School of Medicine, University of Limerick, Limerick, Ireland.
Health Research Board Primary Care Clinical Trials Network, Ireland.
Educ Prim Care. 2021 Jul;32(4):202-210. doi: 10.1080/14739879.2021.1879684. Epub 2021 Feb 14.
To explore graduates' perceptions of significant factors affecting professional identity formation (PIF) throughout their graduate medical school education journey and early practice years. A qualitative study with medical graduates using non-probability sampling. Data collected with graduates via face to face and telephone interviews. Interviews (n = 9) completed with medical graduates of the School of Medicine, University of Limerick. Graduates described their experiences in general practice, during the early patient contact programme and the longitudinal integrated clerkship (LIC) as highly influential. The lasting impact of positive role models was highlighted. The importance of socialisation and entering a community of practice were identified as drivers of professional development. Role modelling and mentorship between students and GP tutors were pivotal as part of early clinical years and clinical LIC. This seemed to have a positive influence on graduate's consideration of general practice as a future career pathway. Professional identity formation occurs for medical students who participate in early patient contact programmes and longitudinal integrated clerkships in GP. Factors such as positive role modelling, good mentorship, communities of practice and a positive learning environment appear to be the main contributors to this process. Experiences as part of longitudinal integrated clerkships are meaningful for graduates, regardless of postgraduate specialisation choices. Educators should acknowledge this when designing medical curricula to ensure that students' professional identity formation is optimally facilitated. Training should be available to support the educators involved in longitudinal integrated clerkships, as they become role models and mentors to students.
探讨医学生在研究生医学教育和早期实践过程中对影响专业身份形成（PIF）的重要因素的看法。这是一项使用非概率抽样的医学毕业生的定性研究。通过面对面和电话访谈向毕业生收集数据。与利默里克大学医学院的医学毕业生完成了 9 次访谈。毕业生描述了他们在普通科实践、早期接触患者计划和纵向综合实习（LIC）中的经历，认为这些经历具有高度影响力。积极榜样的持久影响得到了强调。社会化和进入实践社区被认为是专业发展的驱动因素。学生和全科导师之间的角色扮演和指导在早期临床年和临床 LIC 中至关重要。这似乎对毕业生考虑将全科医学作为未来职业道路产生了积极影响。参与早期接触患者计划和普通科纵向综合实习的医学生会形成专业身份。积极的榜样、良好的指导、实践社区和积极的学习环境等因素似乎是这一过程的主要促成因素。纵向综合实习的经历对毕业生来说是有意义的，无论他们是否选择了研究生专业。教育工作者在设计医学课程时应考虑到这一点，以确保学生的专业身份形成得到最佳促进。应提供培训，以支持参与纵向综合实习的教育工作者，因为他们成为学生的榜样和导师。
