Department of Emergency and Critical Care Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
Department of General Internal Medicine, Okinawa Prefectural Chubu Hospital, Okinawa, Japan.
BMC Med Educ. 2024 Sep 27;24(1):1054. doi: 10.1186/s12909-024-06051-4.
This study aims to investigate the impact of short-term mandatory emergency medicine rotations on professional identity formation of Japanese junior residents. Using situated learning theory as a theoretical framework, we explore how this rotation, which is part of a two-year Junior residency in the transition period from students to qualified physicians.
We conducted a qualitative study conducting semi-structured face-to-face interviews with Year 1 postgraduate residents in the 2020-2021 classes of the junior residency program in Okinawa Chubu Hospital, Japan (n = 10). The data obtained from the interviews were analysed using inductive thematic analysis to identify the themes regarding professional identity formation.
Four main themes regarding professional identity formation emerged from the data analysis: patient care, teamwork, role models, and peers. Junior residents said they had the opportunity to participate in the emergency department community and experience training in authentic clinical contexts. Clinical exposure influenced the professional identity formation of the junior residents. Nurses and peers played a crucial role in this. Junior residents see the training in the emergency department as the beginning of their careers.
Short-term mandatory rotations enabled junior residents to integrate into the emergency department community, demonstrating autonomy and responsibility. These experiences fostered their professional identity by helping their socialisation within the community of practice.
本研究旨在探讨短期强制性急诊轮转对日本初级住院医师职业认同形成的影响。本研究以情境学习理论为理论框架，探讨了这种轮转作为从学生到合格医生的两年初级住院医师培训过渡期的一部分，如何影响职业认同的形成。
我们进行了一项定性研究，对日本冲绳中部医院初级住院医师项目 2020-2021 年的一年级研究生住院医师（n=10）进行了半结构化面对面访谈。使用归纳主题分析对访谈中获得的数据进行分析，以确定与职业认同形成相关的主题。
从数据分析中得出了四个关于职业认同形成的主要主题：患者护理、团队合作、榜样和同龄人。初级住院医师表示，他们有机会参与急诊科社区，并在真实的临床环境中体验培训。临床接触影响了初级住院医师的职业认同形成。护士和同龄人在这方面发挥了至关重要的作用。初级住院医师将在急诊科的培训视为他们职业生涯的开始。
短期强制性轮转使初级住院医师能够融入急诊科社区，表现出自主性和责任感。这些经历通过帮助他们在实践社区中社交，促进了他们的职业认同。
