McMains Kevin C, Durning Steven J, Norton Candace, Meyer Holly S
Dr. McMains : Professor, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD. Dr. Durning : Director, Center for Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD, and Professor, Department of Medicine. Norton : Instruction Librarian, Division of Library Services, National Institutes of Health Library, Bethesda, MD. Dr. Meyer : Assistant Professor, Department of Medicine, Center for Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD.
J Contin Educ Health Prof. 2023 Oct 1;43(4):254-260. doi: 10.1097/CEH.0000000000000491. Epub 2023 May 18.
Professional identity formation (PIF) is a foundational element to professional medical education and training. Given the impact of faculty role models and mentors to student and trainee learning, mapping the landscape of PIF among faculty takes on increased importance. We conducted a scoping review of PIF through the lens of situated learning theory. Our scoping review question was: How is situated learning theory used to understand the process of PIF among graduate medical educators?
The scoping review methodology described by Levac et al served as the architecture for this review. Medline, Embase, PubMed, ERIC, CINAHL, PsycINFO, and Web of Science Core Collection were searched (from inception) using a combination of terms that describe PIF among graduate medical educators.
Of the 1434 unique abstracts screened, 129 articles underwent full-text review, with 14 meeting criteria for inclusion and full coding. Significant results organized into three main themes: importance of using common definitions; evolution of theory over time with untapped explanatory power; identity as a dynamic construct.
The current body of knowledge leaves many gaps. These include lack of common definitions, need to apply ongoing theoretical insights to research, and exploration of professional identity as an evolving construct. As we come to understand PIF among medical faculty more fully, twin benefits accrue: (1) Community of practices can be designed deliberately to encourage full participation of all graduate medical education faculty who desire it, and (2) Faculty can more effectively lead trainees in negotiating the ongoing process of PIF across the landscape of professional identities.
专业身份形成(PIF)是医学专业教育与培训的一个基本要素。鉴于教师榜样和导师对学生及学员学习的影响,描绘教师群体中的PIF状况变得愈发重要。我们从情境学习理论的视角对PIF进行了一项范围综述。我们的范围综述问题是:情境学习理论如何用于理解研究生医学教育工作者的PIF过程?
Levac等人描述的范围综述方法作为本次综述的架构。使用描述研究生医学教育工作者中PIF的术语组合,对Medline、Embase、PubMed、ERIC、CINAHL、PsycINFO和科学引文索引核心合集进行了检索(自创建以来)。
在筛选的1434篇独特摘要中,129篇文章进行了全文审查,其中14篇符合纳入标准并进行了全面编码。重要结果归纳为三个主要主题:使用通用定义的重要性;理论随时间的演变及其未被挖掘的解释力;身份作为一种动态结构。
当前的知识体系存在许多空白。这些空白包括缺乏通用定义、需要将持续的理论见解应用于研究,以及将职业身份作为一个不断演变的结构进行探索。随着我们更全面地理解医学教师中的PIF,会产生双重益处:(1)可以有意设计实践社区,以鼓励所有希望参与的研究生医学教育教师充分参与,(2)教师可以更有效地引导学员在跨越职业身份领域的PIF持续过程中进行协商。