Impact of liminality and rituals on professional identity formation in physician training.
Purpose: The transition from medical student to practicing physician affects the complex processes of professional identity formation and professionalism, which have a lasting effect on the physician's career development. This study explored two different transitional processes of medical students i...
| Publicado en: | Medical Education Vol. 59; no. 2; pp. 173 - 182 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183914865&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183914865 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Feb2025 vid: 59 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 183914865 183914865 183914865 10.1111/medu.15483 183914865 ppf: 173 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Impact of liminality and rituals on professional identity formation in physician training. aug: au: Hong, Jian‐Hua Chu, Chun‐Lin Tsai, Daniel Fu‐Chang Liao, En‐Chi Yeh, Huei‐Ming affil: Department of Urology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan sug: subj: Professional Identity Education, Medical Physicians Education Interns and Residents Transitional Programs Rituals and Ceremonies Professional Development Program Evaluation Human Taiwan Students, Medical Snowball Sample Professionalism Social Identity Thematic Analysis Reflection Funding Source Comparative Studies Semi-Structured Interview Motivation Supervisors and Supervision ab: Purpose: The transition from medical student to practicing physician affects the complex processes of professional identity formation and professionalism, which have a lasting effect on the physician's career development. This study explored two different transitional processes of medical students in Taiwan, the associated rituals during this transitional period (the 'liminal phase') and their effect on the formation of professional identity. Method: Using snowball sampling, we recruited 13 medical students from two training systems: six from the traditional postgraduate year programme and seven from the accelerated postgraduate year (A‐PGY) programme. Semi‐structured interviews were thematically analysed to identify significant themes that encapsulated trainees' experiences. A consistent and mutually confirmed discussion ensured the identification of robust recurring themes. Results: A comparative analysis of the two training modalities provided critical insights into the relative impact of the training dynamics. The A‐PGY cohort, subjected to an altered 'incorporation' ritual, encountered an influx of unexpected symbolic social power, complicating their transformation within the liminal phase. Without a defined internship like in the PGY system, A‐PGY trainees exhibited confusion and inconsistencies in professional identity formation marked by conflicting internal and external perceptions. This ambiguity affected their clinical training, social integration and overall development of professionalism. The absence of a structured, sequential liminal phase increased conflict and diminished motivation, culminating in an incomplete self‐crafting journey for A‐PGY trainees. Conclusions: This study highlights the impact of the well‐sequenced implementation of rituals in liminality on professional identity formation. A good transition training programme for medical students should compass sequential rituals in the liminal phase, including clear starting and ending points, supervision by seniors, guided reflection and plenty of opportunities for observation and imitation in context. Optimal training and pivotal elements in a medical training system warrant delicate design and further research when developing and changing the structure of the training programme. Yeh et al. compare to medical education systems to explore how liminality and rituals influence physician training and professionalism. #MedicalEducation #PhysicianTraining. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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