突发公共卫生事件影响下医学生医学职业精神认知现状研究

Research on the current situation of medical professionalism cognition of medical students under the influence of public health emergencies

目的调查分析上海高校医学生对医学职业精神的理解和认知现状。方法选取上海市部分医学院校的全日制在读医学生574名,采用自行设计的问卷开展调查,并根据参与志愿者工作或抗疫一线工作经历将医学生分为参与组(362名)和未参与组(212名),进一步分析相关工作经历对医学职业精神内涵重要性认同度的影响。结果不同学历医学生对《医师宣言》和《中国医师宣言》的认知情况比较,差异有统计学意义(P<0.05)。46.2%的医学生认为疫情的发生并没有影响个人职业规划,37.3%的医学生在经历疫情之后更坚定了学医的决心,准备为医学事业献身;37.6%的医学生认为疫情对个人职业精神影响很大,加深了对医学职业精神的直观感受,并将付诸实践;46.5%医学生意识到医学职业精神对医学教育、卫生健康事业发展的重要性。医学生认为医学职业精神最重要的前3项是“尊重患者”(87.1%)、“在困难时保持镇定”(87.3%)和“解决自己知识和技能上的差距”(86.2%),而排名末3项则是“代表患者发声”(58.9%)、“对待患者,随叫随到”(47.9%)和“为满足患者,接受对自己不便的要求”(41.5%)。参与组对医学职业精神内涵重要性的认同度显著高于未参与组,差异有统计学意义(P<0.01)。结论医学生对医学职业精神的认识目前仍存在不足,且利他主义精神相对缺乏,但大部分医学生能认识到医学职业精神在自身成长、发展与职业实践中的重要性。

Objective To investigate and analyze the understanding and cognition of medical professionalism among medical students in Shanghai universities.Methods A total of 574 full-time medical students from some medical colleges in Shanghai were selected.A self-designed questionnaire was used to conduct the survey.According to the experience of participating in volunteer work or anti-epidemic front-line work,medical students were divided into participating group(362)and non-participating group(212),and the influence of relevant work experience on the recognition of the importance of medical professionalism connotation was further analyzed.Results There were statistically significant differences in the cognition of Physician Declaration and Chinese Physician Declaration among medical students with different academic qualifications(P<0.05).46.2% of medical students believed that the outbreak of the epidemic did not affect their personal career planning,and 37.3%of medical students strengthened their determination to study medicine after the epidemic and were ready to devote themselves to the medical cause.37.6% of medical students believed that the epidemic had a great impact on personal professionalism,deepened their intuitive feelings about medical professionalism,and would put it into practice.46.5% of medical students realized the importance of medical professionalism to the development of medical education and health care.Medical students believed that the top three most important items of medical professionalism were“respect for patients”(87.1%),“keeping calm in difficult times”(87.3%)and“solving the gap between their knowledge and skills”(86.2%),while the last three items were“speaking on behalf of patients”(58.9%),“treating patients on call”(47.9%)and“accepting inconvenient requirements for themselves to meet patients”(41.5%).The recognition of the importance of the connotation of medical professionalism in the participating group was significantly higher than that in the non-participating group,and the difference was statistically significant(P<0.01).Conclusion Medical students'understanding of medical professionalism is still insufficient,and the spirit of altruism is relatively lacking.However,most medical students can realize the importance of medical professionalism in their own growth,development and professional practice.