一年级医学生的专业身份认同与医学院校就读动机:一项横断面研究。

Professional Identity and Motivation for Medical School in First-Year Medical Students: A Cross-sectional Study.

作者信息

Faihs Valentina, Heininger Susanne, McLennan Stuart, Gartmeier Martin, Berberat Pascal O, Wijnen-Meijer Marjo

机构信息

TUM Medical Education Center, TUM School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany.

Department of Dermatology and Allergy Biederstein, TUM School of Medicine, Technical University of Munich, Biedersteiner Str. 29, 80802 Munich, Germany.

出版信息

Med Sci Educ. 2023 Mar 6;33(2):431-441. doi: 10.1007/s40670-023-01754-7. eCollection 2023 Apr.

Abstract

BACKGROUND

Professional identity formation (PIF) is a life-long process, starting even before professional education. High levels of motivation for medical school are essential for effective learning and academic success. Both are key factors in future physicians' professional and personal development, and according to self-determination theory, professional identity (PI) and students' levels of motivation could be closely linked. Therefore, we sought to investigate whether PI and strength of motivation for medical school are associated in new medical students.

METHODS

In a cross-sectional survey, all new medical students in Munich, Germany, were asked to complete the Macleod Clark Professional Identity Scale (MCPIS-9) and the Strength of Motivation for Medical School-Revised questionnaire (SMMS-R) as well as to provide information about age, gender, and waiting time before starting medical school.

RESULTS

Eight hundred eleven out of 918 new medical students participated in the survey. A positive correlation between the MCPIS-9 and the SMMS-R ( < 0.001) was found. Female students showed higher scores in the SMMS-R ( < 0.05) and the SMMS-R-subscale ( < 0.001) The amount of waiting semesters showed a positive correlation with the total SMMS-R score ( < 0.01) as well as with the subscales and (both  < 0.001).

DISCUSSION

We found an association between PI and strength of motivation for medical school in a large cohort of new medical students. Female gender and more waiting semesters were associated with higher levels of self-perceived motivation and higher scores on the SMMS-R-subscale . More research is needed to better understand this topic to further improve medical education.

摘要

背景

职业身份形成(PIF)是一个终身过程,甚至在专业教育之前就已开始。对医学院校的高度积极性对于有效的学习和学业成功至关重要。这两者都是未来医生职业和个人发展的关键因素,根据自我决定理论,职业身份(PI)和学生的动机水平可能密切相关。因此,我们试图调查新入学医学生的PI与医学院校动机强度之间是否存在关联。

方法

在一项横断面调查中,德国慕尼黑的所有新入学医学生都被要求完成麦克劳德·克拉克职业身份量表(MCPIS - 9)和医学院校动机强度修订问卷(SMMS - R),并提供有关年龄、性别和医学院校入学前等待时间的信息。

结果

918名新入学医学生中有811名参与了调查。发现MCPIS - 9与SMMS - R之间存在正相关(<0.001)。女生在SMMS - R(<0.05)和SMMS - R子量表(<0.001)上得分更高。等待学期数与SMMS - R总分(<0.01)以及子量表和(两者均<0.001)呈正相关。

讨论

我们在一大群新入学医学生中发现了PI与医学院校动机强度之间的关联。女性性别和更多的等待学期与更高水平的自我感知动机以及SMMS - R子量表上的更高得分相关。需要更多研究来更好地理解这个主题,以进一步改进医学教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971d/10226964/c8bacdabbe30/40670_2023_1754_Fig1_HTML.jpg

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