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What are the skills required for clinical research? 

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Open accessJournal ArticleDOI
19 Apr 2003-BMJ
47 Citations
Thorough training, compassion, sound judgment, good communication skills, honed clinical skills, and knowledge are all critically important.
These personal and professional abilities are not new clinical skills, but the skills of leadership, self-awareness, confidence, self-belief and value clarification and a clear mental model of what it is they want to be within healthcare.
By making visible, systematizing and refining the doctor's tacit conversational skills, the clinical method represents a model for transforming individual clinical experiences into medical knowledge.
These results are a plea for a structured curriculum including training courses to practice clinical skills.
It is argued that this approach to research is particularly appropriate and relevant for practitioners since it draws upon skills and awareness necessary for clinical work, and can complement positivist methods of research which are already well established in the profession.
For clinical research to thrive and prosper, indeed to become part of what we do in practice, we must learn from the clinicians who can tell us what works and what does not.
Furthermore, because of the growth and expansion of clinical research, all practicing physicians should have a fundamental understanding of clinical research and the differences between clinical care and clinical research, even if they are not directly involved in the conduct of clinical research, to appropriately advise their patients.
Clinical research starts from a view of science that not only acknowledges the value of rational analysis and empirical research, but also acknowledges the need for human skills and connoisseurship.
While there are benefits and certain skills that clinicians can bring to interview-based research, there are important new skills to develop.
For new graduates the tasks of searching and evaluating evidence are secondary to developing and clarifying their clinical knowledge and skills.
It is concluded that development of practitioner research skills needs to be supported by a career strategy enabling clinical research careers in the NHS.
We propose that laboratory science and clinical research represent fundamentally different research paradigms that defy a simple arithmetic of combining the skills of individuals on teams.
A variety of indirect and direct measures are available for evaluating physicians, but, at present, no single method permits high-stake inferences about clinical skills.

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