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Discussion on the training model of general medical students based on professional identity |
FENG Gong1* LI Rong2* LIU Junlin3* HAO Shuai2 XU Meiqi2 WU Ge2 MI Man1 YAN Qinqin1▲ |
1.Institute of General Medicine, Xi’an Medical University, Shaanxi Province, Xi’an 710021, China;
2.School of General Medicine, Xi’an Medical University, Shaanxi Province, Xi’an 710077, China;
3.Publicity Department of the Party Committee of Xi’an Medical University, Shaanxi Province, Xi’an 710021, China |
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Abstract Objective To explore the training mode of general medical students from the perspective of professional identity. Methods A cluster sampling method was adopted to select 600 general medical students from Xi’an Medical University as the research objects, and a nested case-control study with gender as a matching factor (matching according to 1∶1) was adopted. Starting from September 2018, the first survey of occupational recognition would be conducted; the second survey would be conducted in December 2019. The students whose occupational identity had changed in the two surveys were taken as the case group (the score changes from high to low for the case-control group 1 and the score from low to high for the case-control group 2), and students whose occupational identity unchanged as the control group. The influencing factors of professional identity were analyzed. Results In the case-control group 1, there were statistically significant differences in the occupational identity scores of students of different grades, ages, and majors (P < 0.05). Grade (OR = 0.589) and major (OR = 0.546) were independent factors influencing the professional identity of general medicine students (P < 0.05). In the case-control 2 group, there was a statistically significant difference in the professional identity scores of students who participated in club activities and whether they had part-time experience (P < 0.05). Part-time experience (OR = 0.648) was an independent factor influencing the professional identity of general medicine students (P < 0.05). Conclusion Grade, major, and part-time experience are important factors that affect students’ professional identity. Based on this, a plan for optimizing the training model of general medical students can be further explored.
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[1] 祝墡珠,于晓松,路孝琴.全科医学概论[M].5版.北京:人民出版社,2018:8-9.
[2] 李学成.分级诊疗背景下全科医生社区首诊制度的完善[J].医学与哲学,2018,39(21):49-52.
[3] 郑蕾.分级诊疗制度建设的影响因素剖析及建议[J].中国卫生经济,2019,38(9):12-15.
[4] 杜琳.护理学导论课程教学改革对提高护理专业本科生职业认同感的效果研究[J].中国高等医学教育,2017(9):72-73.
[5] 李艳超,张淑娥,张进,等.全科医生组织支持感与工作压力的关系:职业认同感的中介作用[J].中华医学教育探索杂志,2020,19(5):609-614.
[6] 陈欣,王洁,钱宁,等.基于结构方程模型的全科医生职业认同感的形成机制研究[J].中国全科医学,2019,22(20):2506-2513.
[7] 张冬莹,郑婵娇,黄翔,等.全科医生职业认同感影响因素分析及策略研究[J].中华全科医学,2014,12(11):1836-1838.
[8] 管慧,戴国华,高武霖,等.巢式病例对照研究及其在中医临床疗效评价中的应用[J].中华中医药学刊,2020,38(3):122-125.
[9] 赵佳,韩雪,谢梦,等.上海市杨浦区老年居民大肠癌及癌前期病变影响因素巢式病例对照研究[J].中国公共卫生,2020,36(1):5-11.
[10] 喜雷,黄玥,韩娜,等.基于22 455名8~10月龄婴儿发育筛查的早产与低出生体重因素交互作用的巢式病例对照研究[J].中国循证儿科杂志,2019,14(1):35-39.
[11] 李春晶,郭超,王博杰,等.术后早期谵妄对冠状动脉旁路移植术患者预后的影响:前瞻性巢式病例对照研究[J].中华麻醉学杂志,2018,38(3):279-282.
[12] 朱纯纯,方钱娟,周巧云,等.老年骨科患者术后高活动性谵妄危险因素的巢式病例对照研究[J].中华医学杂志,2018,98(40):3230-3234.
[13] 卢艳辉,刘振奎,李世阳,等.儿童早期预警评分与急性呼吸窘迫综合征儿童机械通气并发症发生的巢式病例对照研究[J].中南大学学报:医学版,2019,44(9):996-1002.
[14] 唐墨莲,赵卫秀,沈敏,等.系统性红斑狼疮产妇孕期体重增长对新生儿出生体重影响的巢式病例对照研究[J].中国循证儿科杂志,2019,14(2):87-90.
[15] 李金旭,李梦媛,王思远.大学生亚健康状态与拖延行为关系的前瞻性巢式病例对照研究[J].全科护理,2019, 17(30):3736-3740.
[16] 郑亚楠,胡雯,龚茜.免费医学生职业认同问卷的编制与信效度检验[J].现代预防医学,2018,45(21):3924-3927.
[17] 张新辉、吴东红、丁娟.中文版母乳喂养支持的员工感知问卷修订及信效度评价[J].中国公共卫生,2019,35(5):603-606.
[18] 冯霞,叶欣,舒慧玲,等.患者健康问卷抑郁量表9在痤疮患者中的信度和效度检验[J].中华皮肤科杂志,2019, 52(7):461-466.
[19] 刘晋洪,张静航,张健,等.无偿献血意愿问卷的编制和信效度检验[J].临床输血与检验,2019,21(2):16-31.
[20] 许敏锐,强德仁,周义红,等.应用R软件进行logistic回归模型的交互作用分析[J].中国卫生统计,2017,34(4):670-672.
[21] 唐璐,高颖,周莉.应用Logistic回归模型探讨缺血性中风急性期证候要素与生物学指标的相关性[J].中西医结合心脑血管病杂志,2019,17(17):2584-2587.
[22] 袁婷,苏天照,宁超.影响农村订单定向免费医学生职业认同感的因素及对策[J].卫生软科学,2016,30(3):172-176.
[23] 刘宝花.病例对照研究在健康管理科研中的理论、设计和应用[J].中华健康管理学杂志,2019,13(4):360-366.
[24] 周培森,杨晨斌,李章平.COVID-19疫情下订单定向全科医学生参与情况及其对职业认同感的影响[EB/OL].温州医科大学学报.[2020-04-27].http://220.166.97. 72:9014/kcms/detail/33.1386.R.20200331.1440.003.html.
[25] 王树林,李杰,刘海燕,等.临床医学专业定向与非定向毕业生专业认同比较分析[J].医学教育研究与实践,2018, 26(1):74-76. |
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