中外医学生临床实习身份问题调查及对比分析

目的对中国医学生临床实习身份问题的现状进行调查,并通过中外对比,探索可能的解决方式。方法以中外两组医学生为研究对象,采用自编问卷调查医学生在临床实习过程中经历的身份相关的负面经历,医学生对待身份问题的态度与应对方式。结果国内组有效问卷402份,国外组有效问卷74份,2组医学生在人口统计学特征无显著差异。国外医学生在临床实习阶段由于实习医生身份遭遇患者不信任与被患者拒绝操作的负面经历均显著低于国内医学生。国外医学生在诊疗过程中更倾向于明确表明自身实习医生身份(77. 0%vs 30. 9%)。国外医学生中认同患者知情权的比例显著高于国内医学生(97. 2%vs 88. 8%)。结论相较于其他国家,中国医学生在临床实践中面临的身份问题更加突出,负面经历更加频繁,亟待规范化的制度保障。

Contrastive study on identity issues of medical students in China and abroad during clinical clerkship

Objective To preliminarily analyze the identity issues of Chinese medical students and to explore the potential approaches. Methods Choose medical students from China and abroad and use self-designed questionnaire to investigate the adverse events that medical students experienced during clerkship and the attitudes of medical students towards identity issues. Results The total amount of valid questionnaires is 402 from China and 74 from abroad. The demographic characteristics show no significant difference between these two groups. Fewer medical students from abroad have been through the distrust from patients and refusal to perform medical procedures due to their student identity. Students from abroad are more inclined to clarify their student identity compared to Chinese students (77.0% vs 30.9%). The proportion of students who acknowledge patients right to know is significantly higher than that of China (97.2% vs 88.8%). Conclusions Medical students in China are facing a more challenging identity issue compared to students from abroad. They experience adverse events more frequently. This circumstance needs to be solved by institutional building.