童年不良经历与医学学生对职业的兴趣之间的关联:一个单一设置研究
Phillip Yang1, Barbara Robles-Ramamurthy2, Kristen A Plastino3
1Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio, San Antonio, TX, United States.
Frontiers in psychiatry
|March 19, 2025
概括
在医学学生中,不良童年经历 (ACE) 是很常见的. 较高的ACE分数与对精神病学和学术医学职业的兴趣相关,但不是初级保健.
科学领域:
- 医学教育 医学教育
- 精神病学是一个精神病学.
- 学术医学 学术医学
背景情况:
- 童年不良经历 (ACE) 是普遍存在的,可以影响职业选择.
- ACEs对医学学生专业兴趣的影响尚不清楚.
- 了解ACE的影响对于医学教育和医生福祉至关重要.
研究的目的:
- 调查ACE与医学学生的职业兴趣之间的关联.
- 分析医学学生中ACE的患病率.
- 探索ACE与对精神病学,学术界和初级保健的兴趣之间的潜在联系.
主要方法:
- 在UT健康圣安东尼奥医学院对医学学生进行了一项调查.
- 评估了10个家庭和4个社区的ACE.
- 曼-惠特尼U测试用于分析ACE和职业兴趣之间的关联.
主要成果:
- 419名学生完成了调查; 74.3%的人报告至少有一次ACE.
- 与患有精神疾病的家庭成员一起生活是最常见的ACE (36.9%).
- 较高的ACE分数与对精神病学 (p<.01) 和学术医学 (p=.02) 的兴趣有关.
结论:
- 童年创伤可能会影响医学学生对精神病学和学术医学的追求.
- 医学学生中某些ACE的患病率可能超过基于人口的估计.
- 建议在医学教育中进行进一步的研究和创伤知情的方法.
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