为什么医学生对骨质病的认同正在减少?
Zachary S Kauffman1, Tony Harper2, Robert A Augustyniak3
1Medical Student, DeBusk College of Osteopathic Medicine, Harrogate, TN, USA.
Journal of osteopathic medicine
|September 17, 2025
概括
在医学院期间,骨科医生身份认同下降. 提高骨科医疗操纵医学 (OMM) 技能和机构承诺可以改善学生对骨科病的认同.
科学领域:
- 医学教育 医学教育
- 骨科治疗医学 骨科治疗医学
- 学生的参与 学生的参与
背景情况:
- 骨科医生鉴定对于骨科医生区分至关重要,在林肯纪念大学 - 德布斯克骨科医学院 (DCOM) 的学生中正在下降.
- 这种趋势带来了未来骨科医生低骨科医学的核心原则的风险.
- 需要进行干预,以解决骨科医生身份的这种下降.
研究的目的:
- 确定影响医学学生骨科医生识别的因素.
- 量化这些因素对骨科医生识别的预测影响.
- 测试假设准备和骨科医疗操纵医学 (OMM) 技能是关键预测因素.
主要方法:
- 对1991年DCOM学生的调查数据的回顾性分析.
- 配对样本t测试,以评估从入学到毕业的骨科医生鉴定中的变化.
- 皮尔森的相关性,多重回归和结构方程建模 (SEM) 来分析预测因素.
主要成果:
- 在所有班级中,从入学到毕业期间,骨科医生身份识别下降了10-21% (p<0.001).
- 感知到的OMM技能和成为骨科医生的快乐与毕业时的骨科医生身份有很强的相关性 (r=0.5-0.6).
- OMM技能 (效果大小0.4) 和对机构的承诺,由OMM技能和准备度 (效果大小0.6) 中介,是最强的预测因素.
结论:
- 在SEM分析中,OMM技能和机构承诺被确定为骨科医生识别的重要预测因素.
- 干预措施应侧重于提高学生的OMM技能,以及他们对自己的机构,职业和职业生涯的承诺.
- 加强这些领域可能有助于扭转 osteopathic 识别下降的趋势.
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