Psychological heath condition of postgraduates in professional degree of clinical medicine under "clinical-practical and medical-educational combination" mode_Chinese Journal of Evidence-Based Medicine

Authors：

ZENG Wen ¹ , WU Tingkui ² ,  DENG Wei ³

1. Postgraduate Department, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Hospital/West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;
3. Mental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

DENG Wei, Email: mrdengwei@163.com

Keywords：

Clinical medicine; Professional degree; Postgraduate; Psychological heath condition; Academic achievement

DOI：

10.7507/1672-2531.201906107

Video：

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Objective To investigate changes of the psychological heath condition of postgraduates in professional degree (PPD) of clinical medicine under "clinical-practical and medical-educational combination" training mode.Methods A cluster sampling method was adopted for 101 PPDs and 120 postgraduates in academic degree (PAD) of clinical medicine in grade 2015 of our university. The psychological health condition was evaluated using online questionnaires at the time of enrollment in 2015 and prior to graduation in 2018.Results A total of 82 valid questionnaires in PPD group and 96 valid questionnaires in PAD group were collected in 2018. Compared with 2015, the scores of K6 for assessing psychological distress within 1 month, PHQ-9 for the depression module and the PHQ-15 for assessing somatic symptoms within 1 month decreased in 2018 (P<0.05), while the scores of sleep time in Pittsburgh Sleep Index Questionnaire increased in 2018 (P<0.05). The scores of K6 and PHQ-15 within 12 months in the group with excellent academic achievement prior to graduation were higher than those in the other three groups (P<0.05), and the hypnotic scores of the group with poor academic achievement were higher than those of the other three groups (P<0.05).Conclusions The emotion, somatic symptoms and psychological feelings of PDDs and PADs are superior than those at the time of admission, and the ability of psychological stress adjustment gradually matured and improved. However, the pressures faced by PPDs and PADs may originate from different aspects, and the "clinical-practical and medical-educational combination" training mode has not included more pressure on the PPDs. Graduates with excellent academic achievements are under significant pressure. However, the ability to adjust is strong, and the physiological health condition of graduate with inferior academic achievements may require more attention from educators.

Citation： ZENG Wen, WU Tingkui, DENG Wei. Psychological heath condition of postgraduates in professional degree of clinical medicine under "clinical-practical and medical-educational combination" mode. Chinese Journal of Evidence-Based Medicine, 2020, 20(6): 656-660. doi: 10.7507/1672-2531.201906107 Copy

1.	王樵砚, 邹彤, 吴萍. 医学专业学位研究生培养与住院医师规范化培训“双轨合一”模式的现状分析. 首都医科大学学报(社科版), 2007, (6): 85-87.
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4.	王红梅, 徐春军, 张广中, 等. 中医专业“双轨合一”一年研究生压力源的调查研究-以首都医科大学附属北京中医医院为例. 继续医学教育, 2017, 31(4): 26-28.
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8.	Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
9.	Sereda Y, Dembitskyi S. Validity assessment of the symptom checklist SCL-90-R and shortened versions for the general population in Ukraine. BMC Psychiatry, 2016, 16: 300.
10.	周清泉, 王高华, 杨灿, 等. 某高校临床医学硕士研究生心理健康状况与社会支持的相关研究. 中华医学教育杂志, 2013, 33(3): 369-372.
11.	林青, 郭俊慧, 罗瑾, 等. 某高校医学研究生心理健康状况调查. 中国民康医学, 2010, 22(7): 875-876.
12.	江雪梅, 陈以宽. 临床医学学术学位研究生心理健康状况与对策研究. 西北医学教育, 2015, 23(4): 611-615.
13.	汪旸, 田润平, 杨洋. “双轨合一”下临床医学专业学位研究生压力现状与发展因素的实证研究-以北京中医药大学附属东直门医院为例. 中医教育, 2015, 35(5): 49-52.
14.	汪和贵. 双轨合一培养模式对心内科专业学位研究生的影响. 皖南医学院学报, 2018, 37(3): 293-295.

1. 王樵砚, 邹彤, 吴萍. 医学专业学位研究生培养与住院医师规范化培训“双轨合一”模式的现状分析. 首都医科大学学报(社科版), 2007, (6): 85-87.
2. 刘文虎. 临床医学专业学位研究生与住院医师规范化培训“双轨合一”人才培养模式的现状及展望. 医学教育管理, 2016, 2(3): 535-538.
3. 程雯, 王京, 霍彬. 临床医学研究生心理压力调查与研究. 继续医学教育, 2012, 26(7): 29-31.
4. 王红梅, 徐春军, 张广中, 等. 中医专业“双轨合一”一年研究生压力源的调查研究-以首都医科大学附属北京中医医院为例. 继续医学教育, 2017, 31(4): 26-28.
5. 徐浩, 熊华英, 陈跃辉, 等. 综合性大学本科生焦虑, 抑郁与躯体化症状及其影响因素研究. 四川大学学报(医学版), 2013, 44(4): 669-672.
6. Kang YK, Guo WJ, Xu H, et al. The 6-item Kessler psychological distress scale to survey serious mental illness among Chinese undergraduates: Psychometric properties and prevalence estimate. Compr Psychiatry, 2015, 63: 105-112.
7. Hinz A, Ernst J, Glaesmer H, et al. Frequency of somatic symptoms in the general population: Normative values for the Patient Health Questionnaire-15(PHQ-15). J Psychosom Res, 2017, 96: 27-31.
8. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
9. Sereda Y, Dembitskyi S. Validity assessment of the symptom checklist SCL-90-R and shortened versions for the general population in Ukraine. BMC Psychiatry, 2016, 16: 300.
10. 周清泉, 王高华, 杨灿, 等. 某高校临床医学硕士研究生心理健康状况与社会支持的相关研究. 中华医学教育杂志, 2013, 33(3): 369-372.
11. 林青, 郭俊慧, 罗瑾, 等. 某高校医学研究生心理健康状况调查. 中国民康医学, 2010, 22(7): 875-876.
12. 江雪梅, 陈以宽. 临床医学学术学位研究生心理健康状况与对策研究. 西北医学教育, 2015, 23(4): 611-615.
13. 汪旸, 田润平, 杨洋. “双轨合一”下临床医学专业学位研究生压力现状与发展因素的实证研究-以北京中医药大学附属东直门医院为例. 中医教育, 2015, 35(5): 49-52.
14. 汪和贵. 双轨合一培养模式对心内科专业学位研究生的影响. 皖南医学院学报, 2018, 37(3): 293-295.

Chinese Journal of Evidence-Based Medicine

Psychological heath condition of postgraduates in professional degree of clinical medicine under "clinical-practical and medical-educational combination" mode

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