Public health and research ethics education: the experience of developing a new cadre of bioethicists at a Ugandan institution.
Public health and research ethics education: the experience of developing a new cadre of bioethicists at a Ugandan institution.
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DOI：
10.1186/s12909-023-04974-y
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发表时间：
2024-01-03
影响因子：
3.6
通讯作者：
Loue, Sana
中科院分区：
文献类型：
--
作者：
Kiwanuka, Gertrude N.;Bajunirwe, Francis;Alele, Paul E.;Oloro, Joseph;Mindra, Arnold;Marshall, Patricia;Loue, Sana
研究伦理教育对于培养负责任的研究行为文化至关重要。撒哈拉以南非洲许多国家的艾滋病毒和疟疾等传染病负担沉重；有些国家，如乌干达，疫情反复爆发。再加上非传染性疾病的增加，研究人员有机会接触大量人口来测试新的药物和疫苗。乌干达在研究伦理方面发展多层次能力的需求仍然很大，而且由于疾病的高负担和具有挑战性的公共卫生问题而更加复杂。SSA中只有少数机构提供研究伦理方面的研究生培训，这意味着每个大规模研究伦理委员会至少有一名成员受过深入的伦理培训的理想是不切实际的。寻找适合可比情况和培训要求的最佳做法具有挑战性，因为目前没有教学研究伦理的“黄金标准”，关于课程和实施策略的公开信息也很少。本文的目的是描述一种研究伦理（RE）教育模式，作为现有的两年制公共卫生硕士（MPH）的一个轨道，为发展特定的应用学习技能提供培训，以满足一个疾病负担沉重的国家对生物医学和公共卫生研究的当代和新兴需求。我们描述了我们在乌干达西南部姆巴拉拉科技大学的姆巴拉拉大学研究伦理教育项目成功实施MPH-RE项目的五年经验。我们使用了课程材料、项目申请、培训后和外部评估以及年度报告来完成这项工作。这种模式可以在具有类似情况的其他发展中国家加以调整和使用。在公共卫生和研究伦理之间建立一个接口需要在MPH- re项目交付的早期将两者整合起来，以防止MPH- re项目中MPH组成部分提供的研究方法与MPH- re学生期望在他们的论文中进行的伦理学研究之间的知识脱节。在仍然是“外国”的机构中促进多学科的生物伦理学教育是具有挑战性的，需要各级机构的支持性领导。
Research ethics education is critical to developing a culture of responsible conduct of research. Many countries in sub-Saharan Africa (SSA) have a high burden of infectious diseases like HIV and malaria; some, like Uganda, have recurring outbreaks. Coupled with the increase in non-communicable diseases, researchers have access to large populations to test new medications and vaccines. The need to develop multi-level capacity in research ethics in Uganda is still huge, being compounded by the high burden of disease and challenging public health issues. Only a few institutions in the SSA offer graduate training in research ethics, implying that the proposed ideal of each high-volume research ethics committee having at least one member with in-depth training in ethics is far from reality. Finding best practices for comparable situations and training requirements is challenging because there is currently no “gold standard” for teaching research ethics and little published information on curriculum and implementation strategies. The purpose of this paper is to describe a model of research ethics (RE) education as a track in an existing 2-year Master of Public Health (MPH) to provide training for developing specific applied learning skills to address contemporary and emerging needs for biomedical and public health research in a highly disease-burdened country. We describe our five-year experience in successful implementation of the MPH-RE program by the Mbarara University Research Ethics Education Program at Mbarara University of Science and Technology in southwestern Uganda. We used curriculum materials, applications to the program, post-training and external evaluations, and annual reports for this work. This model can be adapted and used elsewhere in developing countries with similar contexts. Establishing an interface between public health and research ethics requires integration of the two early in the delivery of the MPH-RE program to prevent a disconnect in knowledge between research methods provided by the MPH component of the MPH-RE program and for research in ethics that MPH-RE students are expected to perform for their dissertation. Promoting bioethics education, which is multi-disciplinary, in institutions where it is still “foreign” is challenging and necessitates supportive leadership at all institutional levels.
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DOI：
10.1525/jer.2012.7.2.3
发表时间：
2012-04
期刊：
Journal of empirical research on human research ethics : JERHRE
影响因子：
--
作者：
Anderson EE;Solomon S;Heitman E;DuBois JM;Fisher CB;Kost RG;Lawless ME;Ramsey C;Jones B;Ammerman A;Ross LF
通讯作者：
Ross LF
影响因子：
4.2
作者：
Hope, Derick;Businge, Stephen;Kyoyagala, Stella;Bazira, Joel
通讯作者：
Bazira, Joel
影响因子：
1.4
作者：
Ertmer, Peggy A.;Newby, Timothy J.
通讯作者：
Newby, Timothy J.
影响因子：
2
作者：
Brody, BA
通讯作者：
Brody, BA
影响因子：
2.9
作者：
Kass, Nancy E.;Ali, Joseph;Hyder, Adnan A.
通讯作者：
Hyder, Adnan A.