中华医学教育探索杂志2024,Vol.23Issue(1) :38-42.DOI:10.3760/cma.j.cn116021-20230214-01647

规范化培训阶段医师职业成长认同度调查研究

Asurvey of career growth recognition amongphysicians at the stage of standardized training

倪庚 周晨曦 王方芳 黄建军 秦宇彤
中华医学教育探索杂志2024,Vol.23Issue(1) :38-42.DOI:10.3760/cma.j.cn116021-20230214-01647

规范化培训阶段医师职业成长认同度调查研究

Asurvey of career growth recognition amongphysicians at the stage of standardized training

倪庚 1周晨曦 2王方芳 1黄建军 3秦宇彤1
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作者信息

  • 1. 陆军军医大学医学教育学教研室,重庆 400038
  • 2. 华中科技大学同济医学院附属同济医院护理部,武汉 430030
  • 3. 解放军医学院研究生院,北京 100853
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摘要

目的 研究规范化培训阶段医师职业成长认同的异质性,发现早期临床医师的成长特点,为提高规范化培训质量提供参考.方法 在重庆市3所三甲医院随机抽取住院医师规范化培训生,采用Mplus7.4进行潜在剖面分析,解释外显连续型指标间的关系,研究职业成长认同的亚群.结果 在规范化培训阶段,职业认同可以分为3个亚群:全方位成长认同型、高资源和期待认同型及成长认同待定型.其中,成长认同待定型的比例最高,达到了40.27%(207例).结论 规范化培训阶段呈现明显的职业成长认同不确定,医师在规范化培训阶段应强化职业成长认同教育,设计具有职业成长认同特色的发展通路.

Abstract

Objective To investigatethe heterogeneity of career growth recognition amongphysicians at the stage of standardized training and the growth characteristics of clinical physicians in the early stage,and to provide a reference for improving the quality of standardized training.Methods The trainees who received standardized residency trainingwere randomly selected from three grade A tertiary hospitals in Chongqing,China.Mplus7.4 was used for latent profile analysis to explain the relationship between explicit continuous indicators,and the subtypes of career growth recognition were analyzed.Results Career growth recognition at the stage of standardized training was classifiedinto three subtypes of all-round growth recognition,high resource and expectation recognition,and unclassified growth recognition,among which the subtype of unclassified growth recognition accounted for the highest percentage of 40.27%(207 trainees).Conclusions Physicians at the stage of standardized training show obvious uncertainty aboutcareer growth recognition,and it is necessary to strengthen the education on career growth recognition during standardized training and design a development pathway based on the characteristics of career growth recognition.

关键词

规范化培训/职业成长认同/潜在剖面分析

Key words

Standardized training/Career growth identity/Latent profile analysis

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基金项目

重庆市研究生教育教学改革研究重点项目(2019)(yig192041)

陆军军医大学教育改革研究项目(2019)(2019Z07)

重庆市研究生教育教学改革研究重大项目(2020)(yjg201022)

出版年

2024
中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
参考文献量4
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