Research activity in the structure of the future doctor’s psychological readiness to the profession

Abstract

Introduction: modernization of Russian education is the central task of Russian educational policy. One of its distinctive features is the transition from the teaching and educational to the scientific and educational process, which allows the introduction of students' research work into it. A feature of the work of a practicing physician is the ability to analyze his own activities from a scientific point of view, knowledge and ability to work with methods of clinical research. Based on this, changes were made to the legislation, and in accordance with the Federal Standards2016 in the specialty of “Medicine”, a graduate who has mastered the program in his specialty should have professional competences that, along with competences in the field of medical activity, include competencies in research activities. Also, in accordance with the Federal Law of 21.11.2011 No. 323-FZ “Concerning the Basics of Citizen Health Protection in the Russian Federation”, a new system of continuous medical and pharmaceutical education was introduced, being aimed at continuous improvement of professional knowledge and skills throughout the entire working period of medical workers as well as the acquisition in practice of new professional skills.Psychological readiness of students for professional activity is a question that has been discussed by the scientific community for quite a long period of time. The structure of this construct has also been repeatedly discussed by many authors, but there is no consensus on this issue. The article presents the points of views of various scientists on the problem of readiness for research activities. The structure is proposed, which is a synthesis of several components: motivational, operational, and reflexive-evaluative ones. Many scientists studied this issue both Russian and foreign ones (L.S. Vygotsky, E.P. Ilyin, A.N. Leontyev, A.N. Poddyakov, E.A. Shashenkova, Zier K. Rosenberg I.E., Dantas J.B., Ley T.J., Rosenberg I.E., Solomon S.S., Tom S.C. et al.) Special attention is paid to the motivational component of psychological readiness for the research activities of future doctors. The problem of the necessity to develop this component is being actualized.Materials and methods: 76 students of the 1st course of the medical and pediatric faculties of thePrivolzhskyResearchMedicalUniversity were randomly selected for this study. The study was carried out in 3 stages: diagnostic, training, final diagnostic. At the initial and final stages 2 diagnostic procedures were used. The first one is the methodics for diagnosing the motives of students' learning activities according to A.A. Rean and V.A. Yakunin modified by N.Ts. Badmaeva. In this method, there are seven grading scales: scale 1 "Communicative motives"; scale 2 “Motives for avoiding failure”; scale 3 "Motives of prestige"; scale 4 "Professional motives"; scale 5 "Motives for creative self-realization"; scale 6 "Educational and cognitive motives"; scale 7 "Social motives". 2) Methods of studying the motivation of learning in the university by T.I. Ilyin ". The method presents three scales: “the acquisition of knowledge” (the desire to acquire knowledge, curiosity); “Mastering a profession” (striving to master professional knowledge and form professionally important qualities); "Obtaining a diploma" (the desire to acquire a diploma in the formal assimilation of knowledge, the desire to find workarounds for exams and tests).The results of the study: statistical results before and after the training in the framework of English language classes at the medical university demonstrate changes in the motivational field of students.Discussion and conclusions: the implementation of a collective training program in foreign language classes with the aim of the motivational component development to research activities of students at a medical university can be considered as an effective tool for the development of psychological readiness for further professional medical activity. It emphasizes the need for an integrated approach to solving this problem.

Personal compatibility of physician and patient

“…Based on M.Erickson's research, investigators have come to the conclusion that regardless of specialization, doctors should be able to listen, see and feel more accurate and better than patients, moreover, they should consider non-verbal components of communication. Also, an essential point in the work of a doctor is the motivational component of interest in the activity and in the need to successfully carry out the assigned tasks, as a consequence, finding contact with the patient can be one of such tasks [24,25].…”