Study of the professional identity and professional loyalty of standardized training resident during COVID-19 epidemic

  • Wu Chunyan ,
  • Song Yingxiang ,
  • Fu Xiaoxuan ,
  • Xu Ji ,
  • Ying Zhenhua
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  • 1Department of Education, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou 310014, China;
    2Department of Endocrinology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou 310014, China;
    3Department of Education, Institute of Cancer and Basic Medicine (ICBM), Chinese Academy of Sciences, Cancer Hospital of the University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou 310022, China

Received date: 2020-02-18

  Online published: 2020-12-08

Supported by

Education Reform Research Project of Zhejiang 13th Five-Year Plan for Higher Education, Department of Education of Zhejiang Province(jg20190548); Education Reform Research Project Granted by Hangzhou Medical College(XJJG2017019)

Abstract

Objective To explore the status of professional identity and professional loyalty of standardized training resident during COVID-19 epidemic which provides a reference for development of strategy.Methods A questionnaire survey was conducted to 484 standardized training residents from two National standardized training base for resident doctors in Zhejiang. The survey was based on the indicators of “I gained social recognition and respect by engaging in this profession” and “I agree my children to engage in medical work” to analyze the status of residents' professional identity and professional loyalty. Using participation in anti-epidemic and clinical situations, attitudes to the COVID-19 epidemic, areas during the epidemic to analysis the relevant factors of professional identity and professional loyalty.Results On question of “I gained social recognition and respect by engaging in this profession”, the agreement rate of residents is 71.3% (345/484). On question of “I agree my children to engage in medical work”, the disagreement rate of residents is 46.3% (224/484). Residents who were on the front line of the battle against the epidemic (χ2=11.344, P=0.023) and who take a positive attitude towards the epidemic (χ2=7.614, P=0.022), have a higher professional identity. During the epidemic, the professional loyalty of residents who in Jiangsu, Zhejiang and Shanghai was higher than that in non-Jiangsu, Zhejiang and Shanghai (χ2=6.411, P=0.041). There is a positive correlation between professional training and professional loyalty of residents (r=0.386, P<0.01).Conclusions During the epidemic, the residents' professional identity was high, but professional loyalty was not raised. Participation in the battle against the epidemic, attitude towards the epidemic are relevant factors of professional identity. Areas during the epidemic and professional identity are relevant factors of professional loyalty. Priority needs to be given to the needs of residents who were on the front line of the battle against the epidemic, who were negative about the epidemic and who were in non-Jiangsu, Zhejiang and Shanghai. It is need to cultivate resident physicians' professional identity, thereby improving professional loyalty.

Cite this article

Wu Chunyan , Song Yingxiang , Fu Xiaoxuan , Xu Ji , Ying Zhenhua . Study of the professional identity and professional loyalty of standardized training resident during COVID-19 epidemic[J]. Chinese Journal of Medical Education, 2020 , 40(9) : 688 -691 . DOI: 10.3760/cma.j.cn115259-20200218-00152

References

[1] 国家卫生健康委员会.国家卫生健康委关于新型冠状病毒肺炎暂命名事宜的通知[EB/OL]. [2020-02-10]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s2908/202002/f15dda000f6a46b2a1ea1377cd80434d.shtml.
[2] 张雁灵.不辱使命 继往开来 努力推动我国住院医师规范化培训工作取得新突破[J]. 中国毕业后医学教育, 2019, 3(4): 289-291.
[3] 陈永杰,王媛.医学生职业认同现状及其相关因素研究[J]. 中华医学教育杂志,2018, 38(1):50-54. DOI:DOI:10.3760/cma.j.issn.1673-677X.2018.01.011.
[4] Royce J.The philosophy of loyalty[M]. New York: Fordham University Press, 2010:8-12.
[5] 赵琪.我国136家三级医院医生的职业认同感及影响因素研究[D]. 北京:北京协和医学院,2017.
[6] 陈晶,徐丹,张春梅,等.两家三级医院临床医师职业认同现状分析[J]. 中华医院管理杂志,2012,28(12):904-907. DOI: 10.3760/cma.j.issn.1000-6672.2012.12.008.
[7] 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.
[8] 中国医师协会.中国医师执业状况白皮书[EB/OL]. [2020-02-10]. http://www.cmda.net/zlwqtzgg /10578.jhtml.
[9] 宋云鹏.医生全科职业认知与择业意愿——收入预期与职业认同的中介效应[J]. 中国卫生政策研究, 2017, 10(4): 77-82. DOI: 10.3969/j.issn.1674-2982.2017.04.013.
[10] 吴际军,荣娴,陈飞,等.抗击新型冠状病毒肺炎疫情临床一线护士睡眠质量调查及其影响因素[J]. 护理研究, 2020, 34(4): 558-562. DOI: 10.12102/j.issn.1009-6493.2020.04.107.
[11] 易大莉,李高明,冷怀明.新型冠状病毒肺炎疫情发展区域差异的聚类分析[J/OL]. 重庆医科大学学报,2020,45(2020-03-31).http://kns.cnki.net/kcms/detail/50.1046.R.20200330.1706.008.html. DOI:10.13406/j.cnki.cyx b.002386.[网络预发表]
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