人格特征预测了需要认知关闭在先进的本科医学学生的需要
Julia Gärtner1, Lea Jebram1, Sigrid Harendza2
1III. Department of Internal Medicine, Medical University Center Hamburg-Eppendorf, Hamburg, Germany.
BMC medical education
|November 8, 2024
概括
某些性格特征会影响医学学生对认知封闭 (NCC) 的需求,影响他们在不确定性下做出决策. 了解这些联系对于开发更好的临床推理技能至关重要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 决策科学 决策科学 决策科学
背景情况:
- 医疗决策受到不确定性的挑战,受到医生诸如临床推理和对不确定性的容忍等因素的影响.
- 医学学生必须在培训期间培养临床推理技能,并学会管理不确定性.
研究的目的:
- 调查人格特征对医学生最后一年认知闭关 (NCC) 的需求的影响.
- 探索个性维度如何影响学生在模拟住院环境中对不确定性的态度.
主要方法:
- 实验室对373名医学生进行了第一天的实习模拟.
- 用16个认知关闭需求量 (16-NCCS) 和HEXACO人格清单 - 修订 (HEXACO-PI-R) 来评估NCC和人格特征.
- 多重线性回归分析检查了个性特征和性别对NCC的影响.
主要成果:
- 开放性,外向性和诚实-谦虚性对NCC的预测是负面的,有利于一种更具探索性的方法.
- 良心和情感积极预测NCC,表明对结构化决策的偏好.
- 性别调节了情感性-NCC关系,更高的情感性与女性学生更大的关闭寻求有关.
结论:
- 像开放性,外向性和诚实-谦卑等人格维度与医学学生对认知封闭的需求有负面关联.
- 认识到个性如何影响对不确定性的反应对于避免做出糟糕的医疗决定至关重要.
- 将自我反思练习纳入医学课程可以帮助学生管理以人格为导向的对不确定性的反应.
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