Using Qualitative Methods to Improve Physician Research Training: Understanding the Student Perspective

Jacqueline M. Knapke, E. Haynes, L. Vaughn
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引用次数: 1

Abstract

For several decades now, physician-scientists have been referred to as an “endangered species.” Many factors have contributed to the dearth of clinical investigators, and training programs in clinical research are just one tool in a multi-pronged strategy to increase the number of successful physician-scientists working in health research. A qualitative approach that analyzes students’ educational goals and experiences can help fill the gaps in our knowledge about how best to train aspiring physician-scientists. This study was an interpretive phenomenology that evaluated the Master of Science program in Clinical and Translational Research (MSCTR) at the University of Cincinnati. The purpose of the study was to allow students to articulate their expectations, needs, and experiences in the MSCTR. The study included a group level assessment (GLA) and document review. Findings suggest several reasons students enrolled in the MSCTR, as well as some areas for improvement in the program: more physician-centered classes, a more directed curriculum, and a more cohesive course plan overall. Conclusions from these recommendations are that student perspectives can inform decisions around curricula and instructional methods in powerful ways, particularly when combined with a qualitative methodological approach. This study revealed several insights into how faculty and administrators can more effectively train physicians in research methodology. Training should be as applied and relevant as possible to make it directly applicable to clinical practice. This goal could be enhanced if classes – particularly statistics classes – were more physician-oriented. The curriculum of a clinical research training program for clinicians should be clear and directed, but with some flexibility and space within the curriculum for classes within areas of specialization. Collaboration should be integrated throughout, and courses should follow a logical, interconnected sequence.
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运用定性方法改进医师科研培训:理解学生视角
几十年来,医生科学家一直被称为“濒危物种”。许多因素导致临床研究人员的缺乏,而临床研究的培训计划只是增加健康研究领域成功的医生科学家数量的多管齐下战略中的一个工具。分析学生的教育目标和经历的定性方法可以帮助我们填补关于如何最好地培养有抱负的内科科学家的知识空白。本研究是一项解释性现象学研究,评估了辛辛那提大学临床与转化研究理学硕士项目(MSCTR)。这项研究的目的是让学生表达他们对MSCTR的期望、需求和经历。该研究包括小组水平评估(GLA)和文献回顾。研究结果表明,学生参加MSCTR的几个原因,以及该计划需要改进的一些领域:更多以医生为中心的课程,更有针对性的课程,以及更有凝聚力的课程计划。从这些建议中得出的结论是,学生的观点可以以强有力的方式为课程和教学方法的决策提供信息,特别是在与定性方法方法相结合时。这项研究揭示了教师和管理人员如何更有效地培训医生的研究方法。培训应尽可能应用和相关,使其直接适用于临床实践。如果课程——尤其是统计学课程——更加以医生为导向,这个目标可能会得到加强。临床医生的临床研究培训计划的课程应该是明确和直接的,但在专业领域的课程中有一定的灵活性和空间。协作应该贯穿始终,课程应该遵循逻辑的、相互关联的顺序。
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