Selbstbild, Arztbild und Arztideal: Ein Vergleich Medizinstudierender 1981 und 2006

Abstract

Medical students possess differentiated images of self, future colleagues and the ideal physician. Surveyed students appeared to develop feelings of powerlessness and uncertainty, as well as tendencies to overestimate themselves within self-evaluations. Dealing with the conflict-charged domain between idealism and realism within the occupational reality toward which medical students aspire thus appears to be complicated. These problem areas, which have so far received little attention, require urgent consideration in the development of future medical curricula, in particular in the psychosocial fields.

Das Gesprächsführungspraktikum im 2. Studienjahr des Modellstudiengangs HannibaL: Eine Evaluation mittels Selbsteinschätzungen der Studierenden

“…The mean differences of all learning needs, with a maximum of 0.4 points, were lower than the learning progress. All told, the differences indicate slightly more positive self-assessments of male students, which is consistent with more pronounced medical ideals in female medical students [40]. Nonetheless, gender-specific aspects in the present cohort of students appear of marginal relevance regarding the acquisition of communicative skills.…”

Just fun or a prejudice? – physician stereotypes in common jokes and their attribution to medical specialties by undergraduate medical students

“…The characteristics that have been assigned to the category “neutral” by the majority of the students included mostly negatively connoted statements like “… rarely look into the patient’s chart.” or “… rarely refer to books.”. These stereotypes are in contrast to medical students’ image of the ideal physician they would like to become who comprises characteristics like reliability, trustworthiness, thoroughness, and congeniality [ 42 ]. Students in our study might have marked the negative characteristics with “neutral” because they might wish to choose one of the five specialties for postgraduate training and wish to stick to their own image of an ideal physician, even though students in another study describe some physicians they met during their undergraduate training as negatively deviating from this ideal [ 42 ].…”

“…These stereotypes are in contrast to medical students’ image of the ideal physician they would like to become who comprises characteristics like reliability, trustworthiness, thoroughness, and congeniality [ 42 ]. Students in our study might have marked the negative characteristics with “neutral” because they might wish to choose one of the five specialties for postgraduate training and wish to stick to their own image of an ideal physician, even though students in another study describe some physicians they met during their undergraduate training as negatively deviating from this ideal [ 42 ]. However, during postgraduate education trainees begin to identify with the specialty of their respective training and might develop a stronger awareness of characteristics of other specialties in close interaction, e.g.…”

Belastet in den Beruf – Empathie und Burnout bei Medizinstudierenden am Ende des Praktischen Jahres

“…Im PJ sind die Studierenden anders als in den Famulaturen mit der kontinuierlichen Realität des Berufsalltags konfrontiert. Durch ihre Integration in ein klinisches Behandlungsteam sind sie erstmals längerfristig dem Spannungsfeld zwischen Selbstbild und Arztideal ausgesetzt, wodurch es zu Unsicherheiten im Umgang mit dem beruflichen Selbstverständnis kommen kann [25]. Mit der aktuell zunehmenden Anzahl der Medizinstudentinnen und Absolventinnen [26] sind zudem mögliche Unterschiede bei weiblichen und männlichen Studierenden bezüg-lich des Empathieverhaltens und der Entwicklung von Burnout-Symptomen von besonderem Interesse, darüber-hinaus gelten Ärztinnen als vermehrt burnout-gefährdet [12,26].…”