Holmström Inger, Sanner Margareta A, Rosenqvist Urban
Department of Public Health and Caring Sciences, Section for Health Services Research, Uppsala Science Park, SE-751 85 Uppsala, Sweden.
Adv Health Sci Educ Theory Pract. 2004;9(1):5-14. doi: 10.1023/B:AHSE.0000012207.88241.8b.
Medical students will influence future health care considerably. Their professional orientation while at medical school will be related to their future professional development. Therefore, it is important to study this group's view of the role of medical doctors, especially because Swedish health care is currently undergoing major changes and financial cut backs. Here, the theoretical framework was contemporary theories of competence development, which has shown that people's understanding of their work influences their actions. The aim of this study was to describe medical students' views of their future professional role in health care. In total, 57 fourth-year medical students at a Swedish university were asked to write a short essay about how they conceptualised their professional role in future health care. Fifty-three students (93%) replied. The essays were analysed qualitatively in three steps and four themes were subsequently identified: the professional role in change, organisation of health care, working conditions and the possibilities of having a balanced life. Some factors mentioned that would strongly influence the professional role were being team leader, increased specialisation, supporting the patient and computer science and technology. The students expressed ambiguous feelings about power and leadership. The results indicate that the students share a rather dark view of both the medical profession and health care, which seems to be related to stress and financial cut backs. Mentoring, time for reflection and changes in the curricula might be needed.
医学生将对未来的医疗保健产生重大影响。他们在医学院期间的职业取向将与他们未来的职业发展相关。因此，研究这一群体对医生角色的看法非常重要，尤其是因为瑞典的医疗保健目前正在经历重大变革和财政削减。在此，理论框架是当代能力发展理论，该理论表明人们对工作的理解会影响他们的行动。本研究的目的是描述医学生对他们未来在医疗保健中的职业角色的看法。瑞典一所大学的57名四年级医学生被要求写一篇短文，阐述他们如何构想自己在未来医疗保健中的职业角色。53名学生（93%）进行了回复。对这些短文分三步进行了定性分析，随后确定了四个主题：变革中的职业角色、医疗保健的组织、工作条件以及拥有平衡生活的可能性。提到的一些将对职业角色产生强烈影响的因素包括担任团队领导、专业化程度提高、支持患者以及计算机科学与技术。学生们对权力和领导力表达了矛盾的感受。结果表明，学生们对医学专业和医疗保健都持有相当悲观的看法，这似乎与压力和财政削减有关。可能需要进行指导、提供反思时间并对课程进行改革。
