Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Department of Family Medicine and Institute of Health Sciences Education, McGill University, Montreal, Quebec, Canada.
Med Teach. 2023 May;45(5):485-491. doi: 10.1080/0142159X.2022.2137395. Epub 2022 Oct 26.
Supporting the development of a professional identity is a primary objective in postgraduate education. Few empirical studies have explored professional identity formation (PIF) in residency, and little is known about supervisors' perceptions of their roles in residents' PIF. In this study, we sought to understand how supervisors perceive their roles in the PIF of General Practice (GP) residents.
Guided by principles of qualitative description, we conducted eight focus groups with 55 supervisors at four General Practice training institutes across the Netherlands. Informed by a conceptual framework of PIF, we performed a thematic analysis of focus group transcripts.
Three themes related to how GP supervisors described their roles in supporting residents' PIF: supervising with the desired goal of GP training in mind; role modeling and mentoring as key strategies to achieve that goal; and the value of developing bonds of trust to support the process.
To our knowledge, this study is the first to explore PIF in GP training from the perspective of clinical supervisors. The identified themes mirror the components of the therapeutic alliance between doctors and patients from a supervisor's perspective and highlight the pivotal roles of the supervisor in a resident's PIF.
支持专业身份的发展是研究生教育的主要目标。很少有实证研究探讨住院医师的专业身份形成（PIF），也很少了解主管对其在住院医师 PIF 中的角色的看法。在这项研究中，我们试图了解主管如何看待他们在普通科医生（GP）住院医师 PIF 中的作用。
在定性描述原则的指导下，我们在荷兰四个普通科培训学院进行了八次焦点小组讨论，共有 55 名主管参加。根据 PIF 的概念框架，我们对焦点小组记录进行了主题分析。
有三个主题与 GP 主管描述他们在支持住院医师 PIF 中的角色有关：以普通科培训为目标进行监督；作为实现这一目标的关键策略，进行榜样示范和指导；以及发展信任关系以支持该过程的价值。
据我们所知，这项研究是首次从临床主管的角度探讨普通科培训中的 PIF。确定的主题反映了从主管角度看医生和患者之间治疗联盟的组成部分，并强调了主管在住院医师 PIF 中的关键作用。
