Klemenc-Ketis Zalika, Vrecko Helena
Department of Family Medicine, Faculty of Medicine, Taborska 8, 2000 Maribor, Slovenia ; Department of Family Medicine, Faculty of Medicine, Poljanskinasip 58, 1000 Ljubljana, Slovenia.
Department of Family Medicine, Faculty of Medicine, Taborska 8, 2000 Maribor, Slovenia.
Acta Inform Med. 2014 Oct;22(5):292-6. doi: 10.5455/aim.2014.22.292-296. Epub 2014 Oct 29.
Professionalism is essential for the development of mature physicians but not much education is devoted to that theme.
We aimed to determine the views of undergraduate medical students on medical professionalism.
This was a qualitative study, based on focus groups of the first and fifth-year undergraduate medical students. Transcripts of the focus groups were independently evaluated by two researches. Segments of transcripts, identified as important, were marked as verbatims. A grounded theory method with open coding was applied. A list of codes was developed and reviewed by both researchers until the consensus was reached. Then, the codes were reviewed and put into the categories and dimensions.
Students recognized 10 main medical professionalism dimensions (empathy, respect, responsibility, autonomy, trust, communication, difference between professional and private life, team work, partnership) and two dimensions associated with it (physician's characteristics, external factors). Slight change of the attitudes towards a more self-centred future physicians' figure was observed in the fifth-year medical students.
The students have an appropriate picture of the physicians' figure even at the beginning of their medical studies but still needs an education in professionalism. It seems that the fifth-year students perceive physicians as more self-centred when compared to their first-year colleagues.
职业素养对于成熟医生的发展至关重要,但针对该主题的教育却不多。
我们旨在确定本科医学生对医学职业素养的看法。
这是一项定性研究,基于一年级和五年级本科医学生的焦点小组。焦点小组的文字记录由两名研究人员独立评估。被认定为重要的文字记录片段被标记为逐字记录。应用了带有开放编码的扎根理论方法。制定了一份编码列表,并由两位研究人员进行审查,直至达成共识。然后,对编码进行审查并归入类别和维度。
学生们认识到10个主要的医学职业素养维度(同理心、尊重、责任、自主性、信任、沟通、职业与私人生活的差异、团队合作、伙伴关系)以及与之相关的两个维度(医生的特质、外部因素)。在五年级医学生中观察到对未来以自我为中心的医生形象的态度略有变化。
即使在医学学习初期,学生们对医生形象也有恰当的认知,但仍需要接受职业素养教育。与一年级同学相比,五年级学生似乎认为医生更以自我为中心。