医学教育仪式调查研究分析及展望

Investigation and analysis of medical education rituals and its prospects

目的在新时代背景下,调查医学生群体对医学教育仪式的态度和诉求,发现存在的问题,为仪式的创新完善提供参考。方法对医学生群体进行网络问卷调查,采用SPSS 25.0对数据进行描述性统计分析和秩和检验;采用深度访谈法、专题小组讨论法等质性研究方法,对定性资料进行综合分析。结果被称为网络原住民的"00后"医学生也非常期待传统医学教育仪式的回归;相较低年级学生,高年级学生的仪式重要性认知度、仪式参与意愿以及仪式中的职业认同感唤起程度均较低(P<0.05);部分医学生表明从未参与过医学教育仪式,部分医学生表明自己的专业在仪式中不被重视。结论新时代下的医学教育应重拾传统仪式,并跟随时代背景、学生群体特征的转变进行调整;现有仪式教育未能满足不同阶段医学生群体的需求,应加强其系统性、连续性;医学教育仪式对医学生群体的覆盖不全面、不均衡,有必要进一步扩大仪式在医学相关专业的覆盖面和适切度,充分考虑医学生群体中各专业的特点。

Objective:To investigate the attitudes and demands of medical students on medical education rituals in the context of the new era,to find out the existing problems,and to provide reference to the innovation and improvement of the rituals.Methods:An online questionnaire was conducted among medical students.SPSS 25.0 was used for descriptive statistical analysis and rank sum test of the data.Qualitative research methods such as in-depth interviews and panel discussions were used to comprehensively analyze the qualitative data.Results:"Post-00s"medical students,who are known as the aborigines of the Internet,are also looking forward to the return of traditional medical education rituals.Compared with junior students,senior students had lower awareness of the importance of rituals and lower willingness to participate in rituals,and the degree of professional identity arousal by the rituals was also lower(P<0.05).Certain medical students indicated that they had never participated in medical education rituals,and some indicated that their specialties were not valued in the rituals.Conclusion:Medical education in the new era should revive traditional rituals and be adjusted to the changes in the background of the times and the characteristics of the student groups.The current ritual education fails to meet the needs of medical students at different stages,and its systematicness and continuity should be strengthened.The coverage of medical education rituals for medical students is incomprehensive and uneven,and it is necessary to further expand the coverage and appropriateness of rituals in medical-related specialties and fully consider the characteristics of each specialty in medical students.