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研究生:柯皓允
研究生(外文):KO, HOW-YUN
論文名稱:醫學生創業能力與專科偏好之研究
論文名稱(外文):A study of medical students' entrepreneurial competencies and specialty preference
指導教授:洪振方洪振方引用關係
指導教授(外文):Jeng-Fung Hung
口試委員:黃志中李國維
口試日期:2023-07-23
學位類別:碩士
校院名稱:國立高雄師範大學
系所名稱:科學教育暨環境教育研究所
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2023
畢業學年度:111
語文別:中文
論文頁數:93
中文關鍵詞:專科選擇創業能力醫學生
外文關鍵詞:Medical specialty choiceEntrepreneurial competenciesMedical student
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創業能力逐漸成為醫學教育中越來越重視的概念,讓醫學生具備解決問題、創造力、領導力、財務管理和維持人際關係網絡的能力,發想創新的醫療保健服務模式或替醫療保健系統提高效率。而醫學生在完成臨床醫學訓練後會面對專科的選擇,專科選擇是受多種因素影響的個人決定,在現今的醫療環境,醫學生具備創新創業能力是否影響其專科選擇,目前還沒有相關文獻探討。本研究目的在於分析探討醫學系與學士後醫學系醫學生對創業所需具備的能力以及專科偏好的選擇,以期將研究結果提供醫學創業教育課程內容規劃,以及醫學生職涯選擇方向。本研究以調查研究法進行,調查醫學系三年級醫學生147人與學士後醫學系醫學生61人,並由文獻及專家意見整理所得之問卷以李克特氏五分法調查學生創業能力與專科選擇偏好,進一步進行描述性統計、t考驗與單因子變異數分析、獨立性卡方檢定、層級式回歸分析,進而了解醫學系與學士後醫學系醫學生的創業能力與專科偏好之相關性與差異。研究結果發現:(1)專科選擇偏好在醫學系三年級醫學生對於專科選擇已有決定者百分比依序為:內科(12.2%)、外科(6.1%)、家醫科(6.1%)、骨科(4.8%)、急診科(4.8%)。後醫學系一年級醫學生對專科選擇已有決定者百分比依序為:外科(19.7%)、內科(11.5%)、家醫科(6.6%)、泌尿科(6.6%)。而對於未來專科選擇還沒決定者在醫學系三年級醫學生有佔40.1%,後醫學系一年級醫學生佔32.8%。(2)創業能力現況分析平均數最高為人力資源管理的領導能力,醫學系學生平均值為3.67、標準差為0.64,後醫學系學生平均值為3.83、標準差為0.66。平均數最低的為管理與經營能力裡的先前的知識和經驗,醫學系學生平均值為2.23、標準差為0.88,後醫學系學生平均值為2.73、標準差為0.91。創業能力總和醫學系學生平均值為3.38、標準差為0.48,後醫學系學生平均值為3.57、標準差為0.51。(3)醫學系與學士後醫學系醫學生的創業能力分析上,後醫學系學生在創業能力的機會評估、管理與經營、人力資源管理能力上顯著高於醫學系學生。(4)醫學系與學士後醫學系醫學生的專科偏好在分析結果上醫學系與學士後醫學系醫學生上並無顯著差異。(5)創業能力對其專科偏好分析結果上,高創業能力的醫學系學生,其專科偏好為還沒決定,中低創業能力的醫學系學生,其專科偏好為內科系,而學士後醫學系學生的創業能力高低在專科偏好選擇上無統計學差異。(6)創業能力與專科偏好的解釋力分析結果,在後醫學系醫學生的機會評估能力、管理與經營能力、人力資源能力、人際相處能力對專科偏好選擇的影響皆未達顯著。而醫學系醫學生的機會評估能力與管理與經營能力對專科偏好有顯著影響且具解釋力。
Entrepreneurial abilities have gradually become anincreasingly important concept in medical education, enabling medical studentsto possess problem-solving, creativity, leadership, financial management, andinterpersonal relationship-building skills. They can conceive innovativehealthcare service models or enhance the efficiency of healthcare systems.After completing clinical medical training, medical students face the choice ofspecialization. Specialization choices are personal decisions influenced byvarious factors. In the current healthcare environment, it remains unclearwhether the entrepreneurial abilities of medical students affect theirspecialization choices as there is currently no relevant literature discussingthis. Theobjective of this study is to analyze and explore the entrepreneurial abilitiesrequired by medical students in the medical and postgraduate medical programs,as well as their preferences for specialization. The research results aim toprovide insights for the planning of medical entrepreneurship educationcurriculum and assist medical students in making career choices. This studyemploys a survey research method and investigates 147 third-year medicalstudents and 61 postgraduate medical students. The questionnaire, developedbased on the literature review and expert opinions, employs a five-point Likertscale to assess students' entrepreneurial abilities and specializationpreferences. Descriptive statistics, t-tests, one-way ANOVA, chi-square testsfor independence, and hierarchical regression analysis are conducted tounderstand the correlation and differences between the entrepreneurialabilities and specialization preferences of medical students in the medical andpostgraduate medical programs. The research findings indicate the following: (1) Amongthe third-year medical students, the top choices for specialization among thosewho have already decided are as follows: Internal Medicine (12.2%), Surgery(6.1%), Family Medicine (6.1%), Orthopedics (4.8%), and Emergency Medicine(4.8%). Among the first-year postgraduate medical students, the top choices forspecialization among those who have already decided are as follows: Surgery(19.7%), Internal Medicine (11.5%), Family Medicine (6.6%), Urology (6.6%). Forundecided future specialization choices, 40.1% of third-year medical studentsand 32.8% of first-year postgraduate medical students have not made a decisionyet.。(2)The current analysis of entrepreneurial competencies shows that the highestaverage is in leadership skills in the category of human resources management.For medical students, the average is 3.67 with a standard deviation of 0.64,while for postgraduate medical students, the average is 3.83 with a standarddeviation of 0.66. The lowest average is in the category of previous knowledgeand experience in management and business skills. For medical students, theaverage is 2.23 with a standard deviation of 0.88, and for postgraduate medicalstudents, the average is 2.73 with a standard deviation of 0.91. The overallaverage score for entrepreneurial abilities is 3.38 for medical students, witha standard deviation of 0.48, while for postgraduate medical students, theaverage is 3.57 with a standard deviation of 0.51. (3) Interms of entrepreneurial abilities, the analysis shows that postgraduatemedical students outperform medical students in opportunity assessment,management and business, and human resources management skills. (4) Thereis no significant difference in specialization preferences between medicalstudents in the medical and postgraduate medical programs. (5) Inthe analysis of the relationship between entrepreneurial abilities and specializationpreferences, medical students with high entrepreneurial abilities tend to haveundecided specialization preferences, while those with medium to lowentrepreneurial abilities lean towards Internal Medicine. The entrepreneurialabilities of postgraduate medical students do not show a statisticallysignificant difference in their specialization preference choices. (6) Theanalysis of the explanatory power of entrepreneurial abilities onspecialization preferences shows that among postgraduate medical students, theimpact of opportunity assessment, management and business, human resourcesmanagement, and interpersonal skills on specialization preferences is notstatistically significant. However, among medical students, the opportunityassessment and management and business skills significantly influencespecialization preferences, with their preferences leaning towards undecided.
ABSTRACTVI
目錄VIII
表目錄X
圖目錄XI
第壹章緒論1
第一節研究背景與研究動機1
第二節研究的重要性5
第三節研究目的與研究問題8
第四節名詞釋義9
第五節研究範圍與限制10
第貳章文獻探討11
第一節醫學生專科選擇因素11
第二節醫學生創業能力15
第三節醫學生創業能力與專科選擇因素20
第參章研究方法22
第一節研究設計與研究架構22
第二節研究對象24
第三節研究工具25
第四節研究流程30
第五節資料分析與處理33
第肆章研究結果與討論35
第一節醫學生的創業能力與專科偏好分析35
第二節醫學生在創業能力等構面的差異性分析44
第三節醫學生在專科偏好類別差異分析48
第四節醫學生創業能力對其專科偏好的差異分析50
第五節醫學生創業能力對專科偏好的解釋力53


