García-Estañ Joaquín, Cabrera-Maqueda Jose María, González-Lozano Eduardo, Fernández-Pardo Jacinto, Atucha Noemí M
Centro de Estudios en Educación Médica, Universidad de Murcia, 30120 Murcia, Spain.
Servicio de Docencia y Formación, Hospital Clínico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain.
Healthcare (Basel). 2021 Nov 18;9(11):1580. doi: 10.3390/healthcare9111580.
Medical professionalism, defined as commitment to the primacy of patient welfare, is the basis for doctor-patient-society relationships, but previous research with medical students has shown that professionalism and social commitment to medicine may be waning. To determine if this trend also appears in recently qualified practicing doctors, we surveyed 90 newly graduated doctors currently working as medical residents in two university hospitals in Murcia, Spain. A previously validated questionnaire that studies the perception of six categories (responsibility, altruism, service, excellence, honesty and integrity, and respect) defining medical professionalism was used.
A good perception of professionalism was found among medical residents, with more than 70% positive responses in all these six categories. There is an increasing trend in the number of negative responses as the residency goes on. Altruism was the category with the greatest percentage of negative answers (22.3%) and Respect was the category with the lowest percentage (12.9%).
The results show a good professionalism perception in medical residents, but also a slight decline in positive answers that began during medical school. A significant trend was found when including both students and residents. Although there were some differences between students and residents, these were not statistically significant. Educational interventions are needed both at the level of medical school and postgraduate medical residency.
医学职业精神被定义为致力于将患者福祉置于首位，它是医患关系及医患与社会关系的基础，但先前针对医学生的研究表明，职业精神和对医学的社会承诺可能正在减弱。为了确定这种趋势是否也出现在刚取得资格的执业医生中，我们对西班牙穆尔西亚的两家大学医院中90名目前担任住院医师的新毕业医生进行了调查。我们使用了一份先前经过验证的问卷，该问卷研究了界定医学职业精神的六个类别（责任、利他主义、服务、卓越、诚实正直和尊重）的认知情况。
住院医师对职业精神有良好的认知，在这六个类别中，超过70%的回答是积极的。随着住院医师培训的进行，负面回答的数量呈上升趋势。利他主义类别中负面回答的比例最高（22.3%），尊重类别中负面回答的比例最低（12.9%）。
结果显示住院医师对职业精神有良好的认知，但在医学院期间就已开始出现的积极回答略有下降。将医学生和住院医师纳入研究时发现了一个显著趋势。虽然医学生和住院医师之间存在一些差异，但这些差异在统计学上并不显著。在医学院阶段和毕业后医学住院医师培训阶段都需要进行教育干预。
