医学硕士研究生的综述质量问题调查及对策

Quality issues in reviews written by medical postgraduate students:investigation and countermeasures

目的调查医学硕士研究生撰写的综述质量问题,为提升该群体撰写的医学综述的质量提供参考。方法收集2018年至2022年上海交通大学医学院各附属医院在读医学硕士研究生撰写的141篇医学综述,从综述选题、写作表达维度评估撰写质量。综述选题采用自行设计的选题创新性调查问卷(以下简称"选题问卷")收集外审专家的评价;写作表达依据相关文献提示的综述评价标准,考查综述的提纲、参考文献时效性、分析评价及文本质量问题。采用EPIDATA 3.2录入数据,采用SPSS 20.0进行卡方检验。结果本研究共回收有效选题问卷135份(96%,135/141),结果提示70%(94/135)的综述选题缺乏新意。写作表达调查结果提示,95%(128/135)的综述参考文献陈旧,68%(92/135)的综述提纲缺乏重点、层次或逻辑,占比均分别高于分析及评价(59%,80/135)和文本质量问题(61%,83/135),差异有统计学意义(P<0.05)。结论医学硕士研究生撰写的医学综述存在选题创新性不足、提纲总体质量偏低等问题,学校及导师首先应加强与综述选题相关的创新思维指导方面的教学,同时也应重视科研分析、科研逻辑等科研写作表达的相关培训,从而提高医学硕士研究生相应的科研能力。

Objective To investigate the quality issues in medical reviews written by medical postgraduate students,and to provide a reference for improving the quality of medical reviews written by such students.Methods A total of 141 medical reviews written by the medical postgraduate students from various affiliated hospitals of Shanghai Jiao Tong University School of Medicine from 2018 to 2022 were collected,and the quality of these medical reviews was evaluated in terms of topic selection and writing expression skills.As for topic selection,a self-designed innovative questionnaire(hereinafter referred to as topic questionnaire)was used to collect the evaluation of external experts,and as for writing expression,the reviews were assessed based on the criteria in relevant literature from the aspects of the outline of the review,the timeliness of references,analysis and evaluation,and the quality of the text.EPIDATA 3.2 was used to input data,and SPSS 20.0 was used for the chi-square test.Results A total of 135(96%,135/141)valid questionnaires were collected in this study,and the results showed that 70%(94/135)of the review topics lacked novelty.The assessment of writing skills showed that 95%(128/135)of the reviews had outdated references,and 68%(92/135)lacked focus,hierarchy or logic in outline,which accounted for a higher proportion than the reviews with analysis and evaluation issues(59%,80/135)and text quality issues(61%,83/135)(P<0.05).Conclusion There are many quality issues in the medical reviews written by medical postgraduate students,such as a lack of novelty in topic selection and low overall quality of outlines.In order to improve the abilities of scientific research among medical postgraduate students,universities and supervisors should strengthen the guidance of innovative thinking in topic selection and enhance the training of writing expression skills,such as scientific analysis and logic.