Medical Education Center, Keio University, Shinjuku, Tokyo, Japan
Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
BMJ Open. 2020 Jul 14;10(7):e035300. doi: 10.1136/bmjopen-2019-035300.
Becoming a doctor involves transforming a lay person into a medical professional, which is known as professional socialisation. However, few studies have clarified differences in the professional socialisation process in detail. The aim of this study was to clarify the process of professional socialisation of medical students to residents to staff doctors.
We used narrative analysis in qualitative research as a theoretical framework.
This study was conducted in Japan.
Participants were collected using a purposive sample of doctors with over 7 years of medical experience. We conducted semistructured interviews from September 2015 to December 2016, then used a structured approach to integrate the sequence of events into coherent configurations.
Participants were 13 males and 8 females with medical careers ranging from 8 to 30 years. All participants began to seriously consider their own career and embodied their ideal image of a doctor through clinical practice. As residents, the participants adapted as a member of the organisation of doctors. Subsequently, doctors exhibited four patterns: first, they smoothly transitioned from 'peripheral' to 'full' participation in the organisation; second, they could no longer participate peripherally but developed a professional image from individual social interactions; third, they were affected by outsiders' perspectives and gradually participated peripherally; fourth, they could not regard the hospital as a legitimate organisation and could not participate fully.
The professional socialisation process comprises an institutional theory, professional persona, legitimate peripheral participation and threshold concepts. These findings may be useful in supporting professional development.
将非医学专业人士转变为医学专业人士的过程被称为专业社会化。然而，很少有研究详细阐明专业社会化过程的差异。本研究旨在阐明医学生向住院医师再到主治医生的专业社会化过程。
我们在定性研究中使用叙事分析作为理论框架。
本研究在日本进行。
我们采用目的抽样法，选取了具有 7 年以上医学经验的医生作为参与者。我们于 2015 年 9 月至 2016 年 12 月进行了半结构式访谈，然后采用结构化方法将事件序列整合为连贯的配置。
参与者包括 13 名男性和 8 名女性，其医学职业生涯从 8 年到 30 年不等。所有参与者都开始认真考虑自己的职业，并通过临床实践体现出他们理想中的医生形象。作为住院医师，参与者适应了医生组织的成员身份。随后，医生表现出了四种模式：第一，他们从组织的“边缘”顺利过渡到“全面”参与；第二，他们虽然无法再作为边缘人员参与，但通过个人社交互动形成了专业形象；第三，他们受到外部观点的影响，逐渐边缘化参与；第四，他们无法将医院视为合法组织，无法全面参与。
专业社会化过程包括制度理论、专业形象、合法边缘参与和阈限概念。这些发现可能有助于支持专业发展。
