Department of Medical Humanities and Medical Education, School of Medicine, Kyungpook National University, Daegu, Korea.
Kyungpook National University Hospital, Daegu, Korea.
Korean J Med Educ. 2024 Jun;36(2):157-174. doi: 10.3946/kjme.2024.293. Epub 2024 May 30.
This study examines various aspects related to medical professionalism in medical students during coronavirus disease 2019 (COVID-19) pandemic, focusing on their medical professionalism attributes, KPA (knowledge, practices, and attitudes) toward COVID-19 and attitudes toward provision of care in pandemic. We assessed whether these aspects related to medical professionalism were varied by their demographics and mental health level.
Six questionnaires related to medical professionalism were distributed online to medical students in six grades at a single medical school. A one-way analysis of variance was used to examine differences in scores related to medical professionalism based on their demographics, for examples, gender, grade, residence, religion, as well as their mental health levels. Pearson correlation analysis was used to examine correlations between each variable.
Female students scored higher on medical professionalism attributes and attitudes toward duty-to-care than male students. Medical professionalism attribute scores were higher with higher relationship satisfaction and resilience levels but lower with higher anxiety levels. Furthermore, these scores were significantly associated with attitudes toward COVID-19 preparedness. However, COVID-19 knowledge and practice scores were negatively associated with attitudes toward COVID-19 preparedness and careers after graduation. Meanwhile, students who took the leave of absence related to 2020 doctors' strike had significantly lower scores on attitudes toward COVID-19 preparedness and duty to care than those who did not.
Our findings suggest that mental health of medical students is strongly related to their various aspects related to medical professionalism, especially their attitudes toward COVID-19 preparedness. Good mental health was positively linked to medical professionalism attributes and attitudes toward COVID-19 preparedness. However, knowledge and practice of COVID-19 were negatively associated with willingness to participate in the pandemic response. Additionally, the experience of the 2020 leave of absence impacted the attitudes of medical students toward COVID-19 preparedness (p=0.015) and their duty to care (p=0.012) negatively.
本研究考察了 COVID-19 大流行期间医学生医学职业素养的各个方面，重点关注他们的医学职业素养属性、对 COVID-19 的 KPA（知识、实践和态度）以及在大流行期间提供护理的态度。我们评估了这些与医学职业素养相关的方面是否因他们的人口统计学特征和心理健康水平而有所不同。
向一所医学院的六个年级的医学生在线分发了六个与医学职业素养相关的问卷。使用单因素方差分析来检查基于人口统计学特征（例如，性别、年级、居住地、宗教信仰）的医学职业素养得分差异，以及他们的心理健康水平。Pearson 相关分析用于检查每个变量之间的相关性。
女学生在医学职业素养属性和对尽责的态度方面的得分高于男学生。与较高的关系满意度和适应力水平相关的医学职业素养属性得分较高，而与较高的焦虑水平相关的得分较低。此外，这些分数与对 COVID-19 准备情况的态度显著相关。然而，COVID-19 知识和实践得分与对 COVID-19 准备情况和毕业后职业的态度呈负相关。同时，与 2020 年医生罢工相关的请假学生对 COVID-19 准备情况和尽责的态度的得分明显低于未请假的学生。
我们的研究结果表明，医学生的心理健康与其与医学职业素养相关的各个方面密切相关，特别是他们对 COVID-19 准备情况的态度。良好的心理健康状况与医学职业素养属性和对 COVID-19 准备情况的态度呈正相关。然而，COVID-19 的知识和实践与参与大流行应对的意愿呈负相关。此外，2020 年请假经历对医学生对 COVID-19 准备情况（p=0.015）和尽责的态度（p=0.012）产生负面影响。
