{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:46:48Z","timestamp":1747172808698,"version":"3.40.5"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"unspecified","delay-in-days":339,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789323002136_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>This study assesses the difference in professional attitudes among medical students, both before and after coronavirus disease 2019 (COVID-19), and identifies the determinants closely associated with it, while providing precise and scientific evidence for implementing precision education on such professional attitudes.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323002136_as2\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A pre-post-like study was conducted among medical students in 31 provinces in mainland China, from March 23, to April 19, 2021.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323002136_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>The proportion of medical students whose professional attitudes were disturbed after the COVID-19 pandemic, was significantly lower than before the COVID-19 pandemic (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> = 15.6216; <jats:italic>P<\/jats:italic> &lt; 0.0001). Compared with the \u201cundisturbed -undisturbed\u201d group, the \u201cundisturbed-disturbed\u201d group showed that there was a 1.664-fold risk of professional attitudes disturbed as grade increased, 3.269-fold risk when others suggested they choose a medical career rather than their own desire, and 7.557-fold risk for students with COVID-19 in their family, relatives, or friends; while the \u201cdisturbed-undisturbed\u201d group showed that students with internship experience for professional attitudes strengthened was 2.933-fold than those without internship experience.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323002136_as4\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>The professional attitudes of medical students have been strengthened during the COVID-19 pandemic. The results provide evidence of the importance of education on professional attitudes among medical students during public health emergencies.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2023.213","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T08:06:40Z","timestamp":1701850000000},"source":"Crossref","is-referenced-by-count":1,"title":["Impact of the COVID-19 Pandemic on the Professional Attitudes of Medical Students: A Pre-Post-Like Study"],"prefix":"10.1017","volume":"17","author":[{"given":"Shuli","family":"Ma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Ge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanbo","family":"Qi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linlin","family":"Du","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunfeng","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiping","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingsan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongjie","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhe","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoting","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaowei","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiyuan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiping","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiong","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenting","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0098-5941","authenticated-orcid":false,"given":"Yuehui","family":"Jia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,12,6]]},"reference":[{"key":"S1935789323002136_ref17","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1177\/01410768211043442","article-title":"The nation\u2019s doctor and the COVID-19 pandemic","volume":"114","author":"Ashton","year":"2021","journal-title":"J R Soc Med."},{"key":"S1935789323002136_ref12","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1017\/dmp.2021.67","article-title":"Predictors of anxiety and depression in medical professionals during the time of COVID-19 outbreak","volume":"16","author":"Ren","year":"2022","journal-title":"Disaster Med Public Health Prep."},{"key":"S1935789323002136_ref1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2147\/JMDH.S287156","article-title":"Healthcare workers\u2019 knowledge, attitude, practice and perceived health facility preparedness regarding COVID-19 in Sierra Leone","volume":"14","author":"Kanu","year":"2021","journal-title":"J Multidiscip Healthc."},{"key":"S1935789323002136_ref19","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1111\/medu.14698","article-title":"Heard, valued, supported? 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