دورية أكاديمية
Reframing professional identity through navigating tensions during residency: A qualitative study.
| العنوان: | Reframing professional identity through navigating tensions during residency: A qualitative study. |
|---|---|
| المؤلفون: | Santivasi WL; Center for Palliative Care, Duke University School of Medicine, Durham, NC, USA., Nordhues HC; Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA., Hafferty FW; Program in Professionalism and Values, Mayo Clinic, Rochester, MN, USA., Vaa Stelling BE; Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA., Ratelle JT; Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA., Beckman TJ; Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA., Sawatsky AP; Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA. sawatsky.adam@mayo.edu. |
| المصدر: | Perspectives on medical education [Perspect Med Educ] 2022 Mar; Vol. 11 (2), pp. 93-100. Date of Electronic Publication: 2022 Mar 17. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Ubiquity Press Country of Publication: Netherlands NLM ID: 101590643 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-277X (Electronic) Linking ISSN: 22122761 NLM ISO Abbreviation: Perspect Med Educ Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [London] : Ubiquity Press Original Publication: [Houten] : Bohn Stafleu van Loghum |
| مواضيع طبية MeSH: | Internship and Residency* , Physicians*, Grounded Theory ; Humans ; Qualitative Research ; Social Identification |
| مستخلص: | Introduction: Professional identity formation (PIF) is the internalization of characteristics, values, and norms of the medical profession. An individual's identity formation has both psychological and sociological influences. Social psychology may be useful to explore the interactions between the psychological and sociological aspects of PIF. In this study, we explored how resident physicians navigated tensions between professional ideals and the reality of medical practice to characterize PIF during residency training. Methods: Using constructivist grounded theory, the authors conducted 23 semi-structured interviews with internal medicine residents. Interview transcripts were processed through open coding and analytic memo writing. During data gathering and analysis, the authors utilized Social Cognitive Theory, specifically the bidirectional influence between person, behavior, and context, to analyze relationships among themes. Theoretical insights were refined through group discussion and constant comparison with newly collected data. Results: Residents described tensions experienced during residency between pre-existing ideals of "a good doctor" and the realities of medical practice, often challenging residents to reframe their ideals. The authors provide evidence for the presence of dynamic, bidirectional influences between identity (person), behavior, and environment (context), and demonstrate how PIF is informed by a complex interplay between these elements. The authors present two examples to demonstrate how residents reframed their ideals during residency training. Discussion: The complex bidirectional influences between person, behavior, and context, informed by SCT, helps illuminate the process of PIF in residency training. This study highlights the effects of the context of residency training on the development of residents' professional identities. (© 2022. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Postgraduate medical education; Professional identity formation; Qualitative research; Social cognitive theory |
| تواريخ الأحداث: | Date Created: 20220318 Date Completed: 20220412 Latest Revision: 20230207 |
| رمز التحديث: | 20230207 |
| مُعرف محوري في PubMed: | PMC8941044 |
| DOI: | 10.1007/s40037-022-00709-9 |
| PMID: | 35301685 |
| قاعدة البيانات: | MEDLINE |
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