Description of The Professional Identity of First-Level Clinical Medical Students and The Various Factors That Facilitate Its Formation

https://doi.org/10.22146/jpki.91024

Nathalia Haryanti(1), Natalia Puspadewi(2*), Veronica Dwi Jani Juliawati(3), Gisella Anastasia(4)

(1) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
(2) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
(3) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
(4) School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
(*) Corresponding Author

Abstract


Background: Identity formation is a longitudinal and continuous process. This study aimed to define: 1) the characteristics of professional identity (PI) of five first-year clinical students; 2) the role of clinical teachers and other factors that influenced PI formation during clinical rotations, and 3) how the learning process at the clinical level facilitates students to participate and gain recognition.

Method: This was a qualitative phenomenological study. This study was open to any first-year clinical students who were undergoing their major clinical at the time of data collection and met the inclusion criteria. Indepth interview was conducted as soon as an interested student contacted the research team. At the end, five first-year clinical students were included in this study. All interviews were voice recorded and transcribed verbatim. Data was analyzed using thematic analysis.

Results: a) Technical skills and internal values are two main components that formed their professional identities; b) Clinical teachers act as students’ role model and provide participants with the necessary recognition and opportunities to participate in a community of practice, which subsequently supported their PI formation during clinical rotation; c) participants’ PI formation was supported by various learning experiences embedded in their medical school’s curriculum. 

Conclusion: Technical skills and internal values are two professional identity components that defined a professional physician. Curriculum design as well as clinical teachers who closely interact with clinical students during their clinical rotations are two essential factors in creating a conducive learning environment that supports participants’ PI formation.


Keywords


Professional Identity; Role Models; Participation; Recognition; Clinical Student

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References

  1. Zhang L-Y, Wang X-Q. Reliability and validity of the student teacher professional identity scale in pre-service kindergarten teachers. Open Journal of Social Sciences. 2018;06(08):252–60.

  2. Kantek F, Şimşek B. Factors relating to professional self-concept among nurse managers. Journal of Clinical Nursing. 2017;26(23-24):4293–9.

  3. Wei L-zhen, Zhou S-shuang, Hu S, Zhou Z, Chen J. Influences of nursing students’ career planning, internship experience, and other factors on professional identity. Nurse Education Today. 2021;99:104781.

  4. Shakour M, Yamani N, Yousefi A. The factors affecting teaching and learning professionalism among medical teachers. The Health Care Manager. 2018;37(2):164–74.

  5. Adams K, Hean S, Sturgis P, Clark JM. Investigating the factors influencing professional identity of first-year health and Social Care Students. Learning in Health and Social Care. 2006;5(2):55–68.

  6. Sadeghi Avval Shahr H, Yazdani S, Afshar L. Professional socialization: An analytical definition. Journal of Medical Ethics and History of Medicine. 2019.

  7. Wu Q, Zhou J, Huang X, Huang M, Fang Y. Discussion on the Cultivation Path of Medical Students’. Prof. Identity. Chin. Med. Ethics. 2017.

  8. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing Medical Education to support Professional Identity Formation. Academic Medicine. 2014;89(11):1446–51.

  9. Carlberg-Racich S, Wagner CM, Alabduljabbar SA, Rivero R, Hasnain M, Sherer R, Linsk N. Professional Identity Formation in HIV care: Development of clinician scholars in a longitudinal, mentored training program. Journal of Continuing Education in the Health Professions. 2018;38(3):158–64.

  10. Clay Siebert D, Siebert CF. Help seeking among helping professionals: A role identity perspective. American Journal of Orthopsychiatry. 2007;77(1):49–55.

  11. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents. Academic Medicine. 2015;90(6):718–25.

  12. Matsui T, Sato M, Kato Y, Nishigori H. Professional Identity Formation of female doctors in Japan – gap between the married and unmarried. BMC Medical Education. 2019;19(1).

  13. Holden M, Buck E, Clark M, Szauter K, Trumble J. Professional Identity Formation in medical education: The convergence of multiple domains. HEC Forum. 2012;24(4):245–55.

