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亲社会榜样对中国医学生职业认同的影响:一项倾向得分匹配法-双重差分法分析

The effect of prosocial modelling on medical students' professional identity in China: a PSM-DID analysis.

作者信息

Wang Dan, Wang Di, Shi Zehua, Wu Hongbin

机构信息

School of Public Health / Institute of Medical Education, Peking University, No.38 Xueyuan Road, Haidian District, 100191, Beijing, China.

College of Economics and Management, China Agricultural University, Beijing, China.

出版信息

BMC Med Educ. 2025 Apr 2;25(1):476. doi: 10.1186/s12909-025-07035-8.

Abstract

BACKGROUND

Although role models significantly impact medical students' professional identity, empirical evidence is relatively scarce, and our understanding of the mechanisms behind this influence is limited. Through the lens of prosocial modelling, we explored the effects of role models on medical students' professional identity and attempted to elucidate the underlying reasons.

METHODS

By leveraging the varying number of personnel dispatched by various provinces across China to combat the COVID-19 pandemic, we established indicators for different intensities of prosocial modelling. Using data from the two years before and after the COVID-19 pandemic, we conducted a quasi-experimental study. Employing the propensity score matching difference-in-differences method, we explored the effects of prosocial modelling on medical students' professional identity.

RESULTS

Prosocial modelling significantly enhanced medical students' professional identity (β = 0.087, p < 0.01), and the effect remained significant even after controlling for economic factors and the pandemic's severity (β = 0.067, p < 0.001). Notably, prosocial modelling more significantly impacted the professional identity of female students, those under economic pressure, those uncertain about becoming doctors during high school, and those ranked in the bottom 50% academically.

CONCLUSIONS

Prosocial modeling enhances medical students' professional identity, especially among females, economically disadvantaged students, those initially hesitant about a medical career, and lower-performing students. This highlights the need for role models in medical education to prioritize support for these disadvantaged groups to foster professional identities.

摘要

背景

尽管榜样对医学生的职业认同有显著影响,但实证证据相对较少,而且我们对这种影响背后的机制了解有限。通过亲社会榜样作用的视角,我们探讨了榜样对医学生职业认同的影响,并试图阐明其潜在原因。

方法

利用中国各省在抗击新冠疫情时派出的人员数量差异,我们建立了不同强度亲社会榜样作用的指标。利用新冠疫情前后两年的数据,我们进行了一项准实验研究。采用倾向得分匹配倍差法,我们探讨了亲社会榜样作用对医学生职业认同的影响。

结果

亲社会榜样作用显著增强了医学生的职业认同(β = 0.087,p < 0.01),即使在控制了经济因素和疫情严重程度后,这种影响仍然显著(β = 0.067,p < 0.001)。值得注意的是,亲社会榜样作用对女学生、面临经济压力的学生、高中时对是否成为医生不确定的学生以及学业成绩排名后50%的学生的职业认同影响更为显著。

结论

亲社会榜样作用增强了医学生的职业认同,尤其是在女性、经济上处于不利地位的学生、最初对医学职业犹豫不决的学生以及成绩较差的学生中。这凸显了医学教育中榜样的必要性,应优先支持这些弱势群体以培养职业认同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c12/11966844/208a628b6e80/12909_2025_7035_Fig1_HTML.jpg

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