Investigation and analysis on medical students’ perceptions of medical professionalism

doi:10.3760/cma.j.cn115259-20220720-00915

Abstract

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.

Key words: Students,medical, Qualitative study, Professionalism, COVID-19

CLC Number:

Zhang Zhiying, Zhang Ruyi, Zhai Shaoqi, Li Hanlin, Peng Yingchun. Investigation and analysis on medical students’ perceptions of medical professionalism[J]. Chinese Journal of Medical Education, 2023, 43(5): 337-341.

References

[1] 孙佳婷,吴熙,曲格平,等.医学生对医师职业精神认同现状的研究[J].中华医学教育杂志,2018,38(5):680-684. DOI:10.3760/cma.j.issn.1673-677X.2018.05.010.
[2] 崔雪梅,李鸿鹤,宋鑫智,等. 临床实习期医学生与患者互动对其职业精神培养的研究与启示[J].中华医学教育杂志,2021,41(7):622-626. DOI:10.3760/cma.j.cn115259-20210113-00063.
[3] 袁宇清,欧瑶,张咏欣,等. 医学生医师职业精神的现实审视及其培育路径研究[J].卫生职业教育,2021,39(24):70-71.
[4] 邓惠良. 基于抗击新冠肺炎疫情精神的医学生职业素养与情怀培育的研究[J].湖北开放职业学院学报,2021,34(3):37-39. DOI:10.3969/j.issn.2096-711X.2021.03.017.
[5] 毕晓婵,孙宏亮.医者家风对医学生职业精神的影响[J].中国医学人文,2022,8(4):20-23. DOI:10.3969/j.issn.2095-9753.2022.04.007.
[6] 周麟. 以"南山风格"形塑医学生职业精神[J].学校党建与思想教育,2022(2):40-42. DOI: 10.19865/j.cnki.xxdj.2022.02.013.
[7] 蒙玲.抗疫精神融入职业精神培育的路径探究[J].现代商贸工业,2022,43(12):69-70. DOI:10.19311/j.cnki.1672-3198.2022.12.030.
[8] 李锋清. 红医精神与医学生职业精神培育融合研究[J].中国医学伦理学,2022,35(2):149-152,158. DOI:10.12026/j.issn.1001-8565.2022.02.06.
[9] Marcellus L. The grounded theory method and maternal-infant research and practice[J].J Obstet Gynecol Neonatal Nurs,2005,34(3):349-357. DOI: 10.1177/0884217505276053.
[10] 韦莹莹, 左霞, 陈月莉,等. 急诊护理人员新型冠状病毒肺炎疫情防控工作体验的质性研究[J]. 中西医结合护理(中英文),2020,6(6):38-41. DOI:10.11997/nitcwm.202006007.
[11] 蒋子琪,沈勤. 医学院校教师混合式教学体验的质性研究[J]. 中华医学教育杂志,2022,42(5):439-443. DOI:10.3760/cma.j.cn115259-20211013-01265.
[12] 葛莉,黄萍萍,王冠东,等.质性内容分析方法与质量控制[J].护士进修杂志,2021,36(9):857-860.DOI:10.16821/j.cnki.hsjx.2021.09.022.
[13] 宋立峰. 追溯与探究:技术哲学视野下职业精神基本问题的再审视[J]. 职业技术教育,2022,43(1):31-37. DOI:10.3969/j.issn.1008-3219.2022.01.007.
[14] 尚勇. 试论职业情感的科学界定[J]. 理论观察,2007(1):153-154. DOI:10.3969/j.issn.1009-2234.2007.01.064.
[15] 方怡妮,牟映雪. 实习胜任力对学前教育师范生职业认同感的影响:实习满意度的中介作用[J]. 重庆师范大学学报(社会科学版),2022,42(5):56-64. DOI:10.19742/j.cnki.50-1164/C.220506.
[16] 姜泓伯,宋安琪,杨扬,等. 5+3一体化临床医学生职业素养培养体系的研究[J]. 中国中医药现代远程教育,2022,20(15):162-164. DOI:10.3969/j.issn.1672-2779.2022.15.060.
[17] 郭海秀.伟大抗疫精神融入新时代医学生责任担当意识培育的若干思考[J]. 教师,2022(33):6-8. DOI:10.3969/j.issn.1674-120X.2022.33.002.
[18] 卢丽,毛艳. 国内外医师职业精神研究进展[J].中国医学伦理学,2019,32(6):792-797. DOI:10.12026/j.issn.1001-8565.2019.06.24.
[19] Irby DM, Hamstra SJ. Parting the Clouds: Three Professionalism Frameworks in Medical Education[J]. Acad Med, 2016,91(12):1606-1611. DOI: 10.1097/ACM.0000000000001190.
[20] 连婕, 燕娟, 王洪奇. 哈佛医学院医学人文课程体系设置探析[J].医学与哲学,2013,34(15):26-29.
[21] 周如玉,陆晓庆,陈玥,等.疫情防控背景下口腔医学线上教学的实践探索[J].中华医学教育杂志,2021,41(10):865-868. DOI:10.3760/cma.j.cn115259-20201208-01683.