Moving targets: Medical resident professional identity formation in interprofessional teams

Mastalerz, Katarzyna; Jordan, Sarah; Townsley, Nikki C.

doi:10.1016/j.xjep.2021.100422

Cited by 4 publications

(5 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, establishing effective communication with patients is considered one of the main competencies in clinical practice, and using the clinical knowledge of physicians in their daily practice (2). Mastalerz et al, in his study, suggested that medical resident PIF evolved throughout residency and was strongly influenced by inter and intra-professional interactions, even in optimal interprofessional clinical learning environments (14). In this study, exposure to patient was considered as the best experience for many clinical students during their medical studies.…”

Section: Discussionmentioning

confidence: 83%

Explaining the Role of Experiences in Shaping the Professional Identity of Medical Residents of Tehran University Medical Sciences

2023

View full text Add to dashboard Cite

Background: The important central theme in the career is one’s professional self-concept based on attributes, beliefs, values, motives, and experiences regarding the professional identity. Recently, there has been a growing interest in how a physician's professional identity is shaped by education and experience. Objectives: This study aimed to illuminate the role of experience in shaping the professional identity of Tehran University of Medical Sciences medical residents. Methods: Eighteen 26 - 40 years old residents (male and female) in four Major specialty groups, including obstetrics and gynecology, surgery, and internal medicine, participated in this qualitative content analysis study. Sampling was done in four specialty hospitals of Tehran University of Medical Sciences. Data were gathered through semi-structured in-depth interviews and analyzed by conventional content analysis. Results: Results showed four main categories of effective experiences in Shaping of residents' professional identity formation, including interpersonal communication experiences, independent professional work, general medical education course, knowledge, and educational background.in this study also, sub-categories extracted from the findings were: (1) Forced scheme; (2) symbolic events; (3) learnt competencies of GP; (4) beneficial reforms and integration in general medical education; (5) the education quality level among families; and (6) the education quality level among schools and institutes. Conclusions: This study demonstrated that the previous unique constructive experiences of assistants are one of the most important underlying factors in shaping their professional identity. Interpersonal communication experiences, independent professional work, general medicine training courses, and knowledge and educational background are the unique experiences of any assistant. By creating constructive experiences, it is possible to positively affect the formation of the professional identity of the assistants so that they can be accountable to society.

show abstract

Section: Discussionmentioning

confidence: 83%

Explaining the Role of Experiences in Shaping the Professional Identity of Medical Residents of Tehran University Medical Sciences

2023

View full text Add to dashboard Cite

show abstract

“…Interview topics included: perceptions of working in the clinical microsystem, experiences with teamwork, and perspectives on structured bedside IDR in interprofessional settings. The interview guides were initially piloted with residents and attendings for clarity (Supporting Information S1: Appendix ) 25 . Interviews and focus groups lasted up to 70 min.…”

Section: Methodsmentioning

confidence: 99%

“…The interview guides were initially piloted with residents and attendings for clarity (Supporting Information S1: Appendix 1). 25 Interviews and focus groups lasted up to 70 min. Focus groups included no more than seven participants.…”

Section: Data Collectionmentioning

confidence: 99%

See 1 more Smart Citation

“We're all truly pulling in the exact same direction”: A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds

Mastalerz,

Jordan,

Townsley

2024

Journal of Hospital Medicine

Self Cite

View full text Add to dashboard Cite

BackgroundPhysicians often hold leadership roles in implementing interdisciplinary rounds (IDR) in clinical settings, thus understanding physician perspectives of bedside IDR is crucial.ObjectiveTo understand physicians' perspectives of structured bedside IDR.DesignQualitative descriptive study.Setting and ParticipantsMedical and transitional year resident and hospitalist physicians participating in structured bedside IDR in a community teaching hospital affiliated with a large academic center.MethodsWe conducted semi‐structured interviews and focus groups with study participants about their experiences with participating in structured bedside IDR between July 2017 and April 2018. All interviews were recorded and professionally transcribed. We used thematic analysis to identify key themes.ResultsWe interviewed 41 resident physicians and 10 hospitalist physicians and discovered five key themes that highlight physician impressions of bedside IDR. Bedside IDR decreased unnecessary care, screened for risks/errors, created a shared mental model of care, and increased physician empathy for the patient and the interprofessional care team. Physicians felt patients valued the streamlined communication they experienced but questioned the intrusiveness of large healthcare teams. Challenges to bedside IDR included the meaningful engagement of key stakeholders and, particularly for resident physicians, the difficultly of managing unstandardized communication in a standardized time‐sensitive setting.ConclusionsStructured bedside IDR have the capacity to improve patient care, interprofessional teamwork, and physician empathy for patients and the interprofessional team. However, sustained leadership support and clearly defined rounds goals and objectives are necessary ingredients to maximize the benefits and address the challenges of bedside IDR.

show abstract

“…We assessed whether, over time, an individual first‐year resident's predominant conflict management mode changed; whether first‐year residents as a whole used each conflict management mode differently; and whether they moved towards a common conflict management profile. We selected paediatric first‐year residents because these learners undergo a considerable amount of professional identity formation during their first year, we hoped to narrow the scope of the work to focus on a more homogenous population and the paediatric discipline requires effective conflict management strategies to navigate complex conflicts involving parents, caregivers, patients and interdisciplinary professionals 8 . The first year of residency is a foundational period of education during which trainees have true responsibility, are called ‘doctor’ and are at the forefront of conflict for the first time.…”

Section: Introductionmentioning

confidence: 99%

Evolution of conflict management style during first year of paediatric residency

Kulesa

Escalante

Olsen

et al. 2023

The Clinical Teacher

View full text Add to dashboard Cite

BackgroundFirst‐year residents frequently encounter conflict during their training. Residents' conflict management strategies can influence patient safety, quality of care and perceptions of performance on competency evaluations. Existing literature inadequately describes how first‐year resident conflict management styles evolve over time.ObjectiveThe objective of this study is to assess if and how conflict management styles change during first year of paediatric residency in the United States.MethodsIn 2021–2022, we conducted a non‐experimental, longitudinal, survey study of first‐year residents from 16 US‐based paediatric residency programmes. Using the Thomas–Kilmann Conflict Mode Instrument, we scored first‐year residents' use of five conflict management modes twice, 6 months apart. We calculated the percentage of first‐year residents who experienced a change in predominant conflict management mode and assessed for changes in score and variance for each conflict management mode.ResultsFifty‐seven (18%) first‐year residents participated in the first survey. Of those, 45 (14%) also completed the follow‐up survey. Nonresponse bias analysis showed no significant difference in scores for early and late respondents or for second‐survey respondents and non‐respondents. Half of respondents experienced a change in predominant conflict management mode, but the distribution of predominant modes remained largely unchanged. When residents changed modes, they typically moved from one low‐assertiveness mode, such as avoiding or accommodating, to the other. Only the use of the compromising conflict management mode significantly decreased. Variance did not significantly change.ConclusionsThe overall lack of change in conflict management style may suggest the need for specific and focused educational interventions to help residents adjust their conflict handling strategies.

show abstract

Moving targets: Medical resident professional identity formation in interprofessional teams

Cited by 4 publications

References 41 publications

Explaining the Role of Experiences in Shaping the Professional Identity of Medical Residents of Tehran University Medical Sciences

Explaining the Role of Experiences in Shaping the Professional Identity of Medical Residents of Tehran University Medical Sciences

“We're all truly pulling in the exact same direction”: A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds

Evolution of conflict management style during first year of paediatric residency

Contact Info

Product

Resources

About