Professionalism And Professional Identity Among Medical Students In Three Colleges

[Objective]To investigate professionalism and professional identity of medical students,understand their related practice activities during the period of COVID-19 epidemic,analyze the relationship between medical students’professionalism and professional identity,according to these then make suggestions for medical professionalism training.[Methods]Professional identity and professionalism questionnaire were developed based on the previous studies.The items were based on the declaration of doctors at home and abroad,the training programs,and the assessment criteria for health service personnel.Professional identity included 11 items in 3 dimensions:professional cognition,emotion,and matching.There are 25 items in 10 dimensions of medical professionalism included patient first,benevolence,equality,honesty,integrity,confidentiality,respect,peer treating,social responsibility,ideal and belief,lifelong learning.There are 16 items of professionalism practice and basic information during the COVID-19 epidemic.Using Likert five points(1-5).Two medical universities in Guangdong Province and one University of science and technology in Hubei Province were selected by convenient sampling method.278 valid questionnaires were obtained from the graduation classes of clinical five-year medical students in thouse three universities.SPSS 23.0 software was used for data processing and analysis,including t-test,person correlation analysis,linear regression analysis,etc.[Results]1.Professionalism of medical students in three collegesThe average score of the professionalism of clinical medicine graduates is(4.20±0.45).In 10 dimensions,the overall compliance degree of 7 dimensions is higher than80%,in 26 items,18 items are more than 80%,and 9 items are more than 90%.T-test showed that the medical professionalism student cadres were higher than the non student cadres(P=0.039),the medical professionalism of the students who were wanted to learn medical by themselves were higher than the those ones has relatives and friends recommended or the school adjusted to medical major(P=0.010),firmly said that after graduation,the medical students wanted to be a doctor was higher than the general and not strong(P<0.001),at the same time,gender,household registration,whether the only child had no statistical difference on the professionalism.What one sees and hears novel coronavirus pneumonia is divided into 4.22(0.64),57.4%and52.5%of medical students have"answer questions with medical knowledge"for others’consultation and"refute rumors with professional expertise".94.6%of medical students have done self isolation and family disinfection.74.9%of medical students said that the COVID-19 epidemic had strengthened their determination to be doctors after graduation.2.Professional identity of medical students in three collegesThe average score of professional recognition was(4.13±0.63),the average score of professional emotion was(3.87±0.82),and the average score of professional matching was(3.74±0.72).86%of medical students agree that they wanted to be doctors after finishing their classes and trainings;90%of medical students agree that"The profession of doctor is very valuable",while 23.4%of medical students deny that"If I can choose again,I still want to learn medicine";21.5%of medical students do not agree that"The overall doctor-patient relationship in the current society is good",and48.2%choose"General".T-test showed that the professional identity of student cadres was higher than that ones are not student cadres(P=0.005),the top 30%of students’academic performance was higher than that of the bottom 30%(P<0.001),professional identity of students who were wanted to learn medical by themselves were higher than the those ones has relatives and friends recommended or the school adjusted to medical major(P<0.001),and the number of relatives and friends who went to medicine was higher than those who did not(P=0.009).3.The relationship between professionalism and professional identityAccording to Pearson correlation analysis of the dimensions of professional identity and medical professionalism,professional cognition(r=0.537),professional emotion(r=0.524),and professional matching(r=0.532)were positively correlated with medical professionalism(P<0.01).Taking professional cognition,professional emotion and professional matching as independent variables,and the average score of professionalism as dependent variables for linear regression,the regression model was statistically significant,adjusted R~2=0.383,P<0.001.The influence of professional cognition and professional matching on medical professionalism was statistically significant(P<0.001).[Conclusions]Discussion:(1)The professionalism of clinical medicine graduates is good,most of the dimensions of professionalism fit the professional requirements well,and show good professionalism with practical actions during the epidemic;(2)The attitude and behavior of some items of professional spirit are not highly consistent;(3)The courage to question authority need to be improved.There may be some reasons such as the limitation of their own technical level and the unsound security system;(4)The influence of demographic statistical characteristics on the professionalism of medical students is limited;(5)The professional identity of clinical medicine graduates needs to be strengthened;(6)Professional identity is an important factor affecting the professionalism,and improving professional identity is helpful to improve the professionalism of medical students.Suggestions:(1)Professionalism education should be taken throughout the training process of medical students even before they enter the college;(2)Strive for diversification in the means of medical professionalism education;(3)The shaping of excellent doctors is the common responsibility of the whole society,and to improve the publicity of medical students,it requires our government,schools,hospitals,patients and medical students to learn from themselves We have made joint efforts with many subjects,including the rule of law,media,family and other platforms.