医学生职业认同现状调查

Professional identity among medical students:a cross-sectional analysis

目的了解当前医患关系大背景下医学生职业认同现状及教育对策的途径。方法 2017年4月,采用分层随机抽样的方法在黑龙江省某医学院校抽取232名临床医学专业医学生作为研究对象,进行职业认同问卷调查。结果医学生的职业认同水平总均分为(3.53±0.56)分,职业情感为(3.72±0.77)分,职业行为为(3.57±0.76)分,职业承诺为(3.48±0.81)分,职业期望为(3.62±0.79)分,职业价值观为(3.84±0.50)分,均高于中间值,差异均有统计学意义(P<0.05);不同年级医学生职业认同总分、职业情感、职业行为、职业承诺、职业期望和职业价值观得分差异均有统计学意义(P<0.05);独生子女医学生的职业认同总分、职业认知、职业情感、职业行为、职业承诺得分均高于非独生子女医学生,差异均有统计学意义(P<0.05)。结论医学生职业认同高于一般认同水平,高校应采取相应措施加强医学生的职业认同教育。

Objective To explore the status of professional identity in medical students under current background of doctor-patient relationship for relevant education strategy-making. Methods We conducted a questionnaire survey on the status and impacts of professional identity among 232 clinic medicine students recruited with stratified random sampling in a medical university in Heilongjiang province during April 2017. Results For all the students, the average overall score of professional identity was 3.53 ± 0.56 and the average domain scores of professional identity were 3.72 ± 0.77 for emotion,3.57 ± 0.76 for behavior, 3.48 ± 0.81 for commitment, 3.62 ± 0.79 for expectation, and 3.84 ± 0.50 for value, respectively; all the average scores were significantly higher than the medians（all P〈0.05）. There were significant difference in the overall and all domain scores of professional identity among the students with different years of study（P〈0.05）; the overall and all domain scores of professional identity were significantly higher among the only-child students than among the non-onlychild students（P〈0.05 for all）. Conclusion The professional identity of meidcal students is at a relatively high level, but education programs for the promotion of professional identity still need to be implemented among the students.