[Career Development of Graduates of 8-Year Clinical Medicine Programs in the Context of the New Medical Education Initiative].

Q3 Medicine
Jun Ma, Li Shao
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引用次数: 0

Abstract

Objective: To evaluate the outcomes and challenges of China's 8-year clinical medicine programs and to discuss preliminary suggestions and reflections on the reform of 8-year clinical medicine programs in line with the requirements of the New Medical Education Initiative.

Methods: A nationwide survey was conducted to cover 680 graduates of 8-year clinical medicine programs. All participants graduated from 8-year programs in the past decade. Participants responded to a questionnaire on their career development. Multiple linear regression analysis was performed to identify the core factors affecting the career development of 8-year program graduates. In addition, 30 participants were selected to participate in an intensive interview.

Results: A total of 676 valid responses were collected in this study, yielding a response rate of 99.41%. Among the participants, females slightly outnumbered males, accounting for 57.40% (388/676). In terms of subspecialty choices, surgery was the most popular, accounting for 35.21% (238/676), followed by internal medicine, which accounted for 16.12% (109/676). Self-assessed job competency ratings showed that 56.12% (348/620) felt competent, while 0.65% (4/620) reported being completely incompetent. In terms of employment status, 91.72% (620/676) of the participants completed their studies on time, 88.61% (599/676) were awarded diplomas as scheduled, and 91.72% (620/676) entered the healthcare industry, with 97.9% (607/620) working in tertiary-care hospitals. Regarding career development, by the tenth year after graduation, 89.13% (41/46) attained mid-level or senior professional titles. In terms of job satisfaction, 67.30% (455/676) reported moderate or higher levels of job satisfaction. In terms of academic achievements, the median number of papers published by the participants between graduation and the tenth year after graduation was 6, with a median of 5 papers published in journals included in the Science Citation Index (SCI). The quantity of publications and the length of time after graduation significantly correlated with professional advancement (P < 0.05). According to the interview results, 83.33% (25/30) of the participants suggested that research training should be increased and 60% (18/30) stated that interdisciplinary skills development should be prioritized.

Conclusion: A high proportion of graduates from 8-year clinical medical programs become highly competent professionals with good employment prospects, strong self-efficacy, and favorable career trajectories. However, the participants are disproportionately concentrated in certain subspecialties. Furthermore, other issues, such as the conflict between curricular time constraints and the graduates' desire to strengthen research training, as well as insufficient interdisciplinary preparation, require collaborative solutions from the government, universities, and medical institutions.

[新医学教育倡议背景下8年制临床医学专业毕业生的职业发展]。
目的:评价中国临床医学8年制专业的成果和面临的挑战,探讨符合新医学教育行动要求的临床医学8年制专业改革的初步建议和思考。方法:对全国680名8年制临床医学专业毕业生进行调查。所有参与者都毕业于过去十年的8年制课程。参与者回答了一份关于他们职业发展的问卷。通过多元线性回归分析,找出影响8年制毕业生职业发展的核心因素。此外,还选择了30名参与者参加强化访谈。结果:本研究共收集有效问卷676份,有效率为99.41%。在参与者中,女性略多于男性,占57.40%(388/676)。从亚专科选择来看,外科最受欢迎,占35.21%(238/676),其次是内科,占16.12%(109/676)。自我评估的工作能力评级显示,56.12%(348/620)的人认为自己有能力,而0.65%(4/620)的人认为自己完全没有能力。在就业状况方面,91.72%(620/676)的参与者按时完成学业,88.61%(599/676)的参与者如期获得文凭,91.72%(620/676)的参与者进入医疗保健行业,97.9%(607/620)的参与者在三级医院工作。在职业发展方面,到毕业第10年达到中高级职称的占89.13%(41/46)。在工作满意度方面,67.30%(455/676)的人报告了中等或更高水平的工作满意度。在学术成果方面,从毕业到毕业后第10年,参与者发表论文的中位数为6篇,在SCI收录期刊上发表论文的中位数为5篇。论文发表量、毕业时间与职业晋升显著相关(P < 0.05)。访谈结果显示,83.33%(25/30)的受访者认为应增加研究性培训,60%(18/30)的受访者认为应优先发展跨学科技能。结论:八年制临床医学专业毕业生成长率高,就业前景好,自我效能感强,职业发展轨迹良好。然而,参与者不成比例地集中在某些亚专业。此外,其他问题,如课程时间限制与毕业生加强研究训练的愿望之间的冲突,以及跨学科准备不足,需要政府、大学和医疗机构的合作解决。
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来源期刊
四川大学学报(医学版)
四川大学学报(医学版) Biochemistry, Genetics and Molecular Biology-Molecular Biology
CiteScore
0.70
自引率
0.00%
发文量
8695
期刊介绍: "Journal of Sichuan University (Medical Edition)" is a comprehensive medical academic journal sponsored by Sichuan University, a higher education institution directly under the Ministry of Education of the People's Republic of China. It was founded in 1959 and was originally named "Journal of Sichuan Medical College". In 1986, it was renamed "Journal of West China University of Medical Sciences". In 2003, it was renamed "Journal of Sichuan University (Medical Edition)" (bimonthly). "Journal of Sichuan University (Medical Edition)" is a Chinese core journal and a Chinese authoritative academic journal (RCCSE). It is included in the retrieval systems such as China Science and Technology Papers and Citation Database (CSTPCD), China Science Citation Database (CSCD) (core version), Peking University Library's "Overview of Chinese Core Journals", the U.S. "Index Medica" (IM/Medline), the U.S. "PubMed Central" (PMC), the U.S. "Biological Abstracts" (BA), the U.S. "Chemical Abstracts" (CA), the U.S. EBSCO, the Netherlands "Abstracts and Citation Database" (Scopus), the Japan Science and Technology Agency Database (JST), the Russian "Abstract Magazine", the Chinese Biomedical Literature CD-ROM Database (CBMdisc), the Chinese Biomedical Periodical Literature Database (CMCC), the China Academic Journal Network Full-text Database (CNKI), the Chinese Academic Journal (CD-ROM Edition), and the Wanfang Data-Digital Journal Group.
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