Integrating conflicting professional roles: physician participation in randomized clinical trials.
Integrating conflicting professional roles: physician participation in randomized clinical trials.
复制标题
整合相互冲突的专业角色：医生参与随机临床试验。
DOI：
10.1016/0277-9536(92)90169-q
复制
发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Taylor,KM
中科院分区：
文献类型：
--
作者：
Taylor,KM
传统的医生是临床医生还是研究人员的身份受到了随机临床试验（RCTs）的挑战，RCTs中研究和临床护理同时进行。使用自填问卷进行了一项邮件调查，医生取向配置文件，101名医生从眼黑色素瘤合作研究（COMS），一组试验，比较手术切除的眼睛与放射治疗中型眼癌。获得95%的答复率，后续电话采访进行了87%的受访者。主要研究结果表明，随机对照试验挑战传统定义的医生的“核心任务”，因为他们参与的社会过程，需要他们整合以前不同的，有时竞争的角色研究人员和临床医生。这种整合的三个影响进行了讨论：修改专家奖励制度，改变习惯的临床实践和重新定义专业互动的参考群体。
The traditional identification of physicians aseitherclinicianorresearcher is challenged by the emergence of randomized clinical trials (RCTs) where research and clinical care are performed simultaneously. A mail survey using a self-administered questionnaire, the Physician Orientation Profile, was conducted of 101 physicians from the Collaborative Ocular Melanoma Study (COMS), a set of trials which compares surgical removal of the eye with radiation in the treatment of medium sized eye cancers. A 95% response rate was obtained; follow-up telephone interviews were conducted with 87% of respondents. Key findings suggest that RCTs challenge traditional definitions of physician's ‘core task,’ because they participate in a social process that requires them to integrate the formerly disparate and sometimes competing roles of researcher and clinician. Three implications of this integration are discussed: amending the expert reward system, altering customary clinical practice and redefining reference groups for professional interaction.