目的 比较不同年级医学生职业素养发展阶段性特征并提出相关建议。方法 通过自主设计问卷,从汕头大学医学院2014级至2018级五年制临床医学专业学生中分层随机抽取427名学生进行问卷调查,并采用非参数秩和检验等方法进行数据分析。结果 医学生职业素养的合格率为70.9%(303/427),优良率为49.6%(212/427)。从一年级至五年级医学生职业素养评分依次为51.8分、70.7分、68.2分、73.8分、71.9分,相邻年级两两比较差异均具有统计学意义(均P＜0.05)。结论 医学生职业素养总体情况良好,呈波浪式前进和不平衡性的发展特征,高年级学生职业素养高于低年级学生。医学生职业素养培养应当加强人文知识教育,重视临床育人功能,根据不同年级学生采取针对性的措施。

Objective To compare the characteristics of development stage of medical students professionalism from different grades and to put forward the relative suggestions. Methods The questionnaire was self-designed. 427 students from grade 2014 to grade 2018 majoring in clinical medicine in Shantou University Medical College were selected by stratified random sampling to finish the questionnaires. The data were analyzed by and nonparametric rank sum test. Results Percent of pass of medical professionalism is 70.9%(303/427). Excellent and great rate of medical professionalism is 49.6%(212/427). The average scores of medical student's professionalism from the first grade to the fifth grade was 51.8,70.7,68.2,73.8 and 71.9 in turn. There were statistically significant differences between two average scores of the adjacent grades(all P＜0.05). Conclusions Generally the medical professionalism is good, and the development characteristics show the advance in waves and imbalance. The senior grade's professionalism level is higher than the junior grade's generally. It is suggested that pertinent measures should be taken to strengthen the humanistic knowledge education, think highly of educational function of clinical practice and cultivate medical students' professionalism contrapuntally according to different grades.