| 引用本文：李斐, 由由, 王维民, 王志锋.临床实习阶段负性事件对医学生职业意向的影响[J].中国卫生政策研究,2021,14(2):50-55 |
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| 临床实习阶段负性事件对医学生职业意向的影响 |
| 投稿时间：2020-12-04 修订日期：2021-02-15 PDF全文浏览 HTML全文浏览 |
| 李斐1, 由由2, 王维民3, 王志锋1,4 |
1. 北京大学公共卫生学院 北京 100191;
2. 北京大学医学教育研究所 全国医学教育发展中心 北京 100191;
3. 北京大学医学部 北京 100191;
4. 北京大学医学部卫生政策与技术评估中心 北京 100191 |
| 摘要:目的：基于CMSS2019数据，探究临床实习阶段负性事件生对医学生从医意向的影响。方法：采用描述统计分析各类负性事件的发生范围和频率；使用logistic回归分析各类负性事件对不同医学生群体从医意向的影响。结果： 87.3%的医学生表示临床实习期间经历过负性事件，各类负性事件的发生范围以及对不同医学生群体从医意向的影响不同。结论及建议：依据各类负性事件的发生情况及影响特点，应采取不同的措施改善临床实习微环境，降低临床实习微环境中负性事件对医学生从医意向的负面影响：关注临床实习阶段发生的个人生活重大负性事件及易受影响的医学生群体，主动降低职场不公负性事件的发生频率，对职业特性负性事件则应加以利用。 |
| 关键词:临床实习 负性事件 医学生 职业意向 |
| 基金项目:北京大学全国医学教育发展中心受教育部与卫健委委托立项课题（MEDU2019R004）；北京大学医学部引进人才科研启动经费（BMU2018YJ006） |
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| Impact of adverse events during clinical clerkship on the career intention of medical students |
| LI Fei1, YOU You2, WANG Wei-min3, WANG Zhi-feng1,4 |
1. School of Public Health, Peking University, Beijing 100191, China;
2. Institute of Medical Education, National Center for Health Professions Education Development, Peking University, Beijing 100191, China;
3. Peking University Health Science Center, Beijing 100191, China;
4. Center for Health Policy and Technology Evaluation, Peking University Health Science Center, Beijing 100191, China |
| Abstract:Objective: To analyze the impact of adverse events during clinical clerkship on medical students' career intention based on China Medical Students Survey of 2019 (CMSS2019). Methods: Descriptive statistics were used to describe the scope and frequency of various adverse events, and Logistic regression was used to analyze the impact of discovered three types of adverse events on medical students’ intention to stay in medical career. Results: The study results showed that 87.3% of medical students had experienced adverse events during clinical clerkship, and different types of adverse events had different prevalence and different degrees of impact on their career intention. Conclusion: Based on the characteristics of adverse events in terms of their prevalence and degree of impact, different measures for improvement of microenvironment in clinical clerkship were studied and suggestions were made. It is suggested that more attention and care should be given to medical students who suffered adverse major life events during clinical clerkship and those vulnerable groups; the incidence of adverse events at the workplace should be followed up closely and fought against; the major negative events in personal life and vulnerable medical students in the clinical practice stage should be given full attention; and the adverse occupation-specific events should be properly utilized to train medical students so as to build a solid foundation for their future clinical practice. |
| Key words:Clinical clerkship Adverse events Medical student Career intention |
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