The mediating role of professional identity between medical students' perceived tension in the doctor-patient relationship and their willingness to practice medicine

doi:10.3760/cma.j.cn115259-20230919-00268

Abstract

Abstract: Objective This study aims to explore the mediating role of medical students' professional identity between their perception of tension in doctor-patient relationships and their willingness to pursue a medical career, so as to inform better training of medical professionals and stabilizing the professional team. Methods From December 2022 to March 2023, a cluster sampling method was used to enroll undergraduate students from the second to fifth year of the five-year clinical medicine program at a medical university in Heilongjiang Province. The study investigated their professional identity, perception of tension in doctor-patient relationships, and willingness to pursue a medical career. Data analysis was conducted using one-way ANOVA, independent sample t-tests, and Pearson correlation analysis. The PROCESS plugin in SPSS 26.0 was utilized to verify the pathways among medical students' professional identity, perception of tension in doctor-patient relationships, and willingness to practice medicine. Results The final analysis included 971 medical students. The scores for professional identity were (3.44±0.50), perception of tension in doctor-patient relationships were (2.94±0.62), and willingness to practice medicine were (2.47±0.54). The perception of tension in doctor-patient relationships had a negative predictive effect on the willingness to practice medicine (β=-0.17, P<0.001), and professional identity played a partial mediating role between the perception of tension in doctor-patient relationships and willingness to practice medicine (β=-0.03, P<0.001). Conclusions The study reveals that medical students' professional identity is at a moderately high level with room for further improvement. There is a negative correlation between medical students' perception of tension in doctor-patient relationships and their willingness to practice medicine. Professional identity has a mediating effect between the perception of tension in doctor-patient relationships and the willingness to practice medicine.

Key words: Students, medical, Professional identity, Perception of tension in doctor-patient relationships, Willingness to practice medicine

CLC Number:

Zhou Jin, Zhang Lin, Cao Yiyin, Zhang Xiaoshuai, Zhang Yuanhang, Gao Lei. The mediating role of professional identity between medical students' perceived tension in the doctor-patient relationship and their willingness to practice medicine[J]. Chinese Journal of Medical Education, 2024, 44(9): 658-663.

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