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Predictors of fitness to practise declarations in UK medical undergraduates

机译:英国医学专业本科生的健康声明声明

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Misconduct during medical school predicts subsequent fitness to practise (FtP) events in doctors, but relatively little is known about which factors are associated with such issues during undergraduate education. This study exploits the newly created UK medical education database (UKMED), with the aim of identifying predictors of conduct or health-related issues that could potentially impair FtP. The findings would have implications for policies related to both the selection and support of medical students. Data were available for 14,379 students obtaining provisional registration with the General Medical Council who started medical school in 2007 and 2008. FtP declarations made by students were available, as were various educational and demographic predictor variables, including self-report ‘personality measures’ for students who participated in UK Clinical Aptitude Test (UKCAT) pilot studies. Univariable and multivariable logistic regression models were developed to evaluate the predictors of FtP declarations. Significant univariable predictors (p?
机译:医学院的不当行为预示着医生随后会进行实践(FtP)事件,但对于本科教育期间与此类问题相关的因素知之甚少。这项研究利用了新创建的英国医学教育数据库(UKMED),旨在确定可能损害FtP的行为或健康相关问题的预测因素。这些发现将对与医学生的选择和支持有关的政策产生影响。共有14,379名学生获得了在2007年和2008年开始在医学院就读的全美医学会临时注册的数据。可以获得学生做出的FtP声明,以及各种教育和人口预测变量,包括针对学生的自我报告“个性测评”他们参加了英国临床能力测验(UKCAT)的初步研究。开发了单变量和多变量logistic回归模型来评估FtP声明的预测变量。与行为相关的声明中,重要的单变量预测因子(p≤0.05)包括男性,白人,非专业父母背景。男性(OR 3.07)和较高的“自尊”(OR 1.45)与行为问题的风险增加独立相关。女性性别,非专业背景以及自我报告的“自信心”低下,与健康相关的宣誓机会增加有关。只有“信心”是健康声明的重要独立预测因子(OR 0.69)。女性,UKCAT得分较高,非专业背景和较低的“自信心”得分是报告抑郁症的重要预测因子,后两个变量是抑郁症的独立预测因子。白人和英国国籍与行为和健康相关声明的几率增加相关,某些人格特征也与之相关。来自非专业背景的学生患抑郁症的风险可能会增加,因此可以从有针对性的支持中受益。对于“个性测评”观察到的较小影响表明,除了已经使用的测评之外,这些测验几乎没有潜在的选择益处。

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