Amidst global trends and technological leaps, medical science is at a pivotal transformation, with innovation as its driving force. This study examines China's current status and challenges in cultivating clinical research capabilities, particularly in reducing dependency on foreign drugs, devices, and standards. It identifies key obstacles such as funding, resource disparity, flawed incentives, interdisciplinary hurdles, and continuing education gaps. To address these, the paper suggests optimization strategies including curriculum enhancement, establishing mentorship, adopting digital and targeted training approaches, and enhancing collaboration and international partnerships to boost clinical research and foster medical innovation in China.
[1] 中国科协生命科学学会联合体. 生命科学领域技术研究成果[EB/OL]. (2021-04-19)[2024-10-10].https://m.gmw.cn/baijia/2021-04/19/34774584.html.
[2] 国务院办公厅. 国务院办公厅关于印发“十四五”国民健康规划的通知[Z]. 2022-04-27.
[3] 聚焦医院科研高质量发展,全面提升医生临床科研能力![EB/OL]. (2021-04-19)[2024-10-10]. https://www.cn-healthcare.com/article/20220919/content-573200.html.
[4] Xu D, Xing BC. Quality over quantity: a necessary path for clinical research transformation in China[J]. Hepatobiliary Surg Nutr, 2020,9(5):684-686. DOI: 10.21037/hbsn-2020-5.
[5] Li Y, Li J, Li B, et al. Factors associated with the research efficiency of clinical specialties in a research-oriented hospital in China[J]. PLoS One, 2021,16(4):e0250577. DOI: 10.1371/journal.pone.0250577.
[6] 张秀秀, 余小莉, 黄敏珊, 等. 医院科研产出与临床医疗能力及人才培养的相关性研究[J].中国研究型医院,2021,8(5):22-26. DOI: 10.19450/j.cnki.jcrh.2021.05.006.
[7] Wu X, Wu X, Gao Y, et al. Research-training needs of clinical nurses: a nationwide study among tertiary hospitals in China[J]. Int J Nurs Sci, 2019,6(3):300-308. DOI: 10.1016/j.ijnss.2019.05.007.
[8] Results of the 2016 medical school enrollment survey [EB/OL].[2024-10-10].https://www.aamc.org/media/9946/download.
[9] 袁天蔚, 李萍萍, 李苏宁, 等. 中国临床医学研究发展现状与未来展望[J].中国临床医学,2019,26(5):673-678. DOI: 10.12025/j.issn.1008-6358.2019.20191792.
[10] Jing X, Hua G. Analysis of clinical research publication patterns to characterize the cooperation among China's "double first-class"construction medical universities: based on social network analysis[J]. Ann Transl Med, 2022,10(6):320. DOI: 10.21037/atm-22-516.
[11] 中国临床医学学术产出及国际合作解读[EB/OL].(2021-06-25).[2024-10-10].https://app.ma.scrmtech.com/resources/ResourcePc/resourcePcInfo?pf_uid=16053_1737&pf_type=3&id=21166&active=2&apply_type=pcregister&click_type=.
[12] 陈维倩. 临床医学生科研能力培养初探[J].教育教学论坛,2015(50):207-208. DOI: 10.3969/j.issn.1674-9324.2015.50.098.
[13] 廖娟, 黄鑫涛, 胡灵, 等. 临床学习阶段医学生对科研能力培养的态度及影响因素分析[J].卫生职业教育,2019,37(19):138-140.
[14] 徐彤彤, 赵位昆, 覃秋语, 等. 临床医学专业学位研究生科研能力培养的重要措施研究[J].继续医学教育,2020,34(6):41-42. DOI: 10.3969/j.issn.1004-6763.2020.06.022.
[15] 徐昊, 鲁继红, 于岩岩. 临床医学专业学位研究生科研能力培养现状与思考[J].中华医学教育杂志,2019,39(6):446-449. DOI: 10.3760/cma.j.issn.1673-677X.2019.06.007.
[16] 高小惠, 徐薇薇, 管远志. 利用科研优势加强医学生科研能力的培养[J].中华医学教育杂志,2007,27(5):40-41. DOI: 10.3760/cma.j.issn.1673-677X.2007.05.018.
[17] 史军华, 史军丽, 宋赣军, 等. 医学研究生科研素养培养的不足及创新举措[J].中国继续医学教育,2023,15(23):150-154. DOI: 10.3969/j.issn.1674-9308.2023.23.032.
[18] Teruya H, Takase K. Pediatric directors' perception of clinical research education in Japan[J]. Pediatr Int, 2020,62(1):36-46. DOI: 10.1111/ped.14038.
[19] 清华大学社科学院中国社会调查与研究中心. 2021中国医师调查报告[EB/OL].[2024-10-10]. https://www.soc.tsinghua.edu.cn/__local/8/23/F8/634DECF776A7FCEC495B3F7AD93_AC9AC79B_114EF0.pdf.
