Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Independent Research Consultant, Halifax, Canada.
Med Teach. 2021 May;43(5):538-545. doi: 10.1080/0142159X.2021.1874326. Epub 2021 Feb 2.
While there is increasing effort among medical schools to recruit diverse students, there is a paucity of research into the unique experiences of these students during their transition to medicine. This study explored how experiences during medical school orientation influence students' transition into the medical profession.
Semi-structured interviews were conducted (April-August 2019) with 16 first-year Canadian medical students. We applied descriptive thematic analysis using a constant comparative approach. Verbatim transcripts were coded and analyzed to elucidate themes.
Participants highlighted the importance of social orientation during their transition into medical school and noted experiencing complex social pressures during this time. They shared how incoming students were introduced to the dominant medical professional identity during orientation. Participants noted tensions during this period, many of which revolved around the dominant identity and their past, present and future selves.
Longstanding issues of diversity and inclusion in medicine manifest from day one of medical school. While orientation may be intended as a transition period to welcome students into the profession, it is a crucial period for medical schools to intentionally establish a commitment to an inclusive culture. Waiting to do so after identity formation has already begun is a missed opportunity.
虽然医学院越来越努力招收多样化的学生，但对于这些学生在向医学专业过渡期间的独特经历，研究仍然很少。本研究探讨了医学生入学教育期间的经历如何影响学生向医学职业的过渡。
2019 年 4 月至 8 月，对 16 名加拿大一年级医学生进行了半结构化访谈。我们采用描述性主题分析方法，并使用恒定性比较方法进行分析。逐字记录的转录本进行编码和分析，以阐明主题。
参与者强调了在向医学院过渡期间社会导向的重要性，并指出在此期间经历了复杂的社会压力。他们分享了新生在入学教育期间如何被介绍给主导的医学专业身份。参与者注意到在此期间存在紧张局势，其中许多紧张局势围绕主导身份及其过去、现在和未来的自我展开。
医学领域长期存在多样性和包容性问题，从医学院的第一天就开始显现。虽然入学教育可能旨在作为欢迎学生进入该行业的过渡时期，但这是医学院有意建立包容性文化的关键时期。在身份形成已经开始之后才等待这样做，是错失了机会。
