韩国医生实习经历和职业认同发展的共识定性研究。

Consensual qualitative research on the internship experience and development of career identity of Korean doctors.

机构信息

Chungnam National University Hospital, Planning & Budget Division, Daejeon and Department of Human Resource Development, Korea University of Technology and Education, Cheonan, South Korea.

Department of Surgery, Chungnam National University College of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon, 301-721, South Korea.

出版信息

BMC Med Educ. 2021 Jan 6;21(1):12. doi: 10.1186/s12909-020-02451-4.

DOI:10.1186/s12909-020-02451-4

PMID:33407394

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786501/

Abstract

BACKGROUND

Career identity is defined as the ability to substantialise career goals and results from the social learning process achieved through interactions with others. This study aimed to understand how the internship experience in Korea affects career identity, which provides a foundation for developing professional values while promoting personal goals and aspirations.

METHODS

We conducted eleven semi-structured interviews with interns at a university hospital in Korea who had completed internships and chosen a speciality. The interview transcripts underwent inductive thematic analysis using consensual qualitative research approaches. Themes identified were categorised from three domains for the year-long internship experience: personal cognitive, social interaction, and system domains.

RESULTS

Researchers derived seven categories and 20 subcategories from the transcripts: (1) self-reflection throughout internship training, (2) practical awareness of the internship programme's operation, (3) perception of individual competence, (4) recognition of mentor importance, (5) situational awareness in the clinical department, (6) relationship experience, and (7) experience of institutional limitations. The internship experience, during which the individual is in charge and core values drive career decisions, is important for the formation of career identity and career orientation. The internship programme provides information about the clinical department to applicants seeking residency and serves a mediating role, providing information about applicants to the clinical departments. Internship is an important period during which career identity is formed.

CONCLUSION

The internship programme provides information about clinical departments to applicants seeking residency; it is an important period during which career identity is formed. This study helps provide an in-depth understanding of interns and a base for developing institutional and policy support for students during an uncertain time when specialties should be selected.

摘要

背景

职业认同是指通过与他人的互动从社会学习过程中实现职业目标和成果的能力。本研究旨在了解在韩国的实习经历如何影响职业认同，这为发展专业价值观提供了基础，同时促进了个人目标和愿望。

方法

我们对在韩国一所大学附属医院完成实习并选择专业的实习生进行了 11 次半结构化访谈。使用共识定性研究方法对访谈记录进行了归纳主题分析。从为期一年的实习经历的三个领域（个人认知、社会互动和系统）对确定的主题进行了分类。

结果

研究人员从记录中得出了七个类别和 20 个子类别：（1）实习培训期间的自我反思，（2）对实习计划运作的实际了解，（3）对个人能力的感知，（4）对导师重要性的认识，（5）临床科室的情境意识，（6）关系经验，（7）机构限制的经验。实习经历对于职业认同和职业定位的形成非常重要，因为在实习期间个人负责并且核心价值观驱动职业决策。实习计划向寻求住院医师职位的申请人提供有关临床科室的信息，并在申请人和临床科室之间起到中介作用。实习是形成职业认同的重要时期。