背景:随着众多科学产出的出现,研究不端行为日益受到重视。本研究旨在调查知识,中国西南地区医学居民对研究不端行为的态度和实践。
方法:从2022年11月至2023年3月在中国西南地区进行了横断面研究。将问卷的链接发送给17家三级医院的教学管理科主任。收集并分析了答案。采用Logistic回归分析探讨居民科研不端行为的相关因素。
结果:6200名居民被纳入研究,88.5%的参与者参加了研究诚信课程,但53.7%的参与者承认有至少一种形式的研究不端行为.有研究生或以上学历,以第一作者或通讯作者的身份发表论文,参加研究诚信课程,对研究完整性的自我报告知识较低,对研究不当行为的感知后果较低,与研究不当行为呈正相关。担任研究项目的主要研究员与研究不当行为呈负相关。大多数居民(66.3%)认为研究不端行为的原因是研究人员缺乏研究能力。
结论:中国西南地区居民自我报告的研究不端行为率很高,这凸显了在住院医师项目中加强研究诚信课程的普遍必要性。中国当前培训的无效性表明,全球可能需要重新评估和改进教育方法以促进研究诚信。应对这些挑战不仅对于中国医学研究和患者护理的信誉至关重要,而且对于保持全球医学教育的最高道德标准也至关重要。政策制定者,教育工作者,和全球范围内的医疗保健领导者应合作建立全面的战略,以确保负责任的研究进行,最终维护医学进步的完整性,并促进对跨境科学努力的信任。
BACKGROUND: With the emergence of numerous scientific outputs, growing attention is paid to research misconduct. This study aimed to investigate knowledge, attitudes and practices about research misconduct among medical residents in southwest China.
METHODS: A cross-sectional study was conducted in southwest China from November 2022 through March 2023. The links to the questionnaire were sent to the directors of the teaching management department in 17 tertiary hospitals. Answers were collected and analyzed. Logistic regression analysis was performed to explore the factors associated with research misconduct among residents.
RESULTS: 6200 residents were enrolled in the study, and 88.5% of participants attended a course on research integrity, but 53.7% of participants admitted to having committed at least one form of research misconduct. Having a postgraduate or above, publishing papers as the first author or corresponding author, attending a course on research integrity, lower self-reported knowledge on research integrity and lower perceived consequences for research misconduct were positively correlated to research misconduct. Serving as a primary investigator for a research project was negatively associated with research misconduct. Most residents (66.3%) agreed that the reason for research misconduct is that researchers lack research ability.
CONCLUSIONS: The high self-reported rate of research misconduct among residents in southwest China underscores a universal necessity for enhancing research integrity courses in residency programs. The ineffectiveness of current training in China suggests a possible global need for reevaluating and improving educational approaches to foster research integrity. Addressing these challenges is imperative not only for the credibility of medical research and patient care in China but also for maintaining the highest ethical standards in medical education worldwide. Policymakers, educators, and healthcare leaders on a global scale should collaborate to establish comprehensive strategies that ensure the responsible conduct of research, ultimately safeguarding the integrity of medical advancements and promoting trust in scientific endeavors across borders.