Longitudinal exploration of students' identity formation during the transition from pre‐clinical to clinical training using research poetry.

Background: Transitions are critical periods that can lead to growth and, or, distress. Transitions are a sociocultural process, yet most approaches to transitions in practice and research do not explore the social or developmental aspects of entering a new training phase. Wenger reminds us that ide...

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Publicado en:Medical Education Vol. 57; no. 7; pp. 637 - 648
Autores principales: Atherley, Anique, Teunissen, Pim, Hegazi, Iman, Hu, Wendy, Dolmans, Diana
Formato: poetry research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Longitudinal exploration of students' identity formation during the transition from pre‐clinical to clinical training using research poetry.
      aug:
        au:
          Atherley, Anique
          Teunissen, Pim
          Hegazi, Iman
          Hu, Wendy
          Dolmans, Diana
        affil: Academy for Teaching and Learning, Ross University School of Medicine, Bridgetown, Barbados
      sug:
        subj:
          Student Experiences
          Imagination
          Transitional Programs
          Education, Clinical
          Students, Medical
          Professional Identity
          Human
          Audiorecording
          Diaries
          Interviews
          Reflection
          Poetry
          Emotions
          Uncertainty
          Career Planning and Development
          Self Concept
          Role Models
          Learning
          Adaptation, Occupational
          Mental Processes
      ab: Background: Transitions are critical periods that can lead to growth and, or, distress. Transitions are a sociocultural process, yet most approaches to transitions in practice and research do not explore the social or developmental aspects of entering a new training phase. Wenger reminds us that identity development is crucial when newcomers navigate change. In this paper, we use Wenger's modes of identification: engagement, imagination and alignment to explore students' identity development (as a student and professional) during the transition from pre‐clinical to clinical training. Methods: We enrolled nine 2nd‐year medical students who generated 61 entries comprising audio diary (or typed) reflections over 9 months (starting 3 months before clinical clerkships began) and interviewed them twice. We used research poems (transcripts reframed as poetry) to help construct a meaningful, emotive elicitation of our longitudinal data and analysed data using sensitising concepts from Wenger's modes of identification. Results: Students described their transition as a journey filled with positive and negative emotions and uncertainty about their current and future careers. Students navigated the transition using three mechanisms: (1) becoming more engaged through taking charge, (2) shaping their image of self through engagement and finding role models and (3) learning to flexibly adapt to clerkship norms by managing expectations and adopting a journey mindset. Conclusions: We successfully narrated students' identity formation during their transition to clinical training. We learned that students became more engaged over time by learning to take charge. They shaped their image of self by engaging in team activities and reflecting on role models. They learnt to adapt flexibly to clerkship norms by managing expectations and adopting a journey mindset. We suggest that institutions provide a safe opportunity for medical students to reflect, allowing students' transition periods to be lived, reflected on and supported. The authors showcase Wenger's three modes of identification (engagement, imagination, and alignment) as medical students transition to clinical training using longitudinal qualitative methods and research poetry.
      pubtype: Academic Journal
      doctype:
        poetry
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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