Chinese Journal of Medical Education ›› 2020, Vol. 40 ›› Issue (6): 413-416.DOI: 10.3760/cma.j.cn115259-20190717-00563

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An investigation of the healthcare career willingness among high school seniors in China

Li Han'ge1, Wang Chuting2, Wang Shuai3, Sun Yan3, Dong Yucheng2, Li Fangyuan2, Yu Jing2, Yang Ping1, Ma Chao4   

  1. 1Department of Medical Education, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
    2Undergraduate,Clinical Medicine Major,Eight-year Program,Enrolled in 2017, Peking Union Medical College, Beijing 100730, China;
    3Key Laboratory of Behavioral Sciences, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China;
    4Department of Anatomy, Histology and Embryology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100005, China
  • Received:2019-07-17 Online:2020-06-01 Published:2020-12-08
  • Contact: Ma Chao, Email: machao@ibms.cams.cn, Tel: 0086-10-65105801

Abstract: Objective To investigate the healthcare career willingness among Chinese high school seniors and associated influence factors so that Chinese medical colleges could adjust enrollment policy and enrollment propaganda accordingly. Methods In February 2018, the Academic Affairs Office of Peking Union Medical College conducted a nationwide questionnaire survey of senior three students' willingness to learn medicine. Descriptive statistics were used to analyze the survey results. Results Surveys were completed and returned from 1 382 students in 48 Chinese high schools. The main reasons for potentially choosing medical profession were “a noble profession to save lives and of great social value” [62.4%(863/1 382)] and “interested in medical science” [50.3% (695/1 382)]. The main concerns about learning medicine were “longer educational system in medical college” [50.3% (695/1 382)]and “strained clinician-patient relationship” [45.7% (632/1 382)]. The main ways for high school students to learn about medicine were talking with family members [49.3% ( 681/1 382)], literature [41.8% (577/1 382)] and social media [30.2% (417/1 382)]. Only 11.2% (155/1 382) students had school lectures related to healthcare profession, and only 12.7% (176/ 1382) students had experienced medical social practice.Among the students who learned about medicine from literature, social media, school lectures and social practice, the percentages of “long-term curriculum in medical college” concern were 55.1% (318/577), 55.2% (230/417), 43.9% (68/155)and 48.9% (86/176)respectively; and the percentages of “strained clinician-patient relationship” concern were 52.5% (303/577), 53.5% (223/417), 49.7% (77/155)and 46.6% (82/176)respectively. Conclusions The motivation of Chinese high school seniors to choose medicine as their career is relatively pure. However, they worry about long curriculum and clinician-patient relationship, and their understandings of medicine are not objective and deep enough. Actively exploring the reform of medical college system, improving the relationship between doctors and patients, focusing on medical related lectures and medical related social practice in middle schools will help to attract candidates for learning medicine.

Key words: High school seniors, Healthcare career willingness, Student enrollment, Clinician-patient relationship, Survey

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