Ravella Krishna C, Curlin Farr A, Yoon John D
a Department of Medicine , University of Chicago , Chicago , Illinois , USA.
Teach Learn Med. 2015;27(2):123-9. doi: 10.1080/10401334.2015.1011644.
PHENOMENON: Vocational identity may play an important role in physicians' healthy professional development. Allopathic medical students' vocational identity may bear a relationship to the level of emphasis placed on research versus service at their medical school.
Social mission score (SMS) and the US News and World Report (USNWR) research ranking (year 2011) were used as schools' national rankings for service and research, respectively. A questionnaire was sent to 960 3rd-year medical students from 24 allopathic medical schools between January and April 2011. The scale for vocational identity was created using the responses from the Vocational Identity Scale (9 items), and we used an established cutoff from a previous study to categorize those students who had "strong" vocational identity.
After categorizing allopathic medical schools into four groups based on SMS rankings, we found that medical students who attended allopathic medical schools from the two highest SMS ranking groups were more likely to report scores reflecting strong vocational identities-odds ratio [OR] = 2.9, 95% confidence interval (CI) [1.8, 4.7] and OR = 2.5, 95% CI [1.6, 4.0], respectively. In contrast, we did not find any associations between students from allopathic medical schools with high USNWR rankings and likelihood of reporting scores reflecting strong vocational identities. Insights: Social mission scores for allopathic medical schools may potentially serve as predictors of professional and vocational identity development. Further research is needed to better understand these findings, as this is one of the first studies both to examine allopathic medical students' sense of vocational identity and to explore the use of SMS rankings as predictors of medical students' professional development.
现象：职业认同可能在医生的健康职业发展中发挥重要作用。全科医学学生的职业认同可能与他们医学院对研究与服务的重视程度有关。
社会使命得分（SMS）和《美国新闻与世界报道》（USNWR）研究排名（2011年）分别用作学校在服务和研究方面的全国排名。2011年1月至4月期间，向来自24所全科医学院的960名三年级医学生发送了一份问卷。职业认同量表是根据职业认同量表（9个项目）的回答创建的，我们使用了先前研究中确定的临界值对那些具有“强烈”职业认同的学生进行分类。
在根据SMS排名将全科医学院分为四组后，我们发现，来自SMS排名最高的两个组的全科医学院的医学生更有可能报告反映强烈职业认同的分数——优势比[OR]=2.9，95%置信区间（CI）[1.8，4.7]和OR=2.5，95%CI[1.6，4.0]。相比之下，我们没有发现USNWR排名高的全科医学院的学生与报告反映强烈职业认同分数的可能性之间存在任何关联。见解：全科医学院的社会使命得分可能潜在地作为职业和专业认同发展的预测指标。需要进一步研究以更好地理解这些发现，因为这是首批研究之一，既考察了全科医学学生的职业认同感，又探索了使用SMS排名作为医学生职业发展预测指标的情况。
