摘要
目的从职业认同感的角度,探索全科医学生人才培养模式。方法采取整群抽样的方法,在西安医学院抽取600名全科专业医学生作为研究对象,采用以性别作为匹配因素(按照1∶1配对)的巢式病例对照研究。从2018年9月开始,进行第一次职业认同度调查;在2019年12月展开第二次调查。将两次调查职业认同感改变的学生作为病例组(得分由高变低为病例对照1组,得分由低变高为病例对照2组),将职业认同感未发生变化的学生作为对照组,分析职业认同感的影响因素。结果病例对照1组中,不同年级、年龄、专业学生职业认同感得分比较,差异有统计学意义(P<0.05)。年级(OR=0.589)、专业(OR=0.546)是全科医学生的职业认同感的独立影响因素(P<0.05)。病例对照2组中,是否参加社团活动、有无兼职经历学生职业认同感得分比较,差异有统计学意义(P<0.05)。兼职经历(OR=0.648)是全科医学生的职业认同感的独立影响因素(P<0.05)。结论年级、专业、兼职经历是影响学生职业认同感的重要因素。基于此,可进一步探索出优化全科医学生人才培养模式的方案。
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.
作者
冯巩
李嵘
刘军林
郝帅
徐美琪
吴戈
弥曼
严琴琴
FENG Gong;LI Rong;LIU Junlin;HAO Shuai;XU Meiqi;WU Ge;MI Man;YAN Qinqin(Institute of General Medicine,Xi’an Medical University,Shaanxi Province,Xi’an710021,China;School of General Medicine,Xi’an Medical University,Shaanxi Province,Xi’an710077,China;Publicity Department of the Party Committee of Xi’an Medical University,Shaanxi Province,Xi’an710021,China)
出处
《中国医药导报》
CAS
2020年第35期64-67,共4页
China Medical Herald
基金
陕西省社会科学基金项目(2019G017)。
关键词
巢式病例对照研究
职业认同感
全科医学
人才培养
Nested case-control study
Professional identity
General medicine
Personnel training
