Objective To understand the current situation of senior high school students' willingness to join entrance examination for clinical medicine and to explore reasons. Methods Totally 5 344 senior high school students from 10 high schools located in four provinces (cities) as Shanghai, Zhejiang, Guizhou and Jiangxi from March 2019 to June 2019 were selected to fill the questionnaire.The questionnaire were used to observe the difference of willingness in gender, academic performance, etc. Then analyzed the factors that affect their willingness.Chi-square test and Logistic regression model were used to analyze the data. Results The results showed that only 5.6%(300/5 344) of senior high school students had strong willingness to learn clinical medicine. Female and senior ones(the third year),ones with excellent academic performance and fathers who are engaged in the medical industry are more likely to choose medicine. The proportions are 6.8%(191/2 817)、8.6%(112/1 304)、7.3%(30/412)、16.3%(20/123). In terms of gender (χ2=15.298,P<0.01), grade (χ2=28.864,P<0.01), academic performance (χ28.393,P=0.039), whether father was engaged in the medical industry (χ2=26.931,P<0.01), the differences of high school students' willingness to learn clinical medicine are statistically significant. Students who interest in medicine(OR=200.24,95%CI:128.38~312.34), know about the current medical education model(OR=9.43, 95%CI:6.96~12.78), have high recognition of doctors' career prospects(OR=0.37, 95%CI:0.25~0.55), think that the current doctor-patient relationship is very harmonious(OR=0.38, 95%CI:0.21~0.71), get medical related information through traditional media or books(OR=2.87, 95%CI:1.64~5.05), have a deeper impression on the positive image created by the media(OR=1.66,95%CI:1.18~2.32), and prefer documentary films(OR=1.99,95%CI:1.49~2.65) trend to choose clinical medicine. Conclusions Senior high school students have lower willingness for the learning of clinical medicine, which is affected by many factors. In order to attract more high-quality students to get education of medicine and thus make contribution of the health of people in China, the joint efforts of schools, media and society are needed.
Yang Chaoqun
,
Lai Jingwei
,
Cheng Yaqing
,
Liu Zeyu
,
Deng Guoying
. An investigation on the intention of senior high school students for entrance into medicine college and reasons[J]. Chinese Journal of Medical Education, 2020
, 40(11)
: 858
-862
.
DOI: 10.3760/cma.j.cn115259-20200209-00118
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