亲社会榜样很重要：家长和教职工参与抗击 COVID-19 对医学生职业承诺的影响。
Prosocial modelling matters: the association between parent and faculty involvement in fighting COVID-19 with medical students' career commitment.
机构信息
National Center for Health Professions Education Development, Peking University, Beijing, China.
Annenberg Institute for School Reform, Brown University, Providence, USA.
出版信息
Ann Med. 2022 Dec;54(1):3146-3156. doi: 10.1080/07853890.2022.2139410.
BACKGROUND
Role models are essential in medical education, yet empirical research is relatively insufficient on the influence of prosocial modelling on medical students' career commitment. The prosocial behaviour of medical staff involved in the fight against the novel coronavirus disease 2019 (COVID-19) at the beginning of 2020 presents an opportunity to fill the research gap. We explored and compared the different associations of the two most important role models for medical students - parents and faculty- with medical students' career commitment.
METHODS
The cross-sectional study was conducted with 99,559 undergraduate students majoring in clinical medicine in mainland China. Questions were asked to collect information about participants in the battle against COVID-19, medical students' determination to practice medicine after graduation, as well as students' socio-demographic characteristics. Chi-square tests and hierarchical regressions were performed to examine the associations between parent and faculty involvement and students' career commitment.
RESULTS
The results showed statistically significant associations between prosocial modelling during the COVID-19 pandemic in China and students' intention to pursue medical careers. The association of faculty involvement (OR = 1.165, < .001) with students' career commitment was greater than that of parents (OR = 0.970, > .05). For faculty involvement, the association was stronger among male students (OR = 1.323, .001) and students who were already determined to be doctors (OR = 1.219, < .001) before the pandemic.
CONCLUSIONS
Our study provides new evidence on the potential roles of parents and faculty in shaping medical students' career commitment. Encouraging faculty to act as positive role models could help medical students increase their intention to become doctors.KEY MESSAGESProsocial modelling could enhance students' intention to pursue medical careers.The association of prosocial behaviour of faculty is larger than that of parents on medical students.Those who have prior medical career commitment are much more likely to persist in the medical profession, and prosocial modelling of faculty is positively associated with their medical career commitment.
背景
角色榜样在医学教育中至关重要，但关于亲社会榜样对医学生职业承诺的影响的实证研究相对较少。2020 年初，参与抗击 2019 年新型冠状病毒病（COVID-19）的医务人员的亲社会行为为填补这一研究空白提供了机会。我们探讨并比较了医学生最重要的两个榜样——父母和教师——与医学生职业承诺的不同关联。
方法
这项横断面研究以中国大陆 99559 名临床医学专业的本科生为研究对象。问题被问到收集有关参与者在 COVID-19 中的信息，医学生毕业后从事医学实践的决心，以及学生的社会人口特征。使用卡方检验和分层回归分析来检验父母和教师参与与学生职业承诺之间的关联。
结果
研究结果表明，在中国 COVID-19 大流行期间的亲社会榜样与学生从事医学职业的意愿之间存在统计学显著关联。教师参与（OR=1.165，<0.001）与学生职业承诺的关联大于父母（OR=0.970，>0.05）。对于教师参与，在男性学生（OR=1.323，<0.001）和在大流行前已经确定要成为医生的学生（OR=1.219，<0.001）中，关联更强。
结论
我们的研究为父母和教师在塑造医学生职业承诺方面的潜在作用提供了新的证据。鼓励教师充当积极的榜样可以帮助医学生增加成为医生的意愿。
关键信息
亲社会榜样可以增强学生从事医学职业的意愿。
教师亲社会行为的关联大于父母对医学生的关联。
那些有先前医学职业承诺的人更有可能坚持医学职业，而教师的亲社会榜样与他们的医学职业承诺呈正相关。
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