目的 探讨临床医学专业本科生早期参与临床科研训练的影响因素和管理策略,为医学生早期临床科研训练提供参考。方法 采用问卷调查方法,于2022年5至6月对北京大学医学部2019~2020级临床医学专业182名本科学生进行调查。采用logistic回归分析探索影响学生参加早期临床科研训练的因素。结果 与未参与者相比,参与者年级更高(OR=6.62,95%CI: 2.75~15.90,P<0.001)、对临床科研感兴趣的比例更高(OR=4.98,95%CI:1.47~16.92,P=0.010),希望获得科研成果的比例更高(OR=3.69,95%CI:1.18~11.56,P=0.025)。学生提出的68条建设性意见主要归类为项目管理22条(32.4%)、指导方式13条(19.1%)和时间安排12条(17.6%)等。结论 年级、兴趣和科研成果是影响临床医学专业本科生早期参与临床科研训练的主要因素。大学附属医院应加强对低年级医学生的宣传和支持,激发学生兴趣,设定合理目标,提高学生的获得感和成就感,持续鼓励和支持学生参与临床科研训练,促进学生临床科研能力的提高。
Objective To explore the influencing factors and management strategies of early participation in clinical research training for clinical medicine undergraduates, and to provide an empirical reference. Methods A questionnaire survey was implemented among 182 undergraduate students in grade 2019 to 2020 majoring in clinical medicine in Peking University Health Science Center from May to June 2022. Multivariate logistic regression model was used to explore factors affecting students' participation in early clinical research training. Results Compared with non-participants, participants had higher grades (OR=6.62, 95%CI: 2.75-15.90, P<0.001), higher proportion of interest in clinical research (OR=4.98, 95%CI: 1.47-16.92, P=0.010) and higher proportion of willingness to obtain research achievements (OR=3.69, 95%CI: 1.18-11.56, P=0.025). The 68 constructive suggestions put forward by students were mainly classified into 22 items (32.4%) of the project management, 13 items (19.1%) of guidance method and 12 items (17.6%) of time arrangement. Conclusions Grade, interest and research achievements are the main factors that influence the early participation of clinical medicine undergraduates in clinical research training. University affiliated hospitals should strengthen publicity and support toward lower grade level, stimulate students' interest, set reasonable goals, improve students' sense of gain and achievement, continue to encourage and support students to participate in clinical research training, and to promote the improvement of students' ability of clinical medicine research.
[1] Brown NJ. Developing physician-scientists[J]. Circ Res, 2018,123(6):645-647. DOI: 10.1161/CIRCRESAHA.118.313473.
[2] Conroy MB, Shaffiey S, Jones S, et al. Scholarly research projects benefit medical students' research productivity and residency choice: outcomes from the University of Pittsburgh School of Medicine[J]. Acad Med, 2018,93(11):1727-1731. DOI: 10.1097/ACM.0000000000002328.
[3] 梁衍锋, 张东东, 金颖新, 等. 地方高校医学本科生科研现状的调查与分析[J].中国高等医学教育,2021(7):16-17. DOI: 10.3969/j.issn.1002-1701.2021.07.008.
[4] Mabvuure NT. Twelve tips for introducing students to research and publishing: a medical student's perspective[J]. Med Teach, 2012,34(9):705-709. DOI: 10.3109/0142159X.2012.684915.
[5] Ommering B, van Blankenstein FM, Waaijer C, et al. Future physician-scientists: could we catch them young? factors influencing intrinsic and extrinsic motivation for research among first-year medical students[J]. Perspect Med Educ, 2018,7(4):248-255. DOI: 10.1007/s40037-018-0440-y.
[6] Ommering B, Wijnen-Meijer M, Dolmans D, et al. Promoting positive perceptions of and motivation for research among undergraduate medical students to stimulate future research involvement: a grounded theory study[J]. BMC Med Educ, 2020,20(1):204. DOI: 10.1186/s12909-020-02112-6.
[7] 房慧莹, 李鹏, 赵思奇, 等. 临床医学本科生科研胜任力现状及影响因素研究对临床医学教育的启示[J].中国高等医学教育,2021(3):47-48. DOI: 10.3969/j.issn.1002-1701.2021.03.024.
[8] Daugherty KK. ARCS motivation model application in a pharmacy elective[J]. Curr Pharm Teach Learn, 2019,11(12):1274-1280. DOI: 10.1016/j.cptl.2019.09.009.
[9] 程晓刚, 陈玮, 金虹, 等. ARCS动机模式在医学免疫学教学中的应用[J].基础医学教育,2017,19(8):571-573. DOI: 10.13754/j.issn2095-1450.2017.08.03.
[10] 张华峰, 史静寰, 周溪亭. 进入普及化阶段的中国大学生学习动机研究[J].清华大学教育研究,2021,42(4):141-148. DOI: 10.14138/j.1001-4519.2021.04.014108.
[11] 李蜀鄂, 姚瑶, 熊敏, 等. 基于CDIO的导师制方式在规范化培训口腔住院医师的科研创新能力培养中的应用[J].中华医学教育杂志,2019,39(7):531-534. DOI: 10.3760/cma.j.issn.1673-677X.2019.07.012.
