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中国新入学医学生职业选择动机与医学职业精神认知的初步研究:一项横断面研究。

Preliminary study of the relationship between career choice motivation and understanding of professionalism in newly enrolled medical students in China: a cross-sectional study.

机构信息

Institute for International Health Professions Education and Research, China Medical University, Shenyang, Liaoning, China.

Institute for International Health Professions Education and Research, China Medical University, Shenyang, Liaoning, China

出版信息

BMJ Open. 2021 Feb 22;11(2):e041860. doi: 10.1136/bmjopen-2020-041860.

Abstract

OBJECTIVES

Early professionalism education for first-year students is important for generating sound knowledge and attitudes towards medical professionalism. Of the many factors affecting professionalism and professional identity formation in medical students, career choice motivation is an understudied one. This study aimed to explore the relationship between the career choice motivations of first-year medical students and their understanding of professionalism.

SETTINGS AND PARTICIPANTS

A cross-sectional survey of 940 first-year clinical medicine students was conducted at China Medical University in September 2017 to explore students' motivation to study medicine and its relationship with students' understanding of professionalism. Demographics, career choice motivation and professionalism were obtained through paper questionnaires. Logistic regression analysis was used to analyse the association between career choice motivation and understanding of professionalism while controlling for potential demographic confounders.

RESULTS

The most common career choice motivations for first-year medical students (N=843) were , and . The most mentioned subdimensions of professionalism were , and . There were significant differences in the understanding of professionalism among students with different career choice motivations.

CONCLUSION

First-year medical students with different motivations to study medicine also have different understandings of professionalism. Medical educators can explore motivations to learning medicine as a new entry point to providing professionalism education for newly enrolled medical students.

摘要

目的

对一年级医学生进行早期职业素养教育对于培养他们对医学职业素养的正确认识至关重要。在影响医学生职业素养和职业认同感形成的诸多因素中,职业选择动机是一个研究较少的因素。本研究旨在探讨一年级医学生职业选择动机与其对职业素养的理解之间的关系。

背景和参与者

本研究于 2017 年 9 月在中国医科大学进行了一项横断面调查,共纳入 940 名临床医学一年级学生,以探讨学生学习医学的动机及其与学生对职业素养的理解之间的关系。通过纸质问卷收集学生的人口统计学特征、职业选择动机和职业素养。采用逻辑回归分析,在控制潜在人口统计学混杂因素的情况下,分析职业选择动机与职业素养理解之间的关联。

结果

在 843 名有明确医学职业选择动机的一年级医学生中,最常见的动机是 、 、 。提及最多的职业素养子维度是 、 、 。不同职业选择动机的学生对职业素养的理解存在显著差异。

结论

不同医学职业选择动机的一年级医学生对职业素养的理解也存在差异。医学教育工作者可以将学习医学的动机作为为新入学医学生提供职业素养教育的新切入点。

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