目的 调查接受规范化培训住院医师(以下简称在培住院医师)的科研态度和科研行为现状,为培养兼具诊疗能力和科研素养的临床医疗工作者提供参考。方法 本研究采用问卷调查方法。2018年12月,选取在北京大学第三医院内科系统47名在培住院医师为研究对象,向其发放调查问卷,了解其科研态度和科研行为。结果 53.2%(25/47)的在培住院医师表示愿意进行科研,在培住院医师认为其医学科研知识主要来源排在第一位的是自我学习,占比38.3%(18/47);在1周内阅读医学相关科研文献的平均时间排在第一位的是在3小时以内,占比80.9%(38/47)。29.8%(14/47)和21.3%(10/47)的在培住院医师认为统计学分析和课题及研究方向选择是其缺乏的主要医学科研方法。12.8%(6/47)的在培住院医师不能在临床工作中提出科学问题,10.6%(5/47)的在培住院医师不能整理分析文献,25.5%(12/47)的住院医师不能选择合适研究方法解决所发现的问题,19.1%(9/47)的在培住院医师未撰写过研究论文。结论 在培住院医师科研态度不够积极;有一定的自主学习意识,但仍然缺乏科研方法相关知识;在提出科学问题、整理分析文献、解决问题和撰写论文等方面的学习和实践存在不足。大学附属医院应当积极探索形成符合医院特色和住院医师成长规律的科研能力培养方案和体系。

Objective To investigate the current situation of the scientific research attitude and behavior of residents who are receiving standardized training,and providing reference for training clinicians with both standardized clinical ability and scientific research literacy.Methods Forty-seven residents receiving standardized training at departments of internal medicine of Peking University Third Hospital were investigated in December 2018,the scientific research questionnaires were distributed to analyze their scientific research attitude and behavior.Results There were 53.2% (25/47) of the residents are or willing to carry out scientific research.There were 38.3% (18/47) of the resident's scientific knowledge mainly comes from self-learning,the average time of reading medical literature in one week was 80.9% (38/47)for residents within 3 hours.29.8% (14/47) and 21.3% (10/47) think that statistical analysis and research direction choice is the main weakness.Up to 12.8% (6/47) of the residents cannot raise scientific questions on clinical work,10.6% (5/47) cannot organize and analyze literature,25.5% (12/47) cannot choose the appropriate research methods to solve clinical questions and 19.1% (9/47) never write research papers independently.Conclusions The residents' scientific research attitude is not positive enough,the learning and practice in arising scientific questions,analyzing literature,solving questions and writing papers are insufficient.University-affiliated hospitals should actively explore the development of scientific research capacity training systems that conform to the characteristics of hospitals and the individual developement of residents.