a Family Medicine, Educational Development, UTMB , Galveston , TX , USA.
b Academic Affairs, Sam Houston State University Proposed College of Osteopathic Medicine , Huntsville , TX , USA.
Med Educ Online. 2019 Dec;24(1):1649571. doi: 10.1080/10872981.2019.1649571.
: Professional identity formation (PIF), a foundational process in becoming a physician, includes establishment of values, moral principles, and self-awareness. The purpose of this report is to examine challenges in establishing the validity of measures of identity fusion as one facet of PIF. : Utilizing the modern approach of validity as a unitary concept, the authors generated six hypotheses to examine the evidence for the construct validity of the scores of Physician Professional Identity (PPI) and Identity Integration (IdIn), considering relationships of these measures with each other, year of training and data from a larger survey. : Responses from 3473 students at 8 medical schools revealed a weak association between the measures with distributions varying by cohort. PPI had a stronger relationship to cohort and IdIn was moderately associated with students' attitudes relevant to social media use. Responses were independent of response format and evidence supported the interpretation of scores for IdIn as indications of integration of identity. : Sufficient evidence was found to suggest that these measures assess aspects of PIF. Use of these measures as part of a multidimensional, longitudinal approach to refining understanding of the construct of PIF and developing effective assessment strategies.
专业身份形成（PIF）是成为医生的基础过程，包括价值观、道德原则和自我意识的建立。本报告的目的是探讨在确定身份融合作为 PIF 一个方面的度量标准的有效性方面所面临的挑战。
利用现代有效性作为统一概念的方法，作者提出了六个假设，以考察 Physician Professional Identity（PPI）和 Identity Integration（IdIn）分数的结构有效性的证据，同时考虑这些措施彼此之间的关系、培训年限以及来自更大调查的数据。
来自 8 所医学院的 3473 名学生的回应显示，这些措施之间的相关性较弱，且分布因队列而异。PPI 与队列的关系更强，而 IdIn 与与社交媒体使用相关的学生态度中度相关。回应独立于回应格式，证据支持将 IdIn 的分数解释为身份整合的指示。
有足够的证据表明这些措施可以评估 PIF 的各个方面。这些措施可作为多维、纵向方法的一部分，用于深化对 PIF 结构的理解并制定有效的评估策略。
