科技伦理治理背景下医学研究生科研伦理培训需求调查与分析

Investigation and analysis of the training needs of scientific research ethics among medical graduate students in the context of science and technology ethics governance

目的调查山东省医学研究生对科研伦理知识、伦理审查培训需求,为开展医学研究生科研伦理教育培训提供针对性建议。方法采用随机抽样的方式对山东省7所高等医学院校807名医学研究生进行问卷调查,对数据进行统计描述和分析,采用χ2检验和二元Logistic回归分析影响因素。结果94.1%的医学研究生认为“需要”接受科研伦理知识培训,培训需求依次为科技伦理原则(75.5%)、伦理审查的内容(68.5%)、伦理审查流程(68.3%)、前沿领域可能涉及的伦理问题(63.6%)、伦理委员会制度(58.1%)、医学科研的应用伦理规范(55.8%)、相关伦理文件解读(42.4%);培训形式及途径依次为线上知识讲座(67.4%)、相关伦理审查组织的学术会议(60.3%)、传统课堂授课形式(48.8%)、导师或课题组的学习(48.5%)、实习工作期间单位开展(26.4%)、其他形式(2.6%)。回归分析结果显示,有课题申报经历和伦理课程学习经历的医学研究生的科研伦理培训需求意愿较高(P<0.05)。结论医学研究生的科研伦理教育和培训还有待完善,研究生对科研伦理培训需求迫切,学校和医院应整体规划设置完善的科技伦理课程体系、强化医学研究伦理审查实务培训、实现医学研究生科研伦理培训途径的多样化,加快提升研究生的科研伦理素养。

Objective:To investigate the training needs of knowledge of scientific research ethics and ethical review among medical graduate students in Shandong Province,and provide targeted suggestions for carrying out education and training on scientific research ethics for medical graduate students.Methods:A random sampling method was used to conduct a questionnaire survey among 807 medical graduate students from 7 medical colleges and universities in Shandong Province.The data were statistically described and analyzed,and Pearson’s chi-squared test and binary logistic regression were used to analyze the influencing factors.Results:There were 94.1%of medical graduate students believed that they“need”to receive training on knowledge of scientific research ethics.Their training needs were ranked as ethical principles of science and technology(75.5%),the content of ethical review(68.5%),ethical review process(68.3%),ethical issues that may be involved in frontier fields(63.6%),ethics committee system(58.1%),applied ethical regulation for medical scientific research(55.8%),and interpretation of relevant ethical documents(42.4%).The training forms and methods were,in order,online knowledge lectures(67.4%),academic conferences organized by relevant ethical review organizations(60.3%),the teaching methods in traditional classrooms(48.8%),learning by tutors or research groups(48.5%),conducted by the unit during the internship and work period(26.4%),and other forms(2.6%).The results of the regression analysis showed that medical graduate students with experience in project application and ethics course learning have a higher willingness for training needs in scientific research ethics(P<0.05).Conclusion:The education and training on scientific research ethics among medical graduate students still need improvement,and graduate students have an urgent need for training on scientific research ethics.Schools and hospitals should overall plan and set up a perfect science and technology ethics curriculum system,strengthen the practical training of medical research ethical review,and diversify the ways of scientific research ethics training for medical graduate students,to accelerate the improvement of research ethics literacy of them.