Cullum Rob J, Shaughnessy Aaron, Mayat Nabilah Y, Brown Megan El
GP Trainee, Pilgrim Hospital , Boston, UK.
Medical Student, Bristol Medical School , Bristol, UK.
Educ Prim Care. 2020 Jul;31(4):200-204. doi: 10.1080/14739879.2020.1779616. Epub 2020 Jun 26.
The current COVID-19 pandemic has dramatically impacted undergraduate medical studies. Whilst challenges for knowledge and clinical skills are being actively addressed, wider considerations such as the impact on professional identity development have been mostly neglected thus far. A robust professional identity is linked to professional behaviour and has been shown to reduce burnout and be an important factor for general practice career choice amongst medical students. The Communities of Practice Model is a sociocultural approach that conceptualises the formation of professional identity through student engagement within a community. We argue the current suspension of clinical placements holds the potential to negatively influence such identity acquisition. In this commentary we explore how the Communities of Practice Model may inform professional identity development of medical students within the COVID-19 environment, considering digital communities and volunteering roles within primary care. We further encourage educators and institutions to consider professional identity in future planning to address the challenges posed by the current situation, both in terms of placement loss but also changes in the way primary care is delivered. Such considerations will be essential if we are to avoid problems relating to poor medical student professional identity development in future.
当前的新冠疫情对本科医学教育产生了巨大影响。虽然知识和临床技能方面的挑战正在得到积极应对,但迄今为止,诸如对职业身份发展的影响等更广泛的问题大多被忽视了。稳固的职业身份与职业行为相关联,并且已被证明能够减少职业倦怠,是医学生选择全科医学职业的一个重要因素。实践社区模型是一种社会文化方法,它通过学生在社区中的参与来概念化职业身份的形成。我们认为,当前临床实习的暂停有可能对这种身份的获得产生负面影响。在这篇评论中,我们探讨实践社区模型如何在新冠疫情环境下为医学生的职业身份发展提供指导,同时考虑数字社区和初级保健中的志愿角色。我们进一步鼓励教育工作者和机构在未来规划中考虑职业身份,以应对当前形势带来的挑战,这既包括实习机会的丧失,也包括初级保健提供方式的变化。如果我们要避免未来医学生职业身份发展不佳相关的问题,这些考虑将至关重要。