医学教育管理 ›› 2020, Vol. 6 ›› Issue (5): 508-513.doi: 10.3969/j.issn.2096-045X.2020.05.019

• 调查研究 • 上一篇    下一篇

医学生理解批判性思维的质性研究

王艳波1,  程黎明2,  赵旭东1,  王  静2,  黄  蕾2   

  1. 1.同济大学医学院医学人文与行为科学教研室,上海 200092;2. 同济大学附属同济医院教育处,上海 200065
  • 收稿日期:2020-08-04 出版日期:2020-10-20 发布日期:2020-10-30
  • 通讯作者: 黄蕾
  • 基金资助:
    1.同济大学2018-2019年研究生教学改革研究与建设项(2018GL005); 2.临床医学专业学位研究生卓越医学人才培养模式的研究(2018GH33001)

Qualitative research on understanding critical thinking of medical students

Wang Yanbo1,Cheng Liming2, Zhao Xudong1,Wang Jing2,Huang Lei2   

  1. 1.Division of Medical Humanities & Behavioral Sciences, School of Medicine, Tongji University, Shanghai 2000092, China; 2. Education Division, Tongji Hospital of Tongji University, Shanghai 2000092, China
  • Received:2020-08-04 Online:2020-10-20 Published:2020-10-30

摘要: 目的  探讨医学生理解和培养批判性思维的影响因素。方法  采用半结构式深入访谈法对15名临床医学专业本科生进行面对面的访谈。研究者首先询问医学生对批判性思维的理解,在向医学生解释批判性思维相关概念后,询问医学生对批判性思维的重要性及批判性思维养成的影响因素,访谈过程全程录音,并于1周内转录,应用传统内容分析法对资料进行分析。结果  结果包括3个类别:即医学生对批判性思维概念的认知,医学生对批判性思维重要性的认知,医学生对批判性思维影响因素的认知。其中影响医学生批判性思维的因素可归纳为个体因素(如人生阅历、兴趣特长及人格特点等)、家庭因素(如父母养育方式、家庭氛围及家庭社会经济地位等)和医学教育因素(如教师风格、教学方式及实践活动)等3个亚类别。结论  医学生对批判性思维的理解比较模糊,但比较认同批判性思维对他们未来职业发展的重要性。医学生批判性思维养成早期受个体因素及家庭养育方式等因素影响;PBL教学及参与式实践,教师个人风格等可促进批判性思维形成。

关键词: 医学生, 批判性思维, 医学教育, 质性研究

Abstract: Objective  To explore how medical students understand critical thinking and its influencing factors. Methods  Face-to-face interviews were conducted with 15 undergraduate students in clinical medicine using semi-structured in-depth interviews. The researchers first asked medical students how they understood the critical thinking. After explaining the concepts related to critical thinking to medical students, the medical students were asked about the importance of critical thinking and the influencing factors of critical thinking. The whole process of the interview process was recorded. It was transcribed within one week and the data were analyzed using traditional content analysis. Results  The results include three categories: the medical students, recognition of the concept of critical thinking, the medical students, recognition of the importance of critical thinking, and the medical students, recognition of the factors affecting medical students, critical thinking. It can be summarized into three categories: individual factors (life experience, interests and specialties, and personality characteristics), family factors (parental rearing style, family atmosphere, and family socioeconomic status) and medical education factors (teacher style, teaching methods, and practical activities). Conclusion  Medical students, recognition of critical thinking is still vague. However, most of them agree on the importance of critical thinking to their future career development. The critical thinking of medical students is influenced by factors such as individual factors and family rearing methods. Problem Based Learning, participatory practice, and teachers, personal style can promote the students, critical thinking formation.

Key words: medical students,  critical thinking,  medical education, qualitative 

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