Yang Chuang, Feng Xing, Li Junfeng, Jiang Yuchan, Zhang Huan, Gao Yidan, Tan Jinxiang, Ran Bolin
Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
Department of Hepatobiliary, Breast and Thyroid Surgery, the People's Hospital of Liangping District, Chongqing, 405200, People's Republic of China.
Risk Manag Healthc Policy. 2023 Oct 11;16:2101-2111. doi: 10.2147/RMHP.S424052. eCollection 2023.
Medical students play an essential role in providing disease consultation for patients. Despite the rapid increase in thyroid disease, there are few data on how well Chinese medical students master the knowledge of thyroid diseases. This study aims to evaluate the clinical knowledge, perception, and clinical communication confidence of medical students on thyroid cancer (TC).
This cross-sectional study was carried out among medical students of Chongqing Medical University. An anonymous, self-administered questionnaire distributed from December 2022 to February 2023 included items on demographics and other information, the warning signs of cancer, perception regarding a person's chance of developing cancer, and clinical communication confidence. Descriptive analysis, difference analysis, and correlation analysis were carried out.
A total of 226 medical students participated in the survey. Most students (n=191, 84.5%) had heard of TC, while only a few (n=10, 4.4%) regularly performed thyroid self-examination. One hundred and eighty-four students (81.4%) agreed that an unexplained lump or swelling could be a sign of cancer. There were significant differences in thyroid clinical knowledge in relation to gender (P<0.001), major (P=0.026), and thyroid disease (P=0.030). Clinical communication confidence showed significant differences in year of study (P=0.002), major (P=0.048), and graduate major (P<0.001). There was a correlation between clinical confidence and year of study (r=0.261, P<0.001).
Most medical students have sufficient clinical knowledge on TC prevention, but there are still misconceptions related to TC screening. In addition, medical students lack confidence in communicating with patients. Comprehensive communication training should be integrated into the medical curriculum and clinical activities should be initiated earlier.
医学生在为患者提供疾病咨询方面发挥着重要作用。尽管甲状腺疾病迅速增加，但关于中国医学生对甲状腺疾病知识的掌握程度的数据却很少。本研究旨在评估医学生对甲状腺癌（TC）的临床知识、认知以及临床沟通信心。
本横断面研究在重庆医科大学的医学生中进行。2022年12月至2023年2月发放的一份匿名自填式问卷包括人口统计学和其他信息、癌症的警示信号、对个人患癌几率的认知以及临床沟通信心等项目。进行了描述性分析、差异分析和相关性分析。
共有226名医学生参与了调查。大多数学生（n = 191，84.5%）听说过TC，而只有少数学生（n = 10，4.4%）定期进行甲状腺自我检查。184名学生（81.4%）同意无法解释的肿块或肿胀可能是癌症的迹象。在甲状腺临床知识方面，性别（P < 0.001）、专业（P = 0.026）和甲状腺疾病（P = 0.030）存在显著差异。临床沟通信心在学习年份（P = 0.002）、专业（P = 0.048）和毕业专业（P < 0.001）方面存在显著差异。临床信心与学习年份之间存在相关性（r = 0.261，P < 0.001）。
大多数医学生对TC预防有足够的临床知识，但仍存在与TC筛查相关的误解。此外，医学生在与患者沟通方面缺乏信心。应将全面的沟通培训纳入医学课程，并尽早开展临床活动。
