Grossman H Y, Salt P, Nadelson C, Notman M
Lab in Social Psychology, Harvard Medical School, Boston, MA 02115.
Soc Sci Med. 1987;25(9):1057-62. doi: 10.1016/0277-9536(87)90011-6.
The structures and pressures of medical education raise particular concerns about how coping resources vary among students as they enter training. Most past studies have focussed on male students. Our data considers the coping and health-related responses of men and women students during the initial phase of their socialization into medicine. Subjects were 179 men and 80 women in entering classes of two medical schools who completed a variety of self-report measures. A multivariate analysis of these data revealed profile differences between men and women on measures of coping and health-related responses. Univariate tests demonstrated sex differences in mastery, number of health symptoms and reliance on alcohol. Men and women, however, showed similarly high esteem and use of social networks. The variation observed between men and women medical students as they begin their training suggests different potential sources of vulnerability. The importance of these findings is to provide a context of initial coping repertoires of men and women medical students for future evaluation of the effects of socialization.
医学教育的结构和压力引发了人们对学生在开始接受培训时应对资源如何不同的特别关注。过去的大多数研究都集中在男学生身上。我们的数据考虑了男女医学生在医学社会化初始阶段的应对方式及与健康相关的反应。研究对象为两所医学院入学班级中的179名男生和80名女生,他们完成了各种自我报告测量。对这些数据的多变量分析揭示了男女在应对方式及与健康相关反应测量方面的特征差异。单变量测试表明在掌控感、健康症状数量和对酒精的依赖方面存在性别差异。然而,男女在自尊和社交网络的利用方面表现出同样高的水平。男女医学生在开始培训时观察到的差异表明了不同的潜在脆弱源。这些发现的重要性在于为未来评估社会化的影响提供男女医学生初始应对方式的背景。