临床医学生专业思想状况调查及影响因素分析

Status survey on medical students' professional thinking and the analysis of influencing factors

目的在调查分析上海交通大学医学院临床医学生专业思想状况的基础上,全面了解不同阶段、不同学制学生的专业思想发展态势,分析主要的影响因素,从而为当前的教育教学和管理提供可能的建议及对策,引导学生形成正确的专业学习观和职业发展观。方法自行设计调查问卷,在五年制学生(n=300)和八年制学生(n=180)中进行问卷调查,并对调查结果进行统计分析。结果问卷回收455份(94.8%),其中有效问卷432份(94.9%,五年制285份,八年制147份);就学制和年级而言,各组学生在专业思想和对专业学习的认识差异并不十分明显,但在个人职业发展的明确程度方面,不同学制学生的认识差异具有统计学意义(P<0.05);此外,对于个人职业发展的具体规划问题上,不同学制的学生差异性有统计学意义(P<0.001)。结论临床医学专业学生专业思想的不稳定性和影响因素均体现在多方面,必须加强思想教育管理、心理健康教育及职业规划教育,并强化教师队伍建设,将专业思想教育融入学前教育及在校教育的各个环节。

Objective To comprehensively collect the developing trends of professional thinking from students with different programs and majors, to analyze major influent factors, to provide possible suggestions and countermeasures for education and management, and to guide students to form correct views of professional learning and career development based on the investigation and analysis of students＇ professional thinking of Shanghai Jiao Tong University School of Medicine. Methods Questionnaires were prepared and the survey was performed for students of five-year program （n = 300） and eight-year program （n = 180）. Results were statistically analyzed. Results There were 455 returned questionnaires （94.8%）, among which 432 were valid questionnaires （94.9%, 285 from five-year program and 147 from eight-year program）. Differences were not significant in terms of professional thinking and understanding, while differences were significant in terms of personal career development （P 〈 0.05） and relevant planning （P 〈 0. 001 ）. Conclusion The instability of medical students＇ professional thinking reflects in many aspects, as well as the influence factors. It is necessary to enhance education management, mental health and career planning education, teachers＇ capacities, and integrate the professional thinking education into every phase of pre-sehool education and school education.