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探讨医学生在进入医学院之前对医学的第一学年的预期。

Exploring the preconception of the first year of medical students on medicine before entering medical school.

机构信息

Department of Medical Education, Hanyang University College of Medicine, Seoul, Korea.

Hanyang University College of Medicine, Seoul, Korea.

出版信息

Korean J Med Educ. 2021 Dec;33(4):369-379. doi: 10.3946/kjme.2021.205. Epub 2021 Nov 30.

Abstract

PURPOSE

First-year students can form a preconception based on life experiences before entering college and identifying learners' existing characteristics can be useful foundation data for curriculum development. This study examines what preconceptions freshman students had about medicine before entering medical school.

METHODS

A total of 110 first-year students were asked about what preconceptions they had about "medicine". A total of 1,124 data were used in the content analysis method.

RESULTS

The results were extracted into 5, and 12 twelve categories. On the theme of "scientific discipline", the knowledge students had about general health was based on scant expertise and little evidence. Students perceived medicine as Western and scientific, considering Korean traditional medicine as unscientific. Students believed that "medical practice" should be a "disease treatment" and "patient-centered" approach rather than a "social responsibility". In "the role of the doctor", students were concerned about the doctor's being financially stable on the positive side, and about the high-intensity workload on the negative side. In "medical education", students believed that studying medicine would be "hard and difficult" because of the "importance of memorizing" and "extensive study load". In "specialty stereotype", students had biases that were mostly concentrated on "psychiatry" and "surgery".

CONCLUSION

Perception of "medicine" has been revealed to a varied range of themes, but some have been inaccurate or unrealistic. These prejudices and groundless beliefs have a gap with the learning outcomes that students should achieve in the curriculum, and these preconceptions seem to have been influenced by South Korea's unique cultural context.

摘要

目的

大一新生在进入大学之前,可以根据生活经验形成先入为主的观念,了解学习者的现有特点,可以为课程开发提供有用的基础数据。本研究旨在探讨医学生在进入医学院之前对医学的先入为主的观念。

方法

共对 110 名大一新生进行了问卷调查,了解他们对“医学”的先入为主的观念。共使用了 1124 份数据进行内容分析。

结果

结果被提取为 5 个主题和 12 个类别。在“科学学科”主题上,学生对一般健康的知识是基于有限的专业知识和很少的证据。学生认为医学是西方的、科学的,认为韩国传统医学不科学。学生认为“医学实践”应该是一种“疾病治疗”和“以患者为中心”的方法,而不是“社会责任”。在“医生的角色”方面,学生们从积极的方面关注医生的经济稳定,从消极的方面关注高强度的工作量。在“医学教育”方面,学生们认为学医因为“记忆的重要性”和“广泛的学习负担”而“艰难困苦”。在“专业刻板印象”方面,学生们对“精神病学”和“外科学”的偏见居多。

结论

对“医学”的认知已经揭示出了各种各样的主题,但有些是不准确的或不现实的。这些偏见和毫无根据的信念与学生在课程中应该达到的学习成果存在差距,这些先入为主的观念似乎受到了韩国独特的文化背景的影响。

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