{"id":27205,"date":"2025-01-18T04:53:00","date_gmt":"2025-01-17T20:53:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=27205"},"modified":"2025-01-18T05:50:39","modified_gmt":"2025-01-17T21:50:39","slug":"jama-netw-open%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e4%b8%ad%e5%9b%bd%e5%8c%bb%e5%ad%a6%e7%94%9f%e7%9a%84%e8%a2%ab%e8%99%90%e5%be%85%e6%84%9f%e5%8f%97%e4%b8%8e%e8%81%8c%e4%b8%9a%e8%ae%a4","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=27205","title":{"rendered":"[JAMA Netw Open\u53d1\u8868\u8bba\u6587]\uff1a\u4e2d\u56fd\u533b\u5b66\u751f\u7684\u88ab\u8650\u5f85\u611f\u53d7\u4e0e\u804c\u4e1a\u8ba4\u540c"},"content":{"rendered":"\n

Original Investigation <\/p>\n\n\n\n

Medical Education<\/p>\n\n\n\n

November 8, 2024<\/p>\n\n\n\n

Perceived Mistreatment and Professional Identity of Medical Students in China<\/h1>\n\n\n\n

Xuanxuan Ma, Ziyue Shen, Ruilian Xiao, et al<\/h3>\n\n\n\n

JAMA Netw Open. <\/em>2024;7(11):e2444245. doi:10.1001\/jamanetworkopen.2024.44245<\/h3>\n\n\n\n

<\/a>Key Points<\/p>\n\n\n\n

Question<\/strong>  Is perceived mistreatment during medical school associated with medical students\u2019 professional identity?<\/p>\n\n\n\n

Findings<\/strong>  In this cross-sectional study of 94\u202f153 graduating medical students from 4 cohorts in China, 84.5% reported at least 1 incident of mistreatment. A significant negative correlation was observed between perceived mistreatment and professional identity.<\/p>\n\n\n\n

Meaning<\/strong>  These findings suggest that efforts to address medical students\u2019 mistreatment are needed to mitigate the adverse consequences on their professional identity.<\/a><\/p>\n\n\n\n

Abstract<\/p>\n\n\n\n

Importance<\/strong>  Mistreatment is a common experience among medical students, with various negative consequences of such perceived mistreatment reported. However, few large-scale studies have investigated the association between perceived mistreatment and the formation of medical students\u2019 professional identities.<\/p>\n\n\n\n

Objective<\/strong>  To investigate medical students\u2019 perceived mistreatment during medical school and its association with professional identity.<\/p>\n\n\n\n

Design, Setting, and Participants<\/strong>  This repeated cross-sectional study included medical students graduating between 2019 and 2022 at 135 medical schools in China. Analyses were performed from July 25, 2023, to May 15, 2024.<\/p>\n\n\n\n

Exposure<\/strong>  The China Medical Student Survey includes 5 items designed to measure students\u2019 perceived experiences of mistreatment.<\/p>\n\n\n\n

Main Outcomes and Measures<\/strong>  Professional identity was measured using a validated 7-item scale adapted from the Macleod Clark Professional Identity Scale. Multivariate linear regression was used to determine the association between perceived mistreatment and medical students\u2019 professional identity.<\/p>\n\n\n\n

Results<\/strong>\u00a0\u00a0A total of 94\u202f153 students (53\u202f819 female [57.2%]; 83\u202f548 Han ethnicity [88.7%]) were analyzed, representing 67.2% of the medical graduates enrolled in all responding medical schools. Most medical students reported having experienced at least 1 mistreatment incident (79\u202f554 students [84.5%]). Medical students reported being required to perform personal service (57\u202f455 students [61.0%]), experiencing mistreatment by patients (67\u202f439 students [71.6%]), being publicly humiliated (24\u202f348 students [25.9%]), being unjustly treated (35\u202f926 students [38.2%]), and experiencing deliberate harassment (46\u202f082 students [48.9%]). A negative association and saturation effect (where effect size plateaus after moderate exposure of mistreatment) were found between the degree of mistreatment and medical students\u2019 professional identity scores. Compared with students who had not reported mistreatment, students who reported single (\u03b2, \u22120.30; 95% CI, \u22120.33 to \u22120.28;\u00a0P<\/em>\u2009<\u2009.001), moderate (\u03b2, \u22120.66; 95% CI, \u22120.69 to \u22120.63;\u00a0P<\/em>\u2009<\u2009.001), and high (\u03b2, \u22120.62; 95% CI, \u22120.65 to \u22120.58;\u00a0P<\/em>\u2009<\u2009.001) frequency of mistreatment were more likely to have lower professional identity scores; this association persisted but was attenuated after adjusting for students\u2019 sociodemographic characteristics and was consistent across all the types of mistreatment.<\/p>\n\n\n\n

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Conclusions and Relevance<\/strong>  In this national, repeated cross-sectional study, a high prevalence of mistreatment among medical students in China and a negative association between perceived mistreatment and medical students\u2019 professional identity was found. Further research is needed to ensure that medical schools offer supportive and respectful learning environments.<\/p>\n","protected":false},"excerpt":{"rendered":"

Original Investigation  Medical Education November […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/27205"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27205"}],"version-history":[{"count":2,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/27205\/revisions"}],"predecessor-version":[{"id":27596,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/27205\/revisions\/27596"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}