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

  • Li Han'ge ,
  • Wang Chuting ,
  • Wang Shuai ,
  • Sun Yan ,
  • Dong Yucheng ,
  • Li Fangyuan ,
  • Yu Jing ,
  • Yang Ping ,
  • Ma Chao
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  • 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 date: 2019-07-17

  Online published: 2020-12-08

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.

Cite this article

Li Han'ge , Wang Chuting , Wang Shuai , Sun Yan , Dong Yucheng , Li Fangyuan , Yu Jing , Yang Ping , Ma Chao . An investigation of the healthcare career willingness among high school seniors in China[J]. Chinese Journal of Medical Education, 2020 , 40(6) : 413 -416 . DOI: 10.3760/cma.j.cn115259-20190717-00563

References

[1] 蔡舒, 蔡文智, 陈垦, 等. 基于系统基模的医务人员短缺危机影响因素及对策分析研究[J]. 中国医学伦理学, 2017,30(7):877-881. DOI: 10.12026/j.issn.1001-8565.2017.07.19.
[2]田秀月, 武晓兵, 全月, 等. 全科医学生的培养对卫生人力资源短缺的影响分析[J]. 中国卫生产业, 2019,16(2):135-136. DOI: 10.16659/j.cnki.1672-5654.2019.02.135.
[3]林玲, 李恩昌, 张新庆, 等. 全国9省份医务人员职业忠诚度状况调查及分析[J]. 中国卫生事业管理, 2015,32(3):233-236.
[4]吴红斌, 郭建如, 程化琴, 等. 什么样的学生选择医科 ——基于全国学生调查数据的分析[J]. 复旦教育论坛, 2018,16(6):105-112. DOI: 10.3969/j.issn.1672-0059.2018.06.016.
[5]张通, 徐竞竞, 兰雨桐, 等. 高三毕业生选择医学专业影响因素的调查与研究[J]. 中国高等医学教育, 2018(10):44-45. DOI: 10.3969/j.issn.1002-1701.2018.10.022.
[6]American Board of Internal Medicine Foundation, American College of Physicians- American Society of Internal Medicine, European Federation of Internal Medicine. Medical professionalism in the new millennium:a physician charter[J]. Ann Intern Med, 2002, 136(3): 243-246.
[7] 赵敏, 姜锴明, 杨灵灵, 等. 暴力伤医事件大数据研究——基于2000年~2015年媒体报道[J]. 医学与哲学, 2017,38(1A):89-93. DOI: 10.12014/j.issn.1002-0772.2017.01a.22.
[8] 陈少敏, 任川, 陈宝霞, 等. 暴力伤医事件对高中生报考医学类专业意向的影响[J]. 中国高等医学教育, 2015 (5):25-26. DOI: 10.3969/j.issn.1002-1701.2015.05.013.
[9] Bumgarner SD, Means BH, Ford MJ. Building bridges: from high school to healthcare professional[J]. J Nurses Staff Dev, 2003,19(1):18-22.DOI: 10.1097/00124645-200301000-00003.
[10] Winkleby MA. The Stanford Medical Youth Science Program: 18 years of a biomedical program for low-income high school students[J]. Acad Med, 2007,82(2):139-145.
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