Chinese Journal of Medical Education

Chinese Journal of Medical Education ›› 2023, Vol. 43 ›› Issue (5): 331-336.DOI: 10.3760/cma.j.cn115259-20220708-00876

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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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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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