[20] 刘雨微,王悠然. 跨学科合作需突破学术内部阻力[EB/OL]. (2024-10-25)[2024-10-25]. https://www.cssn.cn/skyl/skyl_skrp/202410/t20241025_5796799.shtml.
[21] 杨佳乐. 交叉学科科研评价:生成逻辑、叠加挑战与系统变革[J].学位与研究生教育,2022(9):17-22. DOI: 10.16750/j.adge.2022.09.003.
[22] 孙宝志. “范式”视域下破解我国医学教育研究的质量问题[J].医学与哲学,2022,43(14):1-5,20. DOI: 10.12014/j.issn.1002-0772.2022.14.01.
[23] 陈昕, 葛剑力, 耿莎莎, 等. 我国全科医师继续医学教育发展现状、存在的问题与改进建议:基于PCIC理念[J].中华全科医师杂志,2024,23(4):384-388. DOI: 10.3760/cma.j.cn114798-20230811-00059.
[24] 国务院办公厅. 国务院办公厅关于加快医学教育创新发展的指导意见[Z]. 2020-09-30.
[25] 桂明, 钟狂飚, 彭伟莲, 等. 五年制医学生的科研素质调查及培养策略探讨[J].实用预防医学,2010,17(2):399-400. DOI: 10.3969/j.issn.1006-3110.2010.02.084.
[26] 徐让, 董利军, 李燕, 等. 五年制临床医学生科研轮训课程的实践与思考[J].广州医科大学学报,2017,45(3):90-92. DOI: 10.3969/j.issn.2095-9664.2017.03.23.
[27] Kress C. Practical tips for facilitating research in clinical nursing practice[J]. J Contin Educ Nurs, 2018,49(7):294-296. DOI: 10.3928/00220124-20180613-03.
[28] 李辉雁, 肖莉华, 匡铭. 中山大学附属第一医院拔尖创新医学人才培养模式的探索与实践[J].协和医学杂志,2022,13(1):13-16. DOI: 10.12290/xhyxzz.2021-0724.
[29] Fowler Davis S. Going for growth: improvement in the infrastructural and management support for clinical academic research[J]. BMJ Qual Improv Rep, 2015,4(1):1-5. DOI: 10.1136/bmjquality.u208144.w3845.
[30] 冯钰, 陈仲林, 卢芳, 等. 医院临床试验培训现状分析及优化探索[J].中国食品药品监管,2022(4):99-106. DOI: 10.3969/j.issn.1673-5390.2022.04.013.
[31] 上海市同济医院:全院一体化科研平台及专病库应用 [EB/OL].(2021-10-28).[2024-10-10].https://www.chima.org.cn/Html/News/Articles/9472.html.
[32] 俞晓轩, 范天豪, 徐立钧, 等. 医学院校发展产学研合作促进科技成果转化的探索[J].中华医学科研管理杂志,2022,35(5):321-325. DOI: 10.3760/cma.j.cn113565-20220403-00053.
[33] 鲍锦涛, 吴迪, 韩启飞, 等. 日本大阪大学免疫学前沿研究中心创新产学研合作模式及启示[J].中国科学基金,2022,36(1):160-167.
[34] 方朝晖. 基于转化医学理念,着重培养临床医学研究生科研能力[J].中医药临床杂志,2014,26(6):632-633.
[35] 罗海燕, 邓立普. “5+3”模式下临床医学专业学位研究生培养现状分析及对策[J].湘南学院学报(医学版),2017,19(3):57-60. DOI: 10.16500/j.cnki.1673-498x.2017.03.021.
[36] 林桂平, 何洁华, 陈翠薇, 等. 科研技能培训课程提升临床带教医生综合科研能力的效果探讨[J].高校医学教学研究(电子版),2016,6(4):56-60. DOI: 10.3969/j.issn.2095-1582.2016.04.015.
[37] 汪楠楠, 余结根, 黄昌美, 等. 五年制临床医学专业本科生科研素质提升路径研究[J].锦州医科大学学报(社会科学版),2018,16(1):29-31.
[38] Zhang Q, Shi Y, Xin Y, et al. A multimodal international collaborative clinical research training program in China[J]. Med Educ Online, 2019,24(1):1679944. DOI: 10.1080/10872981.2019.1679944.
[39] Lizarondo L, McArthur A. Strategies for effective facilitation as a component of an evidence-based clinical fellowship program[J]. J Contin Educ Nurs, 2017,48(10):458-463. DOI: 10.3928/00220124-20170918-07.
[40] Chavda P, Mehta K, Patel T, et al. A structured mentorship program for medical college faculty on health research[J]. Med J Armed Forces India, 2021,77(Suppl 1):S180-S189. DOI: 10.1016/j.mjafi.2020.12.007.