Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants and Design
2.2. Measures
2.2.1. Perceived Fear of COVID-19
2.2.2. Multidimensional Scale of Perceived Social Support (MSPSS)
2.2.3. Brief Resilience Scale (BRS)
2.2.4. Attitudes towards the Medical Profession
2.2.5. Turnover Intention Scale
2.3. Statistical Analyses
2.4. Ethical Considerations
3. Results
3.1. Perceived Fear of COVID-19
3.2. Multidimensional Scale of Perceived Social Support (MSPSS)
3.3. Brief Resilience Scale (BRS)
3.4. Attitudes towards the Medical Profession
3.5. Turnover Intention Scale
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Overall | Univariable Analysis | Multivariable Analysis | |||
---|---|---|---|---|---|
Total Turnover Score | Total Turnover Score 7–15 vs. 3–6 | ||||
N (%) | 3–6 (n = 1216) | 7–15 (n = 1706) | p-Value | OR (95% CI) | |
Gender | |||||
Male | 1367 (46.8) | 547 (40.0) | 820 (60.0) | 0.106 | |
Female | 1555 (53.2) | 669 (43.0) | 886 (57.0) | ||
Ethnicity | |||||
Han | 2837 (97.1) | 1184 (41.7) | 1653 (58.3) | 0.503 | |
Others | 85 (2.9) | 32 (37.6) | 53 (62.4) | ||
Birthplace | |||||
Urban | 1269 (43.4) | 567 (44.7) | 702 (55.3) | 0.004 | Reference |
Rural | 1653 (56.6) | 649 (39.3) | 1004 (60.7) | 1.16 (0.98–1.37) | |
Year of study | |||||
Year 1 | 793 (27.1) | 449 (56.6) | 344 (43.4) | Reference | |
Year 2 | 1017 (34.8) | 404 (39.7) | 613 (60.3) | 1.72 (1.41–2.10) *** | |
Year 3 | 454 (15.5) | 178 (39.2) | 276 (60.8) | p < 0.001 | 1.77 (1.37–2.28) *** |
Year 4 | 452 (15.5) | 143 (31.6) | 309 (68.4) | 2.34 (1.80–3.03) *** | |
Year 5 | 206 (7.0) | 42 (20.4) | 164 (79.6) | 3.88 (2.62–5.73) *** | |
Household monthly income (CNY) | |||||
Less than 4000 | 673 (23.0) | 242 (36.0) | 431 (64.0) | 1.07 (0.85–1.36) | |
4000–9999 | 1437 (49.2) | 623 (43.4) | 814 (56.6) | 0.003 | 0.94 (0.77–1.14) |
10,000 and above | 812 (27.8) | 351 (43.2) | 461 (56.8) | Reference | |
Fear of COVID-19 | |||||
Total fear score | |||||
0–5 | 1326 (45.4) | 626 (47.2) | 700 (52.8) | p < 0.001 | Reference |
6–15 | 1596 (54.6) | 590 (37.0) | 1006 (63.0) | 1.39 (1.78–1.63) *** | |
Multidimensional Scale of Perceived Social Support (MSPSS) | |||||
Significant other subscale | |||||
1.00–5.00 | 1433 (49.0) | 431 (30.1) | 1002 (69.9) | p < 0.001 | 1.47 (1.17–1.84) ** |
5.01–7.00 | 1489 (51.0) | 785 (52.7) | 704 (47.3) | Reference | |
Family subscale | |||||
1.00–5.00 | 1243 (42.5) | 365 (29.4) | 878 (70.6) | p < 0.001 | 1.47 (1.18–1.83) ** |
5.01–7.00 | 1679 (57.5) | 851 (50.7) | 828 (49.3) | Reference | |
Friend subscale | |||||
1.00–5.00 | 1367 (46.8) | 416 (30.4) | 951 (69.6) | p < 0.001 | 1.42 (1.14–1.77) ** |
5.01–7.00 | 1555 (53.2) | 800 (51.4) | 755 (48.6) | Reference | |
Brief Resilience Scale (BRS) | |||||
Total BRS score | |||||
Low resilience score (1.00–2.99) | 595 (20.4) | 183 (30.8) | 412 (69.2) | p < 0.001 | 1.44 (1.17–1.77) *** |
Normal/high resilience (3.00–5.00) | 2327 (79.6) | 1033 (44.4) | 1294 (55.6) | Reference | |
Attitudes towards medical profession | |||||
Doctor is not a profession of high social status and reputation | |||||
Strongly agree/agree | 1137 (38.9) | 309 (27.2) | 828 (72.8) | p < 0.001 | 2.26 (1.90–2.68) *** |
Strongly disagree/disagree | 1785 (61.1) | 907 (50.8) | 878 (49.2) | Reference | |
The contributions and sacrifices made by doctors far outweigh their incomes | |||||
Strongly agree/agree | 2460 (84.2) | 951 (38.7) | 1509 (61.3) | p < 0.001 | 1.66 (1.29–2.13) |
Strongly disagree/disagree | 462 (15.8) | 265 (57.4) | 197 (42.6) | Reference | |
Doctors often experience long working hours with tremendous workload | |||||
Strongly agree/agree | 2704 (92.5) | 1113 (41.2) | 1591 (58.8) | 0.086 | 0.83 (0.59–1.17) |
Strongly disagree/disagree | 218 (7.5) | 103 (47.2) | 115 (52.8) | Reference |
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Cai, C.Z.; Lin, Y.; Alias, H.; Hu, Z.; Wong, L.P. Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China. Int. J. Environ. Res. Public Health 2021, 18, 5071. https://doi.org/10.3390/ijerph18105071
Cai CZ, Lin Y, Alias H, Hu Z, Wong LP. Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China. International Journal of Environmental Research and Public Health. 2021; 18(10):5071. https://doi.org/10.3390/ijerph18105071
Chicago/Turabian StyleCai, Carla Zi, Yulan Lin, Haridah Alias, Zhijian Hu, and Li Ping Wong. 2021. "Effect of the COVID-19 Pandemic on Medical Student Career Perceptions: Perspectives from Medical Students in China" International Journal of Environmental Research and Public Health 18, no. 10: 5071. https://doi.org/10.3390/ijerph18105071