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      Scientific skills in health services research – knowledge, utilization and needs for continuing education among staff at the University Hospital Tübingen Translated title: Wissenschaftliche Kompetenzen in der Versorgungsforschung – Kenntnisse, Anwendung und Bedürfnisse hinsichtlich Fortbildungen von Mitarbeitenden des Universitätsklinikums Tübingen

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          Abstract

          Objectives:

          As part of the further development of an existing training program on scientific skills for health services research at the University Hospital Tübingen, the aim of the study is to determine the level of knowledge, utilization and needs for continuing education among staff.

          Methods:

          In 2022, a semi standardized anonymous cross-sectional survey was conducted at the University Hospital Tübingen. The content of the questionnaire survey was the level of knowledge and utilization of various research methods, the need for continuing education on these and other healthcare research-related topics and the preferred training concept. The data analysis was carried out descriptively based on absolute and relative frequencies overall and grouped according to the scientific experience of the participants.

          Results:

          Participants’ self-assessment indicated that a proportion of them had research skills. However, the level of knowledge and utilization varied greatly with regard to different research methods. The 222 participants most frequently expressed a desire for continuing education in the preparation of meta-analyses (56%), questionnaire validation (43%) and -development (42%). There was also great interest in continuing education in the fields of project coordination (57%), third-party funded projects (46%) and science communication (45%).

          Conclusion:

          The survey highlights existing research skills and the need for methodological qualification in the field of healthcare research among the staff of the University Hospital Tübingen. The focus appears to be on evidence generation, methods of empirical social research and general research-related skills. The results will be used to design new training courses with a focus on health services research.

          Zusammenfassung

          Zielsetzung:

          Am Universitätsklinikum Tübingen (UKT) werden bestehende Fortbildungsangebote zu wissenschaftlichen Kompetenzen in der Versorgungsforschung weiterentwickelt. Ziel der Studie ist es den Kenntnisstand, Anwendung und Bedürfnisse hinsichtlich Fortbildungen bei den Beschäftigten zu ermitteln.

          Methodik:

          2022 wurde am UKT eine teilstandardisierte anonyme Querschnittsbefragung durchgeführt. Inhalt der Fragebogenerhebung war der Kenntnis- und Anwendungsstand hinsichtlich verschiedener Forschungsmethoden, das Bedürfnis nach Fortbildungen zu diesen und weiteren versorgungsforschungsnahen Themen sowie die präferierte Fortbildungskonzeption. Die Auswertung erfolgte deskriptiv anhand absoluter und relativer Häufigkeiten insgesamt sowie gruppiert nach wissenschaftlicher Erfahrung der Teilnehmenden.

          Ergebnisse:

          Die Selbsteinschätzung der Teilnehmenden zeigte, dass anteilig Forschungskompetenzen vorlagen. Der Kenntnis- und Anwendungsstand variierte stark in Bezug auf verschiedene Forschungsmethoden. Die 222 Teilnehmenden äußerten am häufigsten den Wunsch nach Fortbildungen zur Erstellung von Metaanalysen (56%), Fragebogenvalidierung (43%) und -entwicklung (42%). Großes Interesse bestand zudem an Fortbildungen zu Projektkoordination (57%), Drittmittelprojekte (46%) sowie Wissenschaftskommunikation (45%).

          Schlussfolgerung:

          Die Erhebung verdeutlicht bestehende Forschungskompetenzen und das Bedürfnis nach methodischer Qualifizierung im Bereich der Versorgungsforschung bei Beschäftigten des UKT. Hierbei scheint ein Schwerpunkt auf der Evidenzgenerierung, Methoden der empirischen Sozialforschung und allgemeinen forschungsbezogenen Kompetenzen zu liegen. Die Ergebnisse werden für die Konzeption neuer Fortbildungen mit Fokus auf Versorgungsforschung verwendet.

