目的 分析基础医学专业本科生专业认同度现状及其影响因素。方法 2020年4月,采用高校学生专业认同度量表对全国23所高校的2 140名基础医学专业本科生进行问卷调查,采用非参数检验和有序变量的累积logistic回归分析等方法分析相关数据。结果 基础医学专业本科生的专业认同度评分为117.0(26.0)分。学习成绩为及格的医学生专业认同度是学习成绩为优秀医学生的0.198倍(OR=0.198,95%CI=0.079~0.495);三年级医学生的专业认同度是一年级医学生的0.284倍(OR=0.284,95%CI=0.121~0.665);根据父母意愿选择专业的医学生的专业认同度是自主选择意愿医学生的0.101倍(OR=0.101,95%CI=0.037~0.278),来自城市的医学生的专业认同度是来自农村医学生的2.511倍(OR=2.511,95%CI=1.204~5.233),独立医学院校医学生的专业认同度是综合性大学医学生的0.385倍(OR=0.385,95%CI=0.169~0.881)。结论 基础医学专业本科生的专业认同度处于中等偏上水平,学习成绩、年级和专业意愿选择等是影响基础医学专业本科生专业认同度的重要因素,独立医学院校医学生的专业认同度低于综合性大学。医学生专业认同度的提升需要给予高年级、农村地区等医学生更多的帮助与关注,同时需要学校、社会和家庭的多方面努力。

Objective To review the current status and analyze the influencing factors on major recognition by undergraduates of basic medicine. Methods In April 2020, a questionnaire survey was conducted among 2 140 undergraduates majoring in basic medicine from 23 colleges and universities in China based on the Major Identity Scale of College Students. The data were analyzed by non-parametric test and cumulative logistic regression analysis of ordered variables. Results The score of major identification of basic medical undergraduates contains 117.0(26.0) points. The degree of professional identity of medical students with passing grades was 0.198 times higher than that of excellent grades (OR=0.198,95%CI=0.079~0.495);The degree of professional identity of the third grade medical students was 0.284 times higher than that of the first grade medical students (OR=0.284, 95%CI=0.121~0.665);The degree of professional identity of medical students majoring in basic medicine who choose their major according to their parents' intention is 0.101 times higher than that of medical students who choose their major independently (OR=0.101, 95%CI=0.037~0.278). The degree of professional identity of medical students from cities is 2.511 times higher than that of medical students from rural areas (OR=2.511, 95%CI=1.204~5.233).The degree of professional identity of medical students in independent medical colleges was 0.385 times that of medical students in medical colleges of universities (OR=0.385, 95%CI=0.169~0.881). Conclusions The degree of professional recognition of undergraduates majoring in basic medicine is above middle level. Academic performance, grade and professional intention selection are the important factors affecting the degree of professional recognition of undergraduates majoring in basic medicine. The degree of professional recognition of medical students in independent medical colleges is lower than that in comprehensive universities. It is necessary to pay more attention to senior students and the students from rural areas combined with support from society and family to improve medical students' professional identity.