Wright State University Boonshoft School of Medicine, USA.
Med Teach. 2010 Jan;32(1):e36-41. doi: 10.3109/01421590903199676.
Many of the behaviors that constitute professionalism require self-control.
To investigate the extent to which self-control is a component of resident professionalism, rated both by residents and their program directors.
366 residents in 13 residency programs were invited to participate in a survey study of professionalism. Participating residents completed the Professionalism - Documentation of Competence (ProDOC) (a 15-item measure of professionalism developed for the study), a 10-item version of the Marlowe-Crowne Social Desirability Scale, and the Brief Self-Control Scale. Independently, program directors of participating residents completed the ProDOC with reference to each of their participating residents.
215 residents agreed to participate in the study (58.7% response rate). Resident ProDOC scores were significantly related to social desirability and self-control. Self-control alone accounted for approximately 25% of the variance in resident ProDOC scores, and approximately 17% of the variance in ProDOC scores when shared variance with social desirability was controlled. There was no correlation between resident and program director ProDOC scores.
Self-control is an important facet of human behavior and interpersonal interaction, including the behaviors that constitute medical professionalism. The lack of correlation between residents' self-ratings of professionalism and their program directors' ratings underscores the difficulty in understanding and measuring this competency.
构成专业精神的许多行为都需要自我控制。
调查自我控制在多大程度上构成了住院医师专业精神的一个组成部分，由住院医师及其项目主管来评估。
13 个住院医师培训项目中的 366 名住院医师受邀参与了一项专业精神的调查研究。参与的住院医师完成了专业精神-能力记录（ProDOC）（一项为该研究开发的 15 项专业精神衡量标准）、10 项 Marlowe-Crowne 社会期望量表和简短自我控制量表。独立地，参与住院医师的项目主管在参考每位参与住院医师的情况下完成了 ProDOC。
215 名住院医师同意参与该研究（58.7%的回应率）。住院医师的 ProDOC 分数与社会期望和自我控制显著相关。自我控制单独解释了住院医师 ProDOC 分数的约 25%的方差，当控制与社会期望的共享方差时，自我控制解释了 ProDOC 分数的约 17%的方差。住院医师和项目主管的 ProDOC 分数之间没有相关性。
自我控制是人类行为和人际互动的一个重要方面，包括构成医学专业精神的行为。住院医师自我评估的专业精神与其项目主管的评估之间缺乏相关性，突出了理解和衡量这一能力的难度。
