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首页> 外文期刊>Advances in health sciences education: theory and practice >Social dominance theory and medical specialty choice
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Social dominance theory and medical specialty choice

机译：社会优势理论与医学专业选择

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摘要

Understanding how medical students select their specialty is a fundamental issue for public health and educational policy makers. One of the factors that students take into account is a specialty's prestige which hinges partly on its focus on technique rather than whole person. We examine the potential of a psychological framework, social dominance theory, to explain why some students, and not others, are drawn to more prestigious, technique-oriented specialties, based on their desire for hierarchy. We conducted a cross-sectional study among medical students at Institution X (N = 359). We examined the link between medical students' characteristics i.e. social dominance orientation (SDO), gender, age, and their career intention. We also examined level of medical students' SDO at different stages of the curriculum. SDO scores were significantly associated with technique-oriented career intentions (OR 1.56; 95 % CI [1.18, 2.06]; p = 0.001). The effect was independent of gender. Medical students' SDO scores were significantly higher in later stages of the medical curriculum (F = 6.79; p = 0. 001). SDO is a significant predictor of medical students' career intention. SDO scores are higher in students during the clinical phase of the curriculum. Medical socialization, involving the internalization of implicit and explicit norms, particularly in hospital settings, is likely to underpin our findings. This theory illuminates consistent findings in the literature on specialty prestige and the influence of medical school on career choice.
机译：了解医学生如何选择专业是公共卫生和教育政策制定者的基本问题。学生考虑的因素之一是专业的声望，这部分取决于其对技术的关注而不是对整个人的关注。我们研究了一种心理框架，社会优势理论的潜力，以解释为什么有些学生，而不是其他学生，基于他们对等级制的渴望而被吸引到更有声望的，面向技术的专业。我们在X机构（N = 359）的医学生中进行了横断面研究。我们研究了医学生的特征（即社会优势取向（SDO），性别，年龄和职业意图）之间的联系。我们还在课程的不同阶段检查了医学生的SDO水平。 SDO得分与以技术为导向的职业意图显着相关（OR 1.56; 95％CI [1.18，2.06]; p = 0.001）。影响与性别无关。在医学课程的后期，医学生的SDO分数明显更高（F = 6.79; p = 0. 001）。 SDO是医学生职业意向的重要预测指标。在课程的临床阶段，学生的SDO分数较高。医学社会化，包括隐性和显性规范的内部化，特别是在医院环境中，可能会支持我们的发现。该理论阐明了有关专业声望和医学院对职业选择的影响的文献中一致的发现。

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