Linn B S, Zeppa R
Arch Surg. 1982 Oct;117(10):1276-80. doi: 10.1001/archsurg.1982.01380340012004.
We investigated the values and attitudes of junior medical students in relation to career preference (particularly surgery), ward behavior, and cognitive performance in the surgical clerkship. Students choosing specialty surgery were more cynical and authoritarian than those selecting general surgery. Those choosing general surgery had more self-esteem, and along with those who selected specialty surgery, more intolerance for ambiguity than other students. None of the values or attitudes were associated with grades, but several were related to ward behavior as judged by faculty and house staff. Students who valued academic achievement more and independence and intellectualism less and those with more submissive authoritarian views and more ego strength were considered better ward performers. This raises the question of whether such values and attitudes should be reinforced in ward performance or whether such students are rated higher simply because they are less disruptive to busy ward routines.
我们调查了低年级医学生在职业偏好（尤其是外科）、病房行为以及外科实习中的认知表现方面的价值观和态度。选择专科外科的学生比选择普通外科的学生更加愤世嫉俗和专制。选择普通外科的学生自尊心更强，并且与选择专科外科的学生一样，比其他学生更难以容忍模糊性。这些价值观或态度均与成绩无关，但有几项与教师和住院医生评判的病房行为有关。更重视学术成就、不太重视独立性和理智主义的学生，以及具有更顺从的专制观点和更强自我力量的学生，被认为在病房表现更好。这就提出了一个问题，即这些价值观和态度是否应该在病房表现中得到强化，或者这些学生被评价更高仅仅是因为他们对繁忙的病房日常干扰较小。
