Qualitative research on influencing factors for choice of secondary disciplines in eight-year medical students based on the self-determination theory
10.3760/cma.j.cn116021-20241104-02023
- VernacularTitle:基于自我决定理论的八年制医学生二级学科专业选择影响因素的质性研究
- Author:
Jing QIAO
1
;
Wei HAN
1
;
Ke LI
1
;
Jianguang QI
1
Author Information
1. 北京大学第一医院教育处，北京 100034
- Publication Type:Journal Article
- Keywords:
Clinical medicine;
Eight-year program;
Secondary discipline;
Self-determination theory;
Qualitative research
- From:
Chinese Journal of Medical Education Research
2025;24(8):1058-1063
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influencing factors for choice of secondary disciplines in eight-year medical students majoring in clinical medicine based on the self-determination theory.Methods:Fourteen eight-year students majoring in clinical medicine in 2018 and 2019 from an affiliated medical school of Peking University Health Science Center were selected to conduct semi-structured interviews using purposive sampling and descriptive phenomenological study methods. The thematic framework method was used to analyze the interview data and refine the theme.Results:Through the analysis of interview data, a total of 3 dimensions were obtained, including 6 first-level topics and 19 second-level topics: ①autonomy dimension (interest factor and value factor); ②dimension of competence (personal trait factor and subject requirement factor); and ③belonging dimension (department factor and mentor factor).Conclusions:The sense of autonomy based on interests and values, the sense of competence matched with personal ability and the characteristics of the discipline, and the sense of belonging brought by the atmosphere of the department and the mentor are important factors influencing the choice of secondary disciplines in eight-year medical students. Teachers and teaching managers should pay attention to the cultivation of students' interests and value guidance, early contact with secondary disciplines, provision of competency training, and promotion of good interaction between students and department tutors, so as to enhance students' sense of belonging and optimize the training model of eight-year excellent doctors.
