上海交通大学学报(医学版) ›› 2023, Vol. 43 ›› Issue (9): 1211-1218.doi: 10.3969/j.issn.1674-8115.2023.09.016

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我国临床研究人才队伍建设现况与改进策略研究

李冬凉1(), 王甦平1, 何豪2, 王炳顺2, 周良3()   

  1. 1.上海交通大学医学院学科规划处,上海 200025
    2.上海交通大学医学院临床研究中心生物统计教研室,上海 200025
    3.上海交通大学公共卫生学院,上海 200025
  • 收稿日期:2022-09-01 接受日期:2022-11-16 出版日期:2023-04-24 发布日期:2023-04-24
  • 通讯作者: 周良 E-mail:ldl@sjtu.edu.cn;zhouliang@shsmu.edu.cn
  • 作者简介:李冬凉(1976—),女,助理研究员,博士;电子信箱:ldl@sjtu.edu.cn第一联系人:王甦平(1985—),女,副研究员,博士;电子信箱:wangsuping@shsmu.edu.cn
  • 基金资助:
    上海市教育科研市级课题(C20099);上海交通大学文科科研创新培育项目(WKCX2019)

Analysis on the existing problems and improving approaches to the clinical research talents team cultivation in China

LI Dongliang1(), WANG Suping1, HE Hao2, WANG Bingshun2, ZHOU Liang3()   

  1. 1.Discipline Planning Department, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    2.Department of Biostatistics, Clinical Research Institute, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    3.Shanghai Jiao Tong University School of Public Health, Shanghai 200025, China
  • Received:2022-09-01 Accepted:2022-11-16 Online:2023-04-24 Published:2023-04-24
  • Contact: ZHOU Liang E-mail:ldl@sjtu.edu.cn;zhouliang@shsmu.edu.cn
  • Supported by:
    Shanghai Municipal Educational Research Project(C20099);Arts Innovation Research Project of Shanghai Jiao Tong University(WKCX2019)

摘要:

目的·调研我国临床研究人才队伍建设现况与问题,并提出针对性改进策略。方法·通过文献查阅、专家访谈和2轮德尔菲法自制调查问卷,对来自27个省、市、自治区的医院、生物医药企业、医学院校、政府部门中熟悉临床研究的相关人员(583人)开展网络问卷调研,并对调研结果进行统计分析。结果·共计回收问卷583份,其中有效问卷579份,有效率为99.3%。调研结果显示:① 临床研究人才缺乏和人才发展环境不佳是制约我国高水平临床研究的关键因素。② 在被调查对象中,对当前临床研究人才培养不尽如人意(很不满意、不满意和一般)者占比72.7%。主要问题包括:高水平研究型人才的缺乏,同时缺乏一支专业支撑队伍;目前的绩效评价体系过于单一且薪酬、激励未向临床研究工作倾斜,从事临床研究的医务人员、临床研究支撑服务人才缺乏晋升渠道等。③ 改进策略包括:系统性提升医务人员临床研究能力,完善临床研究能力培训课程体系,在学校教育阶段和在职教育阶段采取不同的培养方式,在临床研究人才队伍的扩充上要注重临床研究型医师和临床研究方法学专门人才两支队伍的培养。结论·提升我国临床研究水平,急需扩大优秀医学生的培养数量,完善临床研究方法学、相关法规等课程;鼓励高水平研究型医师指导新人,在研究项目中做好传帮带;系统化提高在职医务人员的科研能力,做好临床研究项目的规范实施、选题设计等培训;凝聚一支高水平复合型临床研究医务人员队伍,加大临床研究方法学的专业人才培养力度;进一步重视临床研究,从职称晋升、薪酬待遇、科研评价等方面完善临床研究人才的发展环境。

关键词: 临床研究, 人才队伍建设, 现存问题, 改进策略

Abstract:

Objective ·To investigate the current situation and problems of the construction of clinical research talents team in China, and propose targeted improvement strategies. Methods ·Self-designed questionnaires were made after literature review, expert interviews and two rounds of Delphi. An online questionnaire survey was conducted on 583 clinical research-related personnel from hospitals, biomedical enterprises, medical colleges and government departments in 27 provinces, cities and autonomous regions, and the survey results were analyzed. Results ·A total of 583 questionnaires were collected, 579 of which were valid, with an effective rate of 99.3%. The research results showed that: ① The lack of clinical research talents and the poor development environment of talents were the key factors restricting the high-level clinical research in China. ② Among the respondents, 72.7% of them were dissatisfied (very dissatisfied, dissatisfied and average) with the current training of clinical research talents. The main problems included lack of high-level research talents and a professional support team; the current performance evaluation system was monotonous, the salary and incentive were not profitable for clinical research, and medical personnel engaged in clinical research and support staff lacked promotion channels, etc. ③ The improvement strategies included systematically improving the clinical research ability of medical personnel, improving the clinical research training curriculum system, adopting different training methods in the school education stage and in-service education stage, and attaching more importance to the two teams′ training, clinical research physicians and clinical research methodology professionals. Conclusion ·Currently, it is urgent to expand the number of excellent medical students and improve the courses of clinical research methodology and relevant laws and regulations, encourage experienced research-oriented doctors to guide new staff in research projects, systematically improve the scientific research ability of current medical personnel, pay more attention to training of standardized implementation of clinical research projects, topic selection design and others, gather a high-level team of composite clinical research medical personnel, increase the amount of professionals in clinical research methodology, further attach importance to clinical research, and improve the development environment of clinical research talents from the aspects of professional title promotion, salary, scientific research evaluation, etc, so as to improve the level of clinical research in China.

Key words: clinical research, talent team construction, existing problem, improvement strategy

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