Jamalabadi Zeinab, Ebrahimi Sedigheh
Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran.
J Adv Med Educ Prof. 2018 Jan;6(1):31-36.
Recognition of professional and unprofessional behaviors is the most important and fundamental factor which affects the relationships between the doctors and patients. Therefore, in order to progress in their professional life, doctors are supposed to understand and follow these behaviors.
This is a cross-sectional, descriptive analytical study. All students in teaching hospital of Shiraz University of Medical Sciences were eligible to participate (374 individuals with census method). The data were collected using a questionnaire containing 29 questions about the concept of medical professionalism. Here, participation of medical students in unprofessional behaviors and the relevance of this participation with the perception of these behaviors were considered. Data were analyzed through SPSS version 15, using descriptive statistics, t-test and Pearson correlation test.
According to the obtained data, despite the fact that all students (140 students in the junior and 234 in the senior years as interns) had passed the course of professionalism (95.7%), the perception of unprofessional behaviors between the two groups was significantly different (p<0.001) and the mean of the perception among junior students was higher than the interns. No significant difference was observed in participation in unprofessional behavior rates of the two groups (p=0.451).Moreover, the data did not reveal a strong relationship between participation in unprofessional behavior and what is taught in the curriculum (p=0.079).
Medical students' perception of unprofessional behaviors as acceptable may increase their participation in these behaviors. Thus, medical policy makers should consider approaches beyond simply providing ethical and professional guidelines or policies, and students should be regularly evaluated for their activities; their professional behaviors should be evaluated in order to temper them, when appropriate.
识别专业与非专业行为是影响医患关系的最重要且最基本的因素。因此，为了在职业生涯中取得进步，医生应该理解并遵循这些行为。
这是一项横断面描述性分析研究。设拉子医科大学教学医院的所有学生均有资格参与（采用普查法，共374人）。通过一份包含29个关于医学职业精神概念问题的问卷收集数据。在此，考虑医学生参与非专业行为的情况以及这种参与与对这些行为的认知之间的相关性。使用SPSS 15版软件进行数据分析，采用描述性统计、t检验和Pearson相关性检验。
根据所得数据，尽管所有学生（低年级140名学生和高年级234名实习学生）都修过职业精神课程（95.7%），但两组学生对非专业行为的认知存在显著差异（p<0.001），低年级学生的认知平均值高于实习学生。两组学生参与非专业行为的比率未观察到显著差异（p=0.451）。此外，数据未显示参与非专业行为与课程所授内容之间存在强关联（p=0.079）。
医学生将非专业行为视为可接受的认知可能会增加他们对这些行为的参与度。因此，医学政策制定者应考虑采取除单纯提供伦理和专业指导方针或政策之外的方法，并且应该定期评估学生的活动；应评估他们的专业行为以便在适当的时候加以规范。
