医学院如何影响学生的职业选择? 一个现实的评估评估
Adam Thomas1, Ruth Kinston1, Sarah Yardley2
1School of Medicine, Keele University, UK.
Medical education online
|February 26, 2024
概括
医学院的经验极大地影响了人们的职业选择. 初级医生往往很快就会排除专业,但需要多个积极的经验来承诺,突出了社会背景对职业决策的影响.
科学领域:
- 医学教育研究 医学教育研究
- 职业发展研究 职业发展研究
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 医学毕业生的职业选择往往与社会需求不一致.
- 医学院的经验 (正式,非正式,隐藏的课程) 是对职业思考的关键影响.
研究的目的:
- 对医学院的社会条件如何以及为什么会影响职业思考进行现实的评估.
- 了解驱动医学学生职业决策的机制和背景.
主要方法:
- 使用上下文-机制-结果 (CMO) 配置的现实评估方法.
- 采访了来自英国12所医学院的26名初级医生,他们申请专业培训.
- 对采访成绩单的分析,以确定反复出现的CMO配置.
主要成果:
- 确定了14个反复出现的CMO配置,解释了医学院期间对职业选择的影响.
- 职业决策涉及"适合性测试",这是不对称的 (容易排除,更难承诺).
- 真正的实习,任务完成,团队整合和榜样促进了适应性测试;非正式的指导比正式的更有影响力.
结论:
- 医学职业选择与人-环境-适合理论相一致,但可能不如假设那么理性,特别是当排除选择时.
- 医学院课程应优化本科生实习和社会融合,以更好地支持职业决策.
- 加强医学院课程的含义,以更好地使研究生职业与社会需求保持一致.
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