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What Experiences in Medical School Trigger Professional Identity Development?
Denise Kay1, Andrea Berry1, Nicholas A Coles1
1a Department of Medical Education , University of Central Florida College of Medicine , