Robert L. Wooten, MS, PA-C, is an assistant professor, Department of PA Studies, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Chris Gillette, PhD, is an associate professor and director of research and scholarship, Department of PA Studies, Wake Forest School of Medicine, and associate professor, Department of Epidemiology and Prevention, Winston-Salem, North Carolina.
J Physician Assist Educ. 2023 Jun 1;34(2):98-103. doi: 10.1097/JPA.0000000000000497. Epub 2023 Apr 21.
The purpose of this article is to (1) describe how professional identity intersects with physician assistants' (PAs') and PA students' racial and ethnic identities and cultural backgrounds; (2) examine how sociohistorical contexts shape professional identity in racial/ethnic minoritized PAs and PA students; and (3) identify the role of PA program administrators and faculty to address the needs of racial/ethnic minoritized PAs and PA students.
This study draws on elements of constructivist grounded theory to investigate the professional identity formation (PIF) experiences of 45 PA students and alumni from 3 institutions. Participants were recruited using a snowball method and identified as 23 Black/African American, 12 Hispanic/Latino, 6 mixed race, and 4 Native American/Indigenous. Interview data were analyzed using sociocultural theory as an analytic framework.
The results suggest that participants felt that their racial/ethnic identity was an important part of their identity, yet many indicated they experienced frequent micro- and macroaggressions from fellow students, faculty, lecturers, administrators, preceptors, patients, and supervisors. Additionally, they indicated that they need more support from their programs than what is currently provided.
The results of this study suggest that social experiences before, during, and after PA training strongly influence PIF development in racial/ethnic minoritized PAs. Administrators and professional PA organizations should evaluate methods to support those individuals who identify as a racial/ethnic minority throughout their careers.
本文的目的是:(1)描述专业身份如何与医师助理(PAs)和 PA 学生的种族和族裔身份和文化背景相交织;(2)研究社会历史背景如何塑造少数族裔 PA 和 PA 学生的专业身份;(3)确定 PA 项目管理员和教师的作用,以满足少数族裔 PA 和 PA 学生的需求。
本研究借鉴了建构主义扎根理论的元素,调查了来自 3 个机构的 45 名 PA 学生和校友的专业身份形成(PIF)经历。参与者是通过滚雪球的方法招募的,他们被确定为 23 名黑人/非裔美国人、12 名西班牙裔/拉丁裔、6 名混血儿和 4 名美国原住民/土著人。使用社会文化理论作为分析框架对访谈数据进行了分析。
结果表明,参与者认为他们的种族/族裔身份是他们身份的重要组成部分,但许多人表示,他们经常受到同学、教师、讲师、管理人员、导师、患者和主管的微侵犯和宏观侵犯。此外,他们表示,他们需要从他们的项目中获得比目前提供的更多的支持。
这项研究的结果表明,PA 培训前后的社会经历强烈影响少数族裔 PA 的 PIF 发展。管理员和专业 PA 组织应评估支持那些自认为是少数族裔的人的方法,贯穿他们的职业生涯。