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          Most cited references28

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          Investigation on the acquisition of scientific competences during medical studies and the medical doctoral thesis

          Background: Not only the amount of research related contents in German medical studies are objects of criticism, but also the medical doctoral thesis. However, the question which research competences are truly acquired within medical school and the doctoral phase is empirically open, and is thus pursued in the following research study. Methods: We used data from the Bavarian Medical Graduate Panel Survey (MediBAP) (N=455), where respondents assessed their own research competences. To consolidate the data, we analysed qualitative interviews with doctoral medical graduates and students from the E-Prom study (N=14). Results: The quantitative analyses show that medical graduates evaluate the medical curriculum's research contents and their acquired competences as rather low. Doctoral graduates rate their competence of pursuing research independently higher than medical graduates who have not finished their doctorate. The qualitative analyses are in line with these results, as they point to the predominant development of competences during the doctoral phase. Despite this clearly positive trend, the majority of the respondents don't feel confident enough to undertake research independently also after attaining their doctoral degree. Conclusion: The results of this study emphasize the need for a more systematic and targeted mediation and review of research competences within the regular medical curriculum.
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            Theory and practice in medical education – expectations and development of skills experienced by students of human medicine compared with students in other disciplines

            Aim: The aim of this article is to compare students of human medicine (HM) with students specialising in the MINT disciplines (mathematics, computer science, natural sciences and engineering), the humanities and social sciences as well as law and economic sciences with regard to their expectations of their university study and career and the areas of competence where they feel they have been supported by their education. We present in detail issues particularly relevant to prospective physicians, which are discussed with the main focus on the “theoretical and practical orientation of medical education”. Methods: We used the database in the Public Use File of the “11th Student Survey”, a written survey of randomly selected students studying at 25 German tertiary institutions during the 2009/2010 winter term, which was supplied by the Tertiary Education Research working group at the University of Constance. Data on 7536 students was included, of which 488 (6.5%) were prospective physicians. Results: Human medicine students have a clear career aim and want to complete their education quickly. They have a far above-average interest in working with and for people. About one student in two is interested in a career in science or research (53% in each case – close to the average for all subjects). Compared with the other disciplines, HM students are most likely to consider their university education to have practical and research relevance and are most likely to feel prepared for their profession. Yet over half of all students (Ø 53.3%; HM 54.5%) do not consider their education to have fostered their research skills. MINT students in particular are better able to enhance their skills through independent experimentation, while theory and practice are more likely to be communicated academically in the regular teaching of human medicine. Accordingly, the HM students feel less well supported in some areas of competence required for their later work than students in other disciplines, in developing independence, problem-solving ability, critical ability and capacity for teamwork for example. Conclusion: The high expectations held by human medicine students of being prepared for practical work with/on people are met to an above-average degree according to their assessments of the “practical relevance” and “career preparation” offered by their medical education. However the perceived development of skills in theory and practice does not respond sufficiently well to the demands of the complex, responsible profession they aspire to. Medical students should be better supported in developing both practical and academic independence.
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              Empfehlungen zur Weiterentwicklung des Medizinstudiums in Deutschland auf Grundlage einer Bestandsaufnahme der humanmedizinischen Modellstudiengänge

              (2014)
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                Author and article information

                Journal
                GMS J Med Educ
                GMS J Med Educ
                GMS J Med Educ
                GMS Journal for Medical Education
                German Medical Science GMS Publishing House
                2366-5017
                16 September 2024
                2024
                : 41
                : 4
                : Doc37
                Affiliations
                [1 ]University Hospital Tübingen, Center for Public Health and Health Services Research, Tübingen, Germany
                [2 ]University Hospital Tübingen, Institute for General Medicine and Interprofessional Care, Tübingen, Germany
                [3 ]University Hospital Tübingen, Institute of Occupational Medicine, Social Medicine and Health Services Research, Tübingen, Germany
                Author notes
                *To whom correspondence should be addressed: David Häske, University Hospital Tübingen, Center for Public Health and Health Services Research, Osianderstr. 5, D-72076 Tübingen, Germany, E-mail: David.Haeske@ 123456med.uni-tuebingen.de
                Article
                zma001692 Doc37 urn:nbn:de:0183-zma0016920
                10.3205/zma001692
                11474650
                39415811
                69885733-9f84-4b18-9ba8-3d3db4e8f85c
                Copyright © 2024 Richter et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

                History
                : 19 September 2023
                : 16 May 2024
                : 03 May 2024
                Categories
                Article

                research skills,research methods,university hospital,training courses,continuing education

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