新形势下医德现状调查及教育对策思考

Investigation on the Status of Medical Ethics and Consideration about the Education Countermeasures

目的通过对医学生医德现状的调查,分析医学生的医德特点及其存在问题,提出深化医学生医德培养教学改革对策的思考。方法对汕头大学医学院831名在校生及302名毕业生进行定性与定量研究相结合的方法,了解医学生医德现状。结果 15.5%的医学生评价医生职业"崇高伟大",7.1%的医学生认为医生救死扶伤的宗旨履行得"好";85.3%以上的医学生认为医德包括"救死扶伤"和"尊重病人",92.3%的医学生认为目前有必要开展医德教育;56.4%的医学生认为医生收红包是"不应该,违背医德的行为",48.1%的医学生表示自己"不会收"。结论亟须深化医学生医德培养教学改革,可针对医德现状开展职业认同教育,借鉴并推广"服务一学习"教育模式,构建医德教育实践体系。

Objective： Through investigating the status of medical students＇ ethics, this paper aimed to explore its characteristics and the existing problems, then to put forward effective measures to deepen pedagogical reform. Methods： A qualitative and quantitative research was conducted among 831 undergraduates and 302 graduates in Shantou University Medical College to investigate the status of medical students＇ ethics. Results： Only 15.5% of medical students evaluated the medical profession was ＂ grandeur＂ and 7.1% stated that doctors had fulfilled the mission of life -saving well. More than 85.3% thought that medical ethics included ＂life -saving＂ and ＂respecting for the patient＂ and 92.3% considered that there was a need to carry out medical ethics education currently. Meanwhile, 56.4% regarded that doctors receiving red envelopes as ＂the action of disallowance, contrary to morality＂ an deepen d 48.1% indicated that they would not receive red envelopes. Conclusions： There is an urgent need to pedagogical reform of medical students＇ ethics. Vocational identity education can be undertaken aiming at the state of medical ethics, and regard the ＇ service - learning＂ education mode asthe reference and promote it so as to establish the practice system of medical ethics education.