医德与思想品德教育

医学生医师职业精神认知水平的调查与分析

  • 张志颖 ,
  • 张如意 ,
  • 翟绍琪 ,
  • 李瀚林 ,
  • 彭迎春
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  • 1首都医科大学医学人文学院2020级医学伦理学专业研究生,北京 100069;
    2首都医科大学附属北京地坛医院伦理委员会办公室,北京 100015;
    3首都医科大学医学人文学院2021 级医学伦理学专业研究生,北京 100069;
    4首都医科大学2019级口腔医学专业学生,北京 100069;
    5首都医科大学医学人文学院医学伦理学与医学史学学系,北京 100069

收稿日期: 2022-07-20

  网络出版日期: 2023-05-05

基金资助

首都医科大学2022教育教学改革研究课题项目(2022JYY061);北京市教育委员会社科计划一般项目(SM202010025006);北京市社会科学基金项目(19JDSRB008)

Investigation and analysis on medical students’ perceptions of medical professionalism

  • Zhang Zhiying ,
  • Zhang Ruyi ,
  • Zhai Shaoqi ,
  • Li Hanlin ,
  • Peng Yingchun
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  • 1Master Cadidate, Majoring in Medical Ethics Enrolled in 2020, School of Medical Humanities, Capital Medical University, Beijing 100069, China;
    2Ethics Committee Office, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China;
    3Master Cadidate, Majoring in Medical Ethics Enrolled in 2021, School of Medical Humanities, Capital Medical University, Beijing 100069, China;
    4Undergraduate, Majoring in Dentistry Enrolled in 2019, Capital Medical University, Beijing 100069, China;
    5Department of Medical Ethics and History of Medicine, School of Medical Humanities, Capital Medical University, Beijing 100069, China

Received date: 2022-07-20

  Online published: 2023-05-05

Supported by

Education and Teaching Reform Research Project of Captital Medical University in 2022 (2022JYY061);The General Project of the Beijing Municipal Education Commission's Social Science Program (SM202010025006);Beijing Social Science Foundation Project (19JDSRB008)

摘要

目的 结合新型冠状病毒肺炎疫情(简称疫情)防控期间医务人员的职业行为,分析医学生职业认知、职业情感、职业意志和职业素养现状,为进一步优化医学生医师职业精神的培育路径提供参考。方法 采取质性研究方法,于2021年3至5月,对北京市某高等医学院校2018~2020级临床医学、口腔医学、儿科学以及护理学4个专业的60名本科生进行半结构化的个人深入访谈,采用内容分析法进行定性资料分析。结果 共归纳提取出4个主题:疫情防控期间,在职业认知方面,大多数医学生的医师职业精神认知水平不高;在职业情感方面,多数医学生认为医生职业崇高且大多数医学生职业认同感较强;在职业意志方面,大多数医学生认为未来医生职业的发展前景较好且从医志向较为明确;在职业素养方面,大部分医学生医学理论知识与临床实践难以结合。结论 医学院校应重视医师职业精神教育,强化医学生的职业认知;应进一步传承时代榜样力量,丰富医学生的职业情感,引导医学生明确学医初衷,坚定职业意志;医学生应锻炼自身临床实践能力,努力提升职业素养,为日后的职业生涯奠定坚实基础。

本文引用格式

张志颖 , 张如意 , 翟绍琪 , 李瀚林 , 彭迎春 . 医学生医师职业精神认知水平的调查与分析[J]. 中华医学教育杂志, 2023 , 43(5) : 337 -341 . DOI: 10.3760/cma.j.cn115259-20220720-00915

Abstract

Objective In light of the professional performance of healthcare personnel during the prevention and control of COVID-19 pandemic, this study aims to analyze current status of the professional cognition, professional emotion, professional volition and professional literacy, which would inform the cultivating of medical professionalism among medical students. Methods A qualitative research method was adopted. From March to May 2021, a semi-structured and personal in-depth interviews was conducted with 60 undergraduate medical students of clinical medicine, stomatology, pediatrics and nursing enrolled from 2018 to 2020 at a medical college in Beijing, and the qualitative data were analyzed using the content analysis method. Results Four major themes were extracted: during pandemic, in terms of professional cognition: the majority of medical students had a low level of perception of medical professionalism; in terms of professional emotion: most medical students thought that doctor's profession was noble and had a strong sense of professional identity; in terms of professional volition: most medical students thought that the prospect of doctor's profession was good and they had a clear desire to pursue medicine; in terms of professional literacy:the medical humanities literacy of most medical students was poor and they had difficulty combining theoretical knowledge with clinical practice. Conclusions During the COVID-19 pandemic, medical colleges and universities should focus on education of medical professionalism, strengthen medical students' professional cognition; medical education should promote the spirit of the era's role models to enrich medical students' professional emotions, encourage them to stay true to the mission of entering medical college and to forge their professional will; medical students should exercise their clinical practice abilities, strive to improve their professional quality and lay a solid foundation for their future career.    

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