  14. Moss JM, Gibson DM, Dollarhide CT. Professional Identity Development: A grounded theory of transformational tasks of counselors. Journal of Counseling & Development. 2014;92(1):3–12.

  15. Shiva Sarraf- Yazdi, Teo YN, How AEH, Goh S, Kow CS, Lee RBQ. A Scoping Review of Professional Identity Formation in Undergraduate Medical Education. 2021 Nov.

  16. Krishnasamy N, Hasamnis AA, Patil SS. Developing professional identity among undergraduate medical students in a competency-based curriculum: Educators' perspective. Journal of Education and Health Promotion. 2022;11(1):361.

  17. Puspadewi N. “Defining Indonesian Undergraduate Medical Students’ Physician Identity: A Socio-Cultural Lens into the Professionalism Discourse,” 2022.

  18. Rees CE, Kent F, Crampton PES. Student and clinician identities: How are identities constructed in interprofessional narratives? Medical Education, 2019.

  19. Wahid MH, Findyartini A, Soemantri D, Mustika R, Felaza E, Steinert Y, Samarasekera DD, Greviana N, Hidayah RN, Khoiriyah U, Soeselo DA. Professional identity formation of medical teachers in a non-Western setting. Medical Teacher, 2021.

  20. Mahajan R, Goyal P, Singh T. Professional identity formation of medical educators: A thematic analysis of enabling factors and competencies needed. International Journal of Applied and Basic Medical Research. 2022;12(3).

  21. Findyartini A, Greviana N, Felaza E, Faruqi M, Afifah Zahratul T, Firdausy Auliya M. Professional Identity Formation of Medical Students: A Mixed- Methods Study in a Hierarchial and Collectivist Culture. BMC Medical Education, 2022 June.

  22. Borracci RA, Gallesio Alvarez J M, Ciambrone G, Matayoshi C, Rossi F, Cabrera S. What Patients Consider to Be a ‘Good’ Doctor, and What Doctors Consider to Be a ‘Good’ Patient. Revista Medica de Chile, 2020.

  23. Purwadianto, Agus, Soetedjo, Gunawan S, Budiningsih Y, Prawiroharjo P, Firmansyah A. Kode Etik Kedokteran Indonesia. 2012.

  24. Yayasan Atma Jaya. Nota Yayasan tentang Pengembangan Nilai Inti: Kristiani, Unggul, Profesional, dan Peduli. Jakarta. 2015.

  25. Demak IPK, Sulistiana R. Factors Influencing Professional Identity Development on Medical Student in Indonesia. 2022.

  26. Harbishettar V, Krishna R K, Srinivasa P, Gowda M. The Enigma of Doctor-Patient Relationship. 2019.

  27. Luo W, Aimei M. Impacts of COVID-19 Pandemic on Professional Identity Development of Intern Nursing Students in China: A Scoping Review. 2022.

  28. Krishnasamy N, Hasamnis AA, Patil SS. Developing Professional Identity among Undergraduate Medical Students in a Competency-Based Curriculum: Educators’ Perspective. 2022.

  29. Cruess SR, Johnston S, Cruess RL. Professionalism: a working definition for medical educators. Teaching and Learning in Medicine. 2004.

  30. Koentjaningrat. Manusia dan Kebudayaan Di Indonesia. Jakarta: Djambatan. 2007.

  31. Rohmah N, Hamid A M, Walid S. Metode Belajar Dalam Model Pembelajaran Klinik Keperawatan Terpadu. 2014.

  32. Notoatmodjo S. Kesehatan Masyarakat: ilmu dan seni. 2006; Rineka Cipta.

  33. Notoatmodjo S. Promosi Kesehatan dan Perilaku Kesehatan. 2012; Rineka Cipta.

  34. Churches A. Bloom’s Digital Taxonomy. A thorough orientation to the revised taxonomy; practical recommendations for a wide variety of ways mapping the taxonomy to the uses of current online technologies; and associated rubrics. 2008.

