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General practice residents’ perspectives on their professional identity formation: a qualitative study

OBJECTIVES: To move beyond professionalism as a measurable competency, medical educators have highlighted the importance of forming a professional identity, in which learners come to ‘think, act, and feel like physicians’. This socialisation process is known as professional identity formation (PIF)....

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Autores principales: Barnhoorn, Pieter C, Nierkens, Vera, Numans, Mattijs E, Steinert, Yvonne, Kramer, Anneke WM, van Mook, Walther NKA
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301807/
http://dx.doi.org/10.1136/bmjopen-2021-059691
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author Barnhoorn, Pieter C
Nierkens, Vera
Numans, Mattijs E
Steinert, Yvonne
Kramer, Anneke WM
van Mook, Walther NKA
author_facet Barnhoorn, Pieter C
Nierkens, Vera
Numans, Mattijs E
Steinert, Yvonne
Kramer, Anneke WM
van Mook, Walther NKA
author_sort Barnhoorn, Pieter C
collection PubMed
description OBJECTIVES: To move beyond professionalism as a measurable competency, medical educators have highlighted the importance of forming a professional identity, in which learners come to ‘think, act, and feel like physicians’. This socialisation process is known as professional identity formation (PIF). Few empirical studies on PIF in residency have been undertaken. None of these studies focused on PIF during the full length of GP training as well as the interplay of concurrent socialising factors. Understanding the socialisation process involved in the development of a resident’s professional identity and the roles of influencing factors and their change over time could add to a more purposeful approach to PIF. Therefore, we aimed to investigate the process of PIF during the full length of General Practice (GP) training and which factors residents perceive as influential. DESIGN: A qualitative descriptive study employing focus group interviews. SETTING: Four GP training institutes across the Netherlands. PARTICIPANTS: Ninety-two GP residents in their final training year participated in 12 focus group interviews. RESULTS: Study findings indicated that identity formation occurs primarily in the workplace, as residents move from doing to becoming and negotiate perceived norms. A tapestry of interrelated influencing factors—most prominently clinical experiences, clinical supervisors and self-assessments—changed over time and were felt to exert their influence predominantly in the workplace. CONCLUSIONS: This study provides deeper empirical insights into PIF during GP residency. Doing the work of a GP exerted a pivotal influence on residents’ shift from doing as a GP to thinking, acting and feeling like a GP, that is, becoming a GP. Clinical supervisors are of utmost importance as role models and coaches in creating an environment that supports residents’ PIF. Implications for practice include faculty development initiatives to help supervisors be aware of how they can perform their various roles across different PIF stages.
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spelling pubmed-93018072022-08-11 General practice residents’ perspectives on their professional identity formation: a qualitative study Barnhoorn, Pieter C Nierkens, Vera Numans, Mattijs E Steinert, Yvonne Kramer, Anneke WM van Mook, Walther NKA BMJ Open Medical Education and Training OBJECTIVES: To move beyond professionalism as a measurable competency, medical educators have highlighted the importance of forming a professional identity, in which learners come to ‘think, act, and feel like physicians’. This socialisation process is known as professional identity formation (PIF). Few empirical studies on PIF in residency have been undertaken. None of these studies focused on PIF during the full length of GP training as well as the interplay of concurrent socialising factors. Understanding the socialisation process involved in the development of a resident’s professional identity and the roles of influencing factors and their change over time could add to a more purposeful approach to PIF. Therefore, we aimed to investigate the process of PIF during the full length of General Practice (GP) training and which factors residents perceive as influential. DESIGN: A qualitative descriptive study employing focus group interviews. SETTING: Four GP training institutes across the Netherlands. PARTICIPANTS: Ninety-two GP residents in their final training year participated in 12 focus group interviews. RESULTS: Study findings indicated that identity formation occurs primarily in the workplace, as residents move from doing to becoming and negotiate perceived norms. A tapestry of interrelated influencing factors—most prominently clinical experiences, clinical supervisors and self-assessments—changed over time and were felt to exert their influence predominantly in the workplace. CONCLUSIONS: This study provides deeper empirical insights into PIF during GP residency. Doing the work of a GP exerted a pivotal influence on residents’ shift from doing as a GP to thinking, acting and feeling like a GP, that is, becoming a GP. Clinical supervisors are of utmost importance as role models and coaches in creating an environment that supports residents’ PIF. Implications for practice include faculty development initiatives to help supervisors be aware of how they can perform their various roles across different PIF stages. BMJ Publishing Group 2022-07-19 /pmc/articles/PMC9301807/ http://dx.doi.org/10.1136/bmjopen-2021-059691 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Medical Education and Training
Barnhoorn, Pieter C
Nierkens, Vera
Numans, Mattijs E
Steinert, Yvonne
Kramer, Anneke WM
van Mook, Walther NKA
General practice residents’ perspectives on their professional identity formation: a qualitative study
title General practice residents’ perspectives on their professional identity formation: a qualitative study
title_full General practice residents’ perspectives on their professional identity formation: a qualitative study
title_fullStr General practice residents’ perspectives on their professional identity formation: a qualitative study
title_full_unstemmed General practice residents’ perspectives on their professional identity formation: a qualitative study
title_short General practice residents’ perspectives on their professional identity formation: a qualitative study
title_sort general practice residents’ perspectives on their professional identity formation: a qualitative study
topic Medical Education and Training
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301807/
http://dx.doi.org/10.1136/bmjopen-2021-059691
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