中华医学教育杂志

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (5): 331-336.DOI: 10.3760/cma.j.cn115259-20220708-00876

• 医德与思想品德教育 • 上一篇    下一篇

医学生职业素养发展态势预测模型的建立与初步验证

林婷婷1, 韩昊2, 郑东泽1, 吴承宇1, 王美瑜3, 杨桂涛4, 邱秀华5   

  1. 1汕头大学医学院2017级临床医学专业学生,汕头 515041;
    2汕头大学医学院2018级临床医学专业学生,汕头 515041;
    3汕头大学医学院2019级临床医学专业学生,汕头 515041;
    4中山大学附属第一医院神经外科,广州 510080;
    5汕头大学医学院教务处 医学人文教研室,汕头 515041
  • 收稿日期:2022-07-08 出版日期:2023-05-01 发布日期:2023-05-05
  • 通讯作者: 邱秀华, Email: qiuxh@stu.edu.cn
  • 基金资助:
    2020大学生创新创业训练计划(S202010560127);2019年广东省临床教学基地教学改革研究项目(2019JD107);2021年广东省教育厅高等教育教学改革建设项目(226)

Predictive model of medical students' professionalism: establishment and preliminary verification

Lin Tingting1, Han Hao2, Zheng Dongze1, Wu Chengyu1, Wang Meiyu3, Yang Guitao4, Qiu Xiuhua5   

  1. 1Undergraduate Student Majoring in Clinical Medicine, Enrolled in 2017, Shantou University Medical College, Shantou 515041, China;
    2Undergraduate Student Majoring in Clinical Medicine, Enrolled in 2018, Shantou University Medical College, Shantou 515041, China;
    3Undergraduate Student Majoring in Clinical Medicine, Enrolled in 2019, Shantou University Medical College, Shantou 515041, China;
    4Department of Neurosurgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China;
    5Educational Administration Office & Humanistic Education Department, Shantou University Medical College, Shantou 515041, China
  • Received:2022-07-08 Online:2023-05-01 Published:2023-05-05
  • Contact: Qiu Xiuhua, Email: qiuxh@stu.edu.cn
  • Supported by:
    Project of University Students' Innovation Training Plan in Guangdong in 2020 (S202010560127); Teaching Reform Project of Clinical Teaching Bases in Guangdong Province in 2019 (No.2019JD107); Higher Education Teaching Reform and Construction Project of Guangdong Provincial Education Department in 2021(226)

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摘要： 目的 建立医学生职业素养发展态势预测模型并加以初步评价。方法 2020年12月采用分层随机抽样的问卷调查法,对汕头大学医学院2015~2019级477名临床医学、护理学和口腔医学专业的学生展开调查,了解其职业素养影响因素。通过单因素分析和多因素logistic回归分析等建立预测模型和评分系统,通过ROC曲线下面积进行初步评价。结果 性别、年级、性格、朋辈关系、“医者之心”教育模式、医疗社会环境和临床实践环境等7个因素为医学生职业素养发展的独立预测因子,其OR和95%CI可信区间分别为2.223[95%CI(1.335~3.704)]、4.705[95%CI(1.761~12.574)]、3.222[95%CI(1.869~5.555)]、3.117 [95%CI(1.867~5.202)]、3.840 [95%CI(2.276~6.480)]、0.479[95%CI(0.282~0.816)]、2.136[95%CI(1.257~3.629)]。预测模型的ROC曲线下面积为0.871[95%CI(0.839~0.903)]。医学生职业素养发展态势评分系统的分值为-1~10分,评分系统的ROC曲线下面积为0.858 [95%CI(0.824~0.891)],其最佳截断值为5分,即分值≥5分可预测医学生职业素养发展态势为积极,反之则为消极。结论 本研究初步建立了医学生职业素养发展态势预测模型,在医学生职业素养培养实践中具有一定的参考性。

关键词: 学生,医科, 职业素养, 影响因素, 预测模型, 评分系统

Abstract: Objective To establish a predictive model for the development of medical students' professionalism and conduct preliminary evaluation on it. Methods Questionnaires were used among 477 clinical medicine, nursing and stomatology students from grade 2015 to 2019 in Shantou University Medical College using stratified random sampling in December 2020 to understand the influencing factors of the development of medical students' professionalism, and establish the predictive model and scoring system through single factor analysis and multivariate logistic regression analysis, and conduct preliminary evaluation based on the area under the ROC curve (AUC). Results The results showed that seven factors including gender, grade, personality, peer relationship, the education mode of “Doctor's Heart”, medical social environment and clinical practice environment were the independent predictors of the development of medical students' professionalism (P<0.05),whose OR and 95%CI were 2.223[95%CI(1.335-3.704)], 4.705[95%CI(1.761-12.574)], 3.222[95%CI(1.869-5.555)], 3.117[95%CI(1.867-5.202)], 3.840[95%CI(2.276-6.480)], 0.479[95%CI(0.282-0.816)] and 2.136[95%CI(1.257-3.629)] respectively. The AUC of ROC predicted by the model were 0.871[95%CI(0.839-0.903)]. The score of the scoring system ranged from -1 to 10, whose AUC was 0.858 [95%CI(0.824-0.891)]. With 5 points as the best truncation value of the scoring system, scores larger than 5 predicted the development trend of medical students' professionalism positively, or predicted it negatively. Conclusions The predictive model for the development of medical students' professionalism has been established, which has certain reference value in the practice of cultivating medical students' professionalism.

Key words: Students, medical, Professionalism, Influencing factors, Predictive model, Scoring system

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