A questionnaire survey on professional identity of medical students during internship

doi:10.3760/cma.j.cn115259-20220916-01183

Abstract

Abstract: Objective To understand the professional identity of undergraduates majoring in clinical medicine during internship, and to explore the influencing factors of professional identity. Methods A total of 522 clinical medical undergraduates were investigated through questionnaire survey from February to March 2022, and the current situation and influencing factors of medical students' professional identity during internship were analyzed through descriptive analysis, Pearson correlation analysis, one-way ANOVA, and t-test analysis. Results The students' professional identity score was (4.10 ± 0.66), and there was a positive correlation between the 8 possible factors and professional identity (P<0.001). Among them, their own clinical abilities (r=0.42), teaching resources (r=0.41) had the higher correlation with professional identity, while the effectiveness of internship (r=0.23) had the lowest correlation with professional identity. An analysis of occupational identity among students with different characteristics showed that male students had higher scores than female students [(4.21 ± 0.71) vs. (4.02 ± 0.61), P=0.002], and medical students from independent medical colleges had higher scores than medical students from comprehensive universities [(4.20 ± 0.64) vs. (4.06 ± 0.66), P=0.029]. The scores of graduate students who pursue graduate school guarantees (4.12 ± 0.66) and those who are preparing to take postgraduate entrance exams (4.17 ± 0.64) are higher than those who graduated from undergraduate studies and participate in clinical work (3.86 ± 0.60) or non-clinical work (3.23 ± 0.59), all P<0.05. Conclusions The effectiveness of internships, clinical abilities, and teaching resources are all correlated with professional identity, with clinical abilities and teaching resources having a higher correlation. Male medical students, students from independently established medical colleges, and those who choose to pursue graduate school guarantees and take postgraduate entrance exams have a higher score of professional identity.

Key words: Clinical medicine, Professional identity, Internship, Influencing factors, Questionnaire survey

CLC Number:

R-05

Ren Sangsang, Ge Qiwei, Cen Dong, Chen Zhi. A questionnaire survey on professional identity of medical students during internship[J]. Chinese Journal of Medical Education, 2023, 43(8): 604-608.

References

[1] Cruess RL, Cruess SR, Boudreau JD, et al. Reframing medical education to support professional identity formation[J]. Acad Med, 2014,89(11):1446-1451. DOI: 10.1097/ACM.0000000000000427.
[2] Cruess RL, Cruess SR, Boudreau JD, et al. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators[J]. Acad Med, 2015,90(6):718-725. DOI: 10.1097/ACM.0000000000000700.
[3] Cruess SR, Cruess RL, Steinert Y. Supporting the development of a professional identity: General principles[J]. Med Teach, 2019,41(6):641-649. DOI: 10.1080/0142159X.2018.1536260.
[4] 吴琦, 周俊, 黄祥津, 等. 医学生职业认同现状剖析[J].中华全科医学,2017,15(9):1542-1545. DOI: 10.16766/j.cnki.issn.1674-4152.2017.09.028.
[5] 高淑美, 周凤娟, 刘丽琼, 等. 甘肃医学院农村订单定向免费医学生职业认同感调查[J].中华医学教育杂志,2021,41(3):205-208. DOI: 10.3760/cma.j.cn115259-20200706-01012.
[6] 孙晶珂, 朱宁, 高越明. 三年制定向医学生职业认同感和服务基层意愿的调查研究[J].中华医学教育杂志,2016,36(5):659-661. DOI: 10.3760/cma.j.issn.1673-677X.2016.05.006.
[7] Kay D, Berry A, Coles NA. What Experiences in medical school trigger professional identity development?[J]. Teach Learn Med, 2019,31(1):17-25. DOI: 10.1080/10401334.2018.1444487.
[8] 顾鸣敏, 朱明德, 努尔艾力, 等. 临床实习教学的现状调研与分析[J].上海交通大学学报(医学版),2008,28(z1):33-35,39.
[9] 奚静娴, 马亚娜, 徐德武. 临床实习生实习质量影响因素及改进措施的研究[J].中外医学研究,2015(7):154-155,156. DOI: 10.14033/j.cnki.cfmr.2015.07.077.
[10] 符逸, 郑玉英, 沈旭晖, 等. 注重临床教学反馈提升临床实习质量[J].现代医院管理,2021,19(5):77-80. DOI: 10.3969/j.issn.1672-4232.2021.05.022.
[11] 汪小亚. 医学生临床实习满意度调查及对策研究[J].中国继续医学教育,2022,14(22):127-134. DOI: 10.3969/j.issn.1674-9308.2022.22.029.
[12] 赵燕, 陆国栋, 张光新, 等. 我国高校工科专业实习状况与影响因素分析及其对策[J].高等工程教育研究,2020(3):98-103,108.
[13] 马璇璇, 吴红斌, 于晨, 等. 实习期间教师行为对临床医学专业学生职业认同感的影响[J].中华医学教育探索杂志,2021,20(6):708-712. DOI: 10.3760/cma.j.cn116021-20200612-00526.

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