  35. Winarni EW. Pengaruh Strategi Pembelajaran terhadap Pemahaman Konsep IPA- Biologi, Kemampuan Berpikir Kritis dan Sikap Ilmiah Siswa Kelas V SD dengan Tingkat Kemampuan Akademik Berbeda. 2006.

  36. Hui Teo JK, Kai Teo YM, Pisupati A, Ryan Ong SR, Goh KC, Xian Seah HC, Toh RY, Burla N, Yi Koh SN, Tay TK, Ong TY, Chiam M, Fong W, Wijaya L, Lin Goh PS, Radha Krishna KL. Assessing Professional Identity Formation (PIF) amongst Medical Students in Oncology and Palliative Medicine Postings: A SEBA Guided Scoping Review. 2022.

  37. Shahabi M, Mohammadi N, Koohpayehzadeh J, Soltani Arabshahi KS. The Attainment of Physician’s Professional Identity through Meaningful Practice: A Qualitative Study. 2020.

  38. Vamuliana A. Hubungan Antara Latar Belakang Keluarga Dan Fasilitas Belajar Dengan Prestasi Belajar Mata Pelajaran Kejuruan Pada Siswa Kelas II Rumpun Bangunan SMK Negeri 5 Surakarta Tahun Ajaran 2002-2003.

  39. Cloud H. Integrity- The Courage to Meet the Demands of Reality. 2007.

  40. Soekanto, Soerjono, Budi Sulistyowati. Sosiologi Suatu Pengantar. PT Grafindo Persada, 2015.

  41. Fredholm A, Manninen K, Hjelmqvist H, Silén C. Authenticity made visible in medical students’ experiences of feeling like a doctor. International Journal of Medical Education. 2019.

  42. Luehmann AL. Identity development as a lens to science teacher preparation. Science Education. 2007;91(5):822–39.

  43. Gee JP. An introduction to discourse analysis: Theory and method . Routledge. 2005.

  44. Koh EY, Koh KK, Renganathan Y, Krishna L. Role modelling in professional identity formation: A systematic scoping review. BMC Medical Education. 2023;23(1).

  45. Oktariani IP, Wardarita LHR, Utami PI. Pendidikan sebagai suatu sistem. Jurnal Visionary : Penelitian dan Pengembangan dibidang Administrasi Pendidikan. 2022;10:21–6.

  46. Krishnasamy N, Hasamnis A, Patil S. Developing professional identity among undergraduate medical students in a competency-based curriculum: Educators’ perspective. Journal of Education and Health Promotion. 2022;11(1):361. doi:10.4103/jehp.jehp_329_22.

  47. Hatem DS, Halpin T. Becoming doctors: Examining student narratives to understand the process of professional identity formation within a learning community. Journal of Medical Education and Curricular Development. 2019;6:238212051983454. doi:10.1177/2382120519834546.

  48. Jensen DH, Jetten J. Exploring interpersonal recognition as a facilitator of students’ academic and professional identity formation in higher education. European Journal of Higher Education. 2017;8(2):168–84. doi:10.1080/21568235.2017.1374195.

  49. Damián J. Professional Identity, social recognition and entering the workforce of the University student with Hybrid Education. Propósitos y Representaciones. 2014;2(2):45–76. doi:10.20511/pyr2014.v2n2.60.

  50. Zhang S. Professional Self-Identity in Medical Students and Workplace Range: A Survey of Guangzhou Medical School. 2021 Nov.

  51. Chrisman-Khawam LM, Manzi JA. Empathy in medicine cultivating an empathetic professional identity in osteopathic medical students through service learning: A qualitative analysis of reflective essays. Journal of Osteopathic Medicine. 2020;120(4):263–72. doi:10.7556/jaoa.2020.043.

  52. Codsi M-P, Karazivan P, Rouly G, Leclaire M, Boivin A. Changing relationships: How does patient involvement transform professional identity? an ethnographic study. BMJ Open. 2021;11(7). doi:10.1136/bmjopen-2020-045520.



DOI: https://doi.org/10.22146/jpki.91024

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