Impact of Adverse Events During Clinical Clerkship on Medical Students Career Intention

Corresponding author: WANG Zhi-feng, zhfwangwf@163.com

DOI: 10.12201/bmr.202012.00015

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  Abstract: Abstract Objective: This paper analyzed the impact of adverse events during clinical clerkship on medical students career intention based on China Medical Students Survey (CMSS), in order to better understand how the microenvironment in clinical learning can be improved. Methods: Descriptive statistics were used to describe medical students career intention and the prevalence and frequency of three types of adverse events: adverse major life events , workplace injustice events and occupation-specific events. Logistic regression was used to analyze the impact of adverse events on medical students’ intention to become doctors. Results: 91.6% of the medical students chose to become doctors after graduation. 87.3% of them experienced adverse events during clinical clerkship, and the “adverse occupation-specific events” were the most widely occurred one, followed by the adverse workplace injustice events and adverse major life events. Medical students who experienced adverse events were 1.54 times more likely to abandon medicine career than those who did not experience adverse events. Different types of adverse events had different degrees of impact on medical students’ career intention: the adverse major life events had the greatest impact, followed by the adverse workplace injustice events and the adverse occupation-specific events. Conclusion: We suggested different measures for improvement of microenvironment in clinical clerkship, based on the characteristics of adverse events in terms of their prevalence and degree of impact. More attention and care should be given to medical students who suffered adverse major life events during clinical clerkship. The incidence of adverse workplace injustice events should be reduced. The adverse occupation-specific events should be properly utilized to train medical students to build a solid foundation for their future clinical practice.

  Key words: clinical clerkship; adverse events; medical student; career intention

  Submit time: 29 March 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2020-12-04	bmr.202012.00015V1	Download

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