住院医师个案报告发表经历质性研究：困境、策略与期待

杨之辉; 陈文; 王晓雯; 李若瑜; 姚弥

doi:10.3760/cma.j.cn116021-20250206-02161

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住院医师个案报告发表经历质性研究：困境、策略与期待

教育研究 | 更新时间：2025-11-21

- 住院医师个案报告发表经历质性研究：困境、策略与期待
- A qualitative study on the experience of publishing case reports by resident physicians: challenges, strategies, and expectations
- 中华医学教育探索杂志 2025年24卷第11期页码：1490-1496
- 作者机构：
  
  1.北京大学第一医院皮肤性病科/国家皮肤与免疫疾病临床医学研究中心/皮肤病分子诊断北京市重点实验室/国家药品监督管理局化妆品质量控制与评价重点实验室，北京 100034
  2.北京大学第一医院全科医学科，北京 100034
- 作者简介：
  
  姚弥，Email：mi.yao@bjmu.edu.cn
- 基金信息：
  
  2023北京大学医学部专科医师培训和继续教育研究课题(2023ZP15);2023年北京大学第一医院教学课题(2023YJ21)
- DOI：10.3760/cma.j.cn116021-20250206-02161
  中图分类号： R4
- 收稿：2025-02-06，
  
  纸质出版：2025-11-20
- 稿件说明：
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杨之辉, 陈文, 王晓雯, 等. 住院医师个案报告发表经历质性研究：困境、策略与期待[J]. 中华医学教育探索杂志, 2025, 24(11): 1490-1496.

Yang Zhihui, Chen Wen, Wang Xiaowen, et al. A qualitative study on the experience of publishing case reports by resident physicians: challenges, strategies, and expectations[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1490-1496.
杨之辉, 陈文, 王晓雯, 等. 住院医师个案报告发表经历质性研究：困境、策略与期待[J]. 中华医学教育探索杂志, 2025, 24(11): 1490-1496. DOI： 10.3760/cma.j.cn116021-20250206-02161.

Yang Zhihui, Chen Wen, Wang Xiaowen, et al. A qualitative study on the experience of publishing case reports by resident physicians: challenges, strategies, and expectations[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1490-1496. DOI： 10.3760/cma.j.cn116021-20250206-02161.

摘要

目的

通过了解住院医师完成个案报告的经历及所需的支持，探索未来个案报告教学的保障条件。

方法

采用目的性抽样方法，对有个案报告发表经历的住院医师进行一对一的半结构化深度访谈。采用主题分析法对访谈资料进行分析。

结果

研究共纳入15名住院医师，其中男性3人、女性12人，年龄为（27.20±2.57）岁，8人正接受住院医师规范化培训，7人接受专科医师规范化培训。研究共凝练出3个主题，即在个案报告撰写前的资料收集、个案报告的撰写及个案报告撰写后的投稿发表这3个环节中住院医师遇到的困境、采取的策略及期待获得的支持。具体包括：撰写前获取免费、官方的科研资源，获得病例发表价值的指点，获取优质病例资源，对病例资料采集进行全程把控，获得科室间合作的便捷方式及基金支持；撰写期间获取个案报告范本、个案报告撰写经验、文章撰写指导及信念支撑；撰写后获得投稿网页的操作指导、目标期刊推荐及返修回复信范本。

结论

本研究探索了个案报告发表经历中撰写前、中、后3个连续环节中的困境、策略及支持，初步摸索出住院医师视角下个案报告教学的保障条件。

Abstract

Objective

To investigate the experiences of residents in completing case reports

the support needed in writing case reports

and the necessary conditions for future case report education.

Methods

Using purposive sampling

one-on-one semi-structured in-depth interviews were conducted with residents who had published case reports. A thematic analysis was employed to analyze the data.

Results

The study included 15 residents [3 males

12 females; mean age: (27.20±2.57) years]

with 8 undergoing standardized residency training and 7 receiving specialized physician training. The study identified three themes

including the challenges

strategies

and desired support during data collection prior to writing the case report

the writing process

and the submission and publication. The following specific needs were identified. Before writing

residents sought access to free and official research resources

guidance on the value of case publication

high-quality case resources

comprehensive supervision of data collection

access to interdepartmental collaboration

and funding support. During the writing period

they sought case report templates

experiences in writing case reports

guidance on article composition

and motivational support. After writing

they expected operational guidance of submission websites

recommendations for target journals

and templates for revision response letters.

Conclusions

This study explored the challenges

strategies

and expected support in the continuous stages of before

during

and after writing case reports

thereby initially identifying the essential support conditions for case report instruction from the perspective of resident physicians.

关键词

Keywords

references

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