Linn B S, Zeppa R
Ann Surg. 1985 Nov;202(5):600-6. doi: 10.1097/00000658-198511000-00011.
The purpose was to see if students changed their attitudes about medical care during the surgical clerkship and whether those who selected surgery as a career differed from other students at the end of the clerkship and time of entrance into a residency. Students were assessed before and after the clerkship in regard to confidence about handling problems in the doctor-patient relationship, concerns about future practice, and attitudes about preventive aspects of care. In general, the class changed positively in dealing with patients, had more concerns about future practice, and were more negative about preventive aspects of care. Potential surgeons had concerns about future practices similar to those of other students but differed from the rest of the class by having more confidence in dealing with patients and more positive attitudes about preventive aspects of care. When they entered the clerkship, would-be surgeons had more favorable ratings than did other students on ego strength and acceptance of people. The study suggests that attention may need to be given to the experiences of students in the clerkship that lead to their increased concerns about future practice and, for those not selecting surgery as a career, their increased negative attitudes about preventive care.
目的是观察学生在外科实习期间对医疗护理的态度是否发生变化，以及那些选择外科作为职业的学生在实习结束和进入住院医师培训时是否与其他学生有所不同。在实习前后，对学生在处理医患关系问题的信心、对未来执业的担忧以及对预防性护理方面的态度进行了评估。总体而言，该班级在与患者打交道方面有积极变化，对未来执业有更多担忧，对预防性护理方面则更为消极。潜在的外科医生对未来执业的担忧与其他学生类似，但与班级其他同学不同的是，他们在与患者打交道时更有信心，对预防性护理方面的态度更积极。在进入实习时，未来的外科医生在自我力量和对他人的接纳方面的评分比其他学生更有利。该研究表明，可能需要关注学生在实习期间的经历，这些经历导致他们对未来执业的担忧增加，而对于那些不选择外科作为职业的学生来说，他们对预防性护理的消极态度也有所增加。
