中华医学教育杂志

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (8): 565-569.DOI: 10.3760/cma.j.cn115259-20220908-01132

• 课程改革与建设 • 上一篇    下一篇

临床医学专业学位博士研究生临床研究方法学课程的调查分析

吴燕华1, 牟冬梅1, 郑翔宇2, 贾志芳1, 张扬雨1, 赵天业1, 曹东慧1, 李柏3, 姜晶1   

  1. 1吉林大学第一医院临床流行病学研究室,长春 130021;
    2吉林大学第一医院教学部,长春 130021;
    3吉林大学第一医院普外中心 结直肠肛门外科,长春 130021
  • 收稿日期:2022-09-08 出版日期:2023-08-01 发布日期:2023-07-31
  • 通讯作者: 姜晶, Email: jiangjing19702000@jlu.edu.cn
  • 基金资助:
    2021年吉林省高教学会高教科研课题(JGJX2021C3);2021年吉林大学白求恩医学部研究生精品课程培育项目(2021J007);2022年吉林大学教育教学改革与研究项目(2022JGY017)

Investigation and analysis on the course of sciences in clinical research among doctoral candidates of professional degree majoring in clinical medicine

Wu Yanhua1, Mu Dongmei1, Zheng Xiangyu2, Jia Zhifang1, Zhang Yangyu1, Zhao Tianye1, Cao Donghui1, Li Bai3, Jiang Jing1   

  1. 1Division of Clinical Epidemiology, First Hospital of Jilin University, Changchun 130021, China;
    2Department of Teaching, First Hospital of Jilin University, Changchun 130021, China;
    3Department of General Surgery Center & Colorectal and Anal Surgery, First Hospital of Jilin University, Changchun 130021, China
  • Received:2022-09-08 Online:2023-08-01 Published:2023-07-31
  • Contact: Jiang Jing, Email: jiangjing19702000@jlu.edu.cn
  • Supported by:
    2021 Teaching Research Project of Jilin Higher Education Association (JGJX2021C3); 2021 Cultivation Project of Top-quality Courses for Graduate Students of Norman Bethume Health Science Center of Jilin University(2021J007); 2022 Research Project of Education and Teaching Reform of Jilin University(2022JGY017)

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摘要： 目的 了解临床医学专业学位博士研究生(简称临床专博)对临床研究方法学课程相关知识重要性的认识及掌握程度,为设置适于临床专博的临床研究方法学课程内容的提供参考。方法 根据专业学位研究生核心课程指南中的课程内容和相关文献自行设计问卷,2021年11月,对吉林大学3所医院2021年入学的116名临床专博进行问卷调查,并对调查结果进行统计分析,组间比较采用t检验和卡方检验。结果 内容重要性评分最高的是科研选题和研究方案设计,均为(3.57±0.58)分,掌握性评分最高的是文献综述,为(2.38±0.73)分。数据清洗与质控的重要性评分为(3.36±0.58)分,排第九,但掌握程度评分仅为(1.71±0.77)分,排在最后。既往学习过临床研究方法学课程与未学习过的临床专博在重要性评分方面,只有知情同意 [(3.18±0.56)分比(3.39±0.53)分]的差异具有统计学意义(P=0.039);掌握程度评价方面,循证医学[(2.40±0.51)分比(1.99±0.60)分]、科研伦理[(2.24±0.76)分比(1.91±0.72)分]、研究方法学[(2.06±0.61)分比(1.78±0.61)分]、数据管理与统计分析[(2.06±0.70)分比(1.75±0.60)分]、临床研究实践[(1.99±0.72)分比(1.65±0.66)分]的差异均具有统计学意义(均P<0.05)。结论 临床专博认为科研选题、研究方案设计、数据清洗与质控是重要的内容,文献综述掌握最好,数据清洗与质控掌握欠佳需要加强。不同临床研究方法学学习经历的临床专博相关内容掌握程度不一,实施分层教学为佳。

关键词: 临床医学, 临床研究方法学, 临床医学专业学位博士研究生, 重要性, 掌握程度

Abstract: Objective This study aimed to understand the perception and mastery level of science in clinical research among doctoral candidates of professional degree majoring in clinical medicine. The findings will serve to inform the designing of the curriculum of science courses in clinical research. Methods A questionnaire was designed based on the course content outlined in the guidelines for core courses of professional degree graduate programs and relevant literature. In November 2021, a questionnaire survey was conducted among 116 doctoral candidates of professional degree majoring in clinical medicine enrolled in three hospitals affiliated with Jilin University in 2021. Statistical analysis was performed. T tests and χ2 tests were used for comparison between groups. Results The highest importance rating was for formulating a scientific question and designing the research, with scores of (3.57±0.58) each. The highest mastery rating was given for the literature review, with a score of (2.38±0.73). The importance rating for data cleaning and quality assurance was (3.36±0.58), ranking ninth, but the mastery score was only (1.71±0.77), ranking last.Between individuals who had previously completed a course on clinical research methodology and those who hadnot, statistical difference was observed only in the comparison of informed consent [(3.18±0.56) vs. (3.39±0.53)](P=0.039), proficiency assessments revealed statistical differences in evidence based medicine [(2.40±0.51) vs. (1.99±0.60)], research ethics [(2.24±0.76) vs. (1.91±0.72)], research methodology [(2.06±0.61) vs. (1.78±0.61)],data management and statistical analysis [(2.06±0.70) vs. (1.75±0.60)], and clinical trial practices [(1.99±0.72) vs. (1.65±0.66)] (all P<0.05). Conclusions Doctoral candidates of professional degree highly value formulating a scientific question, designing research, assessment of scientific papers, data cleaning and quality assurance. Stratified teaching strategies should be employed to address the varying backgrounds of students in clinical research methodology.

Key words: Clinical medicine, Clinical research methodology, Doctoral graduates of professional degree, Importance, Mastery

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