中华医学教育杂志

中华医学教育杂志 ›› 2018, Vol. 38 ›› Issue (5): 680-684.DOI: 10.3760/cma.j.issn.1673-677X.2018.05.010

• 思想品德与医德教育 • 上一篇    下一篇

医学生对医师职业精神认同现状的研究

孙佳婷, 吴熙, 曲格平, 蔡心仪, 陈俊键, 方燕君   

  1. 515041广东省汕头市,汕头大学医学院2015级八年制临床医学专业全英班(孙佳婷),2014级八年制临床医学专业4班(吴熙),2015级八年制临床医学专业5班(曲格平),2016级口腔医学专业(蔡心仪),2016级护理学专业(陈俊键),社会科学部(方燕君)
  • 收稿日期:2018-02-01 出版日期:2018-10-01 发布日期:2020-12-09
  • 通讯作者: 方燕君, Email: yjfang@stu.edu.c
  • 基金资助:
    2017年“攀登计划”广东大学生科技创新培育专项资金(pdjh2017a0199)

Study on physician's professionalism cognitive status among medical students

Sun Jiating, Wu Xi, Qu Geping, Cai Xinyi, Chen Junjian, Fang Yanjun   

  1. All-English Class, Grade 2015, Eight-year Medical Program, Shantou University Medical College, Shantou 515041, China(Sun JT); Class 4, Grade 2014, Eight-year Medical Program, Shantou University Medical College, Shantou 515041, China(Wu X); Class 5, Grade 2015, Eight-year Medical Program, Shantou University Medical College, Shantou 515041, China(Qu GP); Grade 2016, Stomatological Major, Shantou University Medical College, Shantou 515041, China(Cai XY); Grade 2016, Nursing Major, Shantou University Medical College, Shantou 515041, China(Chen JJ); Department of Social Sciences, Shantou University Medical College, Shantou 515041, China(Fang YJ)
  • Received:2018-02-01 Online:2018-10-01 Published:2020-12-09
  • Contact: Fang Yanjun, Email: yjfang@stu.edu.cn
  • Supported by:
    Climbing Program-Special Funds for the Cultivation of Guangdong College Students' Scientific and Technological Innovation(pdjh2017a0199)

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摘要： 目的 研究医学生对医师职业精神认同现状及其影响因素,探究医师职业精神的培育途径。方法 采用多阶段分层整群随机抽样方法,对来自两所医学院校临床医学专业(五年制、七年制及“5+3”一体化)和口腔医学专业共547名学生进行医师职业精神认同情况问卷调查,并进行统计分析。结果 医学生的医师职业精神综合评分为(4.00±0.460)分,其中,职业意志维度评分最高为(4.33±0.609)分,职业认知维度评分最低为(3.63±0.511)分,总分为5分。是否为“父母建议或指导”和“周遭环境影响”而学医的医学生对医师职业精神综合评分的差异均具有统计学意义(均P＜0.05);不同专业、学制医学生对医师职业精神综合评分的差异具有统计学意义(F=4.571,P＜0.05);“选择成为医师”的不同意愿程度的医学生对医师职业精神综合评分差异具有统计学意义(F=14.066,P＜0.01)。结论 医学生对医师职业精神认同度良好,职业意志较强,职业认知相对较弱。学医动因和专业学制对医学生的医师职业精神有较显著影响。因此,加强医学生的医师职业认知、明确学医初衷和端正学医态度,有助于提升医学生医师职业精神。

关键词: 医学生, 职业精神, 认同, 研究

Abstract: Objective To understand physician's professionalism status among medical students and its influencing factors, thus provide methods of improving it. Methods Multi-stage stratified cluster sampling method was used in this study, in which we surveyed on cognition of physician's professionalism among 547 students from two medical colleges by using a 27-item questionnaire. Results Students in two medical colleges have a mean of (4.00±0.460)(total score 5) in physician's professionalism, among which professional will is the highest (4.33±0.609) and medical occupational cognition is the lowest (3.63±0.511). There are significant differences between “parental advice or guidance” and “environmental impact” (all P<0.05) in the mean of physician's professionalism. There is a significant difference in the distribution of physician's professionalism between different majors and educational system (F=4.571,P<0.05). Also, there is a significant difference in the distribution of “weather to become a doctor in the future”(F=14.066,P<0.01). Conclusions Overall, the status of physician's professionalism cognition among students is good. However, professional will is better and medical occupational cognition is worse. Both the reasons for studying medicine and educational system have a significant influence on the professionalism among medical students. Strengthening the medical students' medical occupational cognition, clarifying the intention and attitude of studying medicine, will help to elevate the physician's professionalism.

Key words: Medical students, Professionalism, Cognitive, Study