高校研究助理：提高急诊医学临床研究生产力的一项计划。

College research associates: a program to increase emergency medicine clinical research productivity.

作者信息

Bradley K, Osborn H H, Tang M

机构信息

Department of Emergency Medicine, New York Medical College, Bronx, USA.

出版信息

Ann Emerg Med. 1996 Sep;28(3):328-33. doi: 10.1016/s0196-0644(96)70034-3.

DOI:10.1016/s0196-0644(96)70034-3

PMID:8780478

Abstract

STUDY OBJECTIVE

To evaluate a program using health care preprofessional college students as research associates (RAs) to facilitate research in emergency medicine.

METHODS

We developed a program using health care preprofessional college students as RAs in an urban ED with an emergency medicine residency program. RAs were recruited from four local colleges. Potential RAs were instructed during four 2-hour sessions on clinical research in emergency medicine, the ethical issues of confidentiality and informed consent, personal safety, and specifics on data collection for the individual studies. For the 13 weeks of the 1995 spring semester, each RA served one 4-hour shift in the ED each week. They identified patients who were eligible for the studies, began the informed-consent process, obtained nonclinical and historical information, and assisted the physicians in the study protocols. The RAs were evaluated on every shift by two faculty members from New York Medical College. The RAs were surveyed at the completion of the semester about their experiences with the program.

RESULTS

Forty-one students completed the orientation course and served at least one shift in the ED. Thirty-three completed more than 7 of 13 possible shifts and received credit for the semester. The average number of shifts served for all RAs was 9 (average numbers of shifts served by RAs receiving credit for the semester and RAs not receiving credit were 10.3 and 4, respectively). Two studies were completed during the semester, each with a significant increase in patient enrollment after the RAs' arrival. Three studies were ongoing at the end of the semester and had patient entries well above projected expectations. The principal investigators for the studies expressed their satisfaction with the RAs' productivity. The faculty evaluations were overwhelmingly positive, as were the results of the RA survey at the end of the semester. The cost of the program was minimal.

CONCLUSION

College students serving as research associates can be an economical and successful tool for clinical studies in the emergency department.

摘要

研究目的

评估一项将医疗保健专业预科大学生作为研究助理（RAs）以促进急诊医学研究的项目。

方法

我们开展了一个项目，在一所设有急诊医学住院医师培训项目的城市急诊科，将医疗保健专业预科大学生作为研究助理。研究助理从当地四所学院招募。在四次为时两小时的课程中，向潜在的研究助理讲授急诊医学临床研究、保密和知情同意的伦理问题、个人安全以及各项研究的数据收集细节。在1995年春季学期的13周里，每位研究助理每周在急诊科值一个4小时的班。他们识别符合研究条件的患者，启动知情同意程序，获取非临床和病史信息，并协助医生执行研究方案。纽约医学院的两名教员对研究助理的每次值班进行评估。学期结束时对研究助理就他们参与该项目的经历进行了调查。

结果

41名学生完成了入职培训课程并至少在急诊科值了一个班。33人完成了13个可能班次中的7个以上，并获得了该学期的学分。所有研究助理的平均值班次数为9次（获得该学期学分的研究助理和未获得学分的研究助理的平均值班次数分别为10.3次和4次）。学期内完成了两项研究，每项研究在研究助理加入后患者入组人数均显著增加。学期结束时，有三项研究正在进行，患者入组人数远高于预期。这些研究的主要研究者对研究助理的工作效率表示满意。教员评估绝大多数是积极的，学期末研究助理的调查结果也是如此。该项目成本极低。