天津科技

天津科技 ›› 2025, Vol. 52 ›› Issue (11): 64-68.

• 科学与社会 • 上一篇    下一篇

医学生对临床医学二级学科的选择和指导需求

成秉禄1,*, 田甜2, 张晓阳2, 王维生1   

  1. 1.天津市第四中心医院肛肠外科 天津 300140;
    2.天津医科大学临床医学院 天津 300270
  • 收稿日期:2025-10-09 发布日期:2026-01-05
  • 通讯作者: *
  • 基金资助:
    天津医科大学医院管理创新研究项目“医学生对临床医学二级学科的选择和指导需求”（2024YG38）; 天津市第四中心医院优秀青年人才重点培养项目（tjdszxyy20210013）

Choice of secondary disciplines and demand for guidance among clinical medical students

CHENG Binglu1,*, TIAN Tian2, ZHANG Xiaoyang2, WANG Weisheng1   

  1. 1. Department of Colorectal Surgery,Tianjin 4th Centre Hospital,Tianjin 300140,China;
    2. Clinical Medical College,Tianjin Medical University,Tianjin 300270,China
  • Received:2025-10-09 Published:2026-01-05

摘要： 采用横断面问卷调查法,收集650名医学生的相关信息,探讨临床医学生二级学科选择现状及影响因素,重点研究其选择过程中的指导需求。结果显示,有190名医学生已经选择临床医学二级学科,最希望从事的是外科学和内科学,兴趣是最重要的影响因素。90%的医学生对自己的选择非常坚定,85.2%的医学生认为在选择过程中需要相应的指导,女性、低年级和尚未做出二级学科选择的医学生是重点人群。需要指导的医学生中,有70%选择临床医生为指导人员,认为临床轮转前指导对其更有价值。这表明医学生在二级学科选择上具有较高的稳定性,其选择主要基于个人兴趣,医学生在选择过程中希望得到临床医师的专业指导,并贯穿整个本科教育过程。

关键词: 医学生, 二级学科, 影响因素, 职业规划指导, 临床医师

Abstract: To explore the intention and influencing factors of the secondary disciplines by clinical medical students,especially to investigate the demand for guidance among medical students during the selection process,a cross-sectional questionnaire survey was conducted to collect relevant information from 650 medical students. The results show that 190 students have already chosen a secondary discipline in clinical medicine,with the most desired secondary disciplines being surgery and internal medicine. Interest is identified as the most important influencing factor. 90% of medical students were very confident in their choices,and 85.2% of them believed that corresponding guidance was necessary during the selection process. Female students,lower-grade students,and those who have not yet chosen a secondary discipline are the key groups. Among the medical students in need of guidance,70% choose clinicians as their mentors and believe that guidance provided before clinical rotations is more valuable to them. This indicates that medical students have high stability in their choice of secondary disciplines,and their choices are mainly based on personal interest. Medical students hope to receive professional guidance from clinicians during the selection process,which should be integrated throughout their entire undergraduate education.

Key words: medical students, secondary disciplines, influencing factors, occupational planning guidance, clinician

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