对他们有什么好处？一项针对国际医学毕业生的定性研究。
Doctors as research participants - what is in it for them? A qualitative study of international medical graduates.
作者信息
Healey Sunita Joann Rebecca, Fakes Kristy, Malau-Aduli Bunmi S, Nair Balakrishnan R
机构信息
University of Newcastle- School of Medicine and Public Health, Callaghan, NSW, 2308, Australia.
出版信息
BMC Med Educ. 2025 Jul 1;25(1):878. doi: 10.1186/s12909-025-07468-1.
BACKGROUND
Doctors are key players in the healthcare system. Their first-hand experience in the workplace may provide researchers with special insight into health service gaps and solutions. However, doctors are typically time poor with high professional demands. Little is reported about how to best engage doctors in research as participants. International medical graduates (IMGs) are a special cohort of doctors with unique challenges, whose experiences and perceptions have been scarcely voiced within research to date.
METHODS
We conducted a qualitative study to explore IMG motives of participation in research. The study was conducted in February to April 2024 and comprised of semi-structured individual interviews with IMGs based in Australia. The interviews followed an online national survey which had been conducted the previous year. Recruited interview participants were primarily drawn from participants from the preceding survey who had indicated interest in participation in the follow-up qualitative study, in addition to any participants indicating interest via snowballing. Participants were eligible for inclusion if they were living or working in Australia, with a primary medical qualification from overseas, irrespective of current employment status. Data was audio-recorded and thematically analysed.
RESULTS
IMGs (36) were individually interviewed by telephone (21), teleconference (14) and face-to-face (1). We identified three major themes and four subthemes: (1) Research is considered a safe and trusted tool; 1a) Research provides an opportunity to voice, broadcast and enact change, 1b) Safe and anonymous sharing of personal stories and experiences is therapeutic; (2) Personal relevance and interest motivates participation; 2a) Passion for the research topic drives participation, 2b) Comradery and empathy for peers convicts participants to advocate for others through engagement (3) Respect for Research drives engagement.
CONCLUSION
IMGs have a variety of personal motives for participating in research. Understanding these motives can be useful for researchers seeking to recruit such doctors for research in the future.
背景
医生是医疗保健系统中的关键角色。他们在工作场所的第一手经验可能会为研究人员提供有关卫生服务差距和解决方案的特殊见解。然而，医生通常时间紧张且专业要求很高。关于如何最好地让医生作为参与者参与研究的报道很少。国际医学毕业生（IMGs）是一类面临独特挑战的特殊医生群体，迄今为止，他们的经历和看法在研究中几乎没有得到表达。
方法
我们进行了一项定性研究，以探讨国际医学毕业生参与研究的动机。该研究于2024年2月至4月进行，包括对澳大利亚的国际医学毕业生进行半结构化的个人访谈。访谈之前进行了一项在线全国性调查。招募的访谈参与者主要来自前一项调查中表示有兴趣参与后续定性研究的参与者，此外还有通过滚雪球方式表示有兴趣的任何参与者。如果参与者在澳大利亚生活或工作，拥有海外初级医学资格，无论其当前就业状况如何，均符合纳入条件。数据进行了录音并进行了主题分析。
结果
对36名国际医学毕业生进行了单独访谈，访谈方式包括电话访谈（21人）、电话会议访谈（14人）和面对面访谈（1人）。我们确定了三个主要主题和四个子主题：（1）研究被视为一种安全且值得信赖的工具；1a）研究提供了表达、宣传和推动变革的机会，1b）安全且匿名地分享个人故事和经历具有治疗作用；（2）个人相关性和兴趣激发参与；2a）对研究主题的热情推动参与，2b）对同行的情谊和同理心促使参与者通过参与为他人发声（3）对研究的尊重推动参与。
结论
国际医学毕业生参与研究有多种个人动机。了解这些动机对于未来寻求招募此类医生参与研究的研究人员可能会有所帮助。
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