{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T06:50:16Z","timestamp":1783147816206,"version":"3.54.6"},"reference-count":72,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T00:00:00Z","timestamp":1725062400000},"content-version":"unspecified","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"sichuan university postgraduate education reform project","award":["GSSCU2021038"],"award-info":[{"award-number":["GSSCU2021038"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,8,21]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to investigate the associations between critical thinking (CT) disposition and personal characteristics and tutors\u2019 guidance among medical graduate students, which may provide a theoretical basis for cultivating CT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This study was conducted in Sichuan and Chongqing from November to December 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 1488 graduate students from clinical medical schools were included in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data analysis<\/jats:title>\n                    <jats:p>The distribution of the study participants\u2019 underlying characteristics and CT was described and tested. The Spearman rank correlation coefficient was used to evaluate the correlation between each factor and the CT score. The independent risk factors for CT were assessed using a logistic regression model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average total CT score was 81.79\u00b111.42 points, and the proportion of CT (score \u226572 points) was 78.9% (1174\/1488). Female sex (OR 1.405, 95%\u2009CI 1.042 to 1.895), curiosity (OR 1.847, 95%\u2009CI 1.459 to 2.338), completion of scientific research design with reference (OR 1.779, 95%\u2009CI 1.460 to 2.167), asking \u2018why\u2019 (OR 1.942, 95%\u2009CI 1.508 to 2.501) and team members\u2019 logical thinking ability (OR 1.373, 95%\u2009CI 1.122 to 1.681) were positively associated with CT while exhaustion and burn-out (OR 0.721, 95%\u2009CI 0.526 to 0.989), inattention (OR 0.572, 95%\u2009CI 0.431 to 0.759), Following others\u2019 opinions in decision-making (OR 0.425, 95%\u2009CI 0.337 to 0.534) and no allow of doubt to tutors (OR 0.674, 95%\u2009CI 0.561 to 0.809) had negative associations with the formation of CT disposition in the fully adjusted model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Factors associated with motivation and internal drive are more important in the educational practice of cultivating CT. Educators should change the reward mechanism from result-oriented to motivation-maintaining to cultivate students\u2019 CT awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-082461","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:25:48Z","timestamp":1733531148000},"page":"e082461","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring the link of personality traits and tutors\u2019 instruction on critical thinking disposition: a cross-sectional study among Chinese medical graduate students"],"prefix":"10.1136","volume":"14","author":[{"given":"LingYing","family":"Wang","sequence":"first","affiliation":[{"name":"Critical Care Medicine Department, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WenLing","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Population Health & Environmental Sciences, King\u2019s College London, London SE1 1UL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1507-7890","authenticated-orcid":false,"given":"HaiTao","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Students, West China School of Medicine\/West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WenBo","family":"He","sequence":"additional","affiliation":[{"name":"Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6682-8279","authenticated-orcid":false,"given":"Yan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Students, West China School of Medicine\/West China Hospital, Sichuan University, Chengdu, China"},{"name":"College of Marxism, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,8,31]]},"reference":[{"key":"2025120618574819000_14.8.e082461.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-033214","article-title":"Teaching strategies and outcome assessments targeting critical thinking in bachelor nursing students: a scoping review protocol","volume":"10","author":"Westerdahl","year":"2020","journal-title":"BMJ Open"},{"key":"2025120618574819000_14.8.e082461.2","doi-asserted-by":"crossref","first-page":"526","DOI":"10.12968\/bjon.2021.30.9.526","article-title":"Advanced practice: critical thinking and clinical reasoning","volume":"30","author":"Diamond-Fox","year":"2021","journal-title":"Br J Nurs"},{"key":"2025120618574819000_14.8.e082461.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12909-023-04134-2","article-title":"Thinking more wisely: using the Socratic method to develop critical thinking skills amongst healthcare students","volume":"23","author":"Ho","year":"2023","journal-title":"BMC Med Educ"},{"key":"2025120618574819000_14.8.e082461.4","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1080\/10401334.2020.1798240","article-title":"Beyond the medical model: Thinking differently about medical education and medical education research","volume":"32","author":"Biesta","year":"2020","journal-title":"Teach Learn Med"},{"key":"2025120618574819000_14.8.e082461.5","doi-asserted-by":"publisher","DOI":"10.1080\/01421590701392903"},{"key":"2025120618574819000_14.8.e082461.6","first-page":"601","article-title":"Competencies needed by graduate respiratory therapists in 2015 and beyond","volume":"55","author":"Barnes","year":"2010","journal-title":"Respir Care"},{"key":"2025120618574819000_14.8.e082461.7","unstructured":"Erstad W . 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