第伍章結論與建議57
第一節研究結論57
第二節研究建議61
一、中文文獻62
二、英文文獻63
附錄
一、醫學生創業能力與專科偏好之研究調查問卷68
二、專家意見及問卷修正前後對照表74





表目錄
表 1國內外影響醫學生專科選擇因素之表格整理13
表 2創業能力量表各構面的內容25
表 3創業能力量表之信度分析29
表4 樣本背景次數分配圖36
表5醫學系與後醫學系醫學生創業能力平均數與標準差38
表6後醫系學生專科偏好統計分配表40
表7醫學系學生專科偏好統計分配表40
表8性別在創業能力等構面的獨立樣本T檢定摘要表44
表9班別在創業能力等構面的獨立樣本T檢定摘要表45
表10父母是否為事業負責人在創業能力等構面的獨立樣本t檢定摘要表45
表11家庭年收入在創業能力等構面的單因子變異數分析摘要表46
表12班別與專科偏好之交叉表格48
表13醫學系不同創業能力與專科偏好之卡方檢定摘要表50
表14後醫學系不同創業能力與專科偏好之卡方檢定摘要表51
表15醫學系學生專科偏好多元迴歸解釋變異分析54
表16後醫學系學生專科偏好多元迴歸可解釋變異分析54















圖目錄
圖 1冰山模型:能力組成的三個層次16
圖 2研究架構圖22
圖 3研究流程圖32
圖 4醫學系與後醫學系專科類別統計分佈長條圖41
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