儿科学本科生临床实习中内在动机驱动下的从医意愿提升路径探索

Exploration on the Enhancement Pathway of Willingness to Pursue a Pediatric Career Driven by Intrinsic Motivation during Clinical Internship for Pediatric Undergraduates

摘要: 儿科医生紧缺是我国医疗卫生体系面临的突出问题，从医意愿偏低是其关键因素。临床实习是医学生从理论走向实践、从学生走向医生的关键过渡期，也是从医意愿下降的敏感时期，更是内在动机驱动下促成从医意愿重新生成的关键时期。本文以内在动机为核心框架，聚焦儿科学本科生的临床实习过程，系统分析了内在动机驱动下从医意愿的生成逻辑，指出职业认同感、自我效能感、价值实现预期、情绪体验与成就是驱动从医意愿的核心内在因素。在此基础上，提出了儿科学临床实习中内在动机驱动下的“四维一体”的从医意愿提升路径：优化实习内容供给以增强职业认同感、构建正向情感体验以驱动内在兴趣、促进价值澄清以驱动职业选择、提升自我效能感以增强职业信心。以期为儿科学本科生从医意愿的提升提供理论依据和实践路径。

Abstract: The shortage of pediatricians is a prominent issue facing China’s healthcare system, and the low willingness to pursue a medical career is a key contributing factor. Clinical internship is a critical transitional period for medical students to move from theory to practice and from students to doctors, as well as a sensitive period during which the willingness to pursue a medical career declines. Moreover, it serves as a critical period where the willingness to pursue a medical career is regenerated, driven by intrinsic motivation. Guided by intrinsic motivation as the core theoretical framework, this paper focuses on the clinical internship process of pediatric undergraduates and systematically analyzes the generative logic of the willingness to pursue a medical career driven by intrinsic motivation. It identifies professional identity, self-efficacy, value realization expectations, emotional experiences, and a sense of achievement as the core intrinsic factors driving the willingness to pursue a medical career. On this basis, a “four-dimensional integrated” pathway to enhance the willingness to pursue a medical career driven by intrinsic motivation during pediatric clinical internship is proposed: optimizing internship content supply to enhance professional identity, constructing positive emotional experiences to drive intrinsic interest, promoting value clarification to drive career choice, and improving self-efficacy to enhance career confidence. This study aims to provide a theoretical basis and practical pathways for enhancing the willingness of pediatric undergraduates to pursue a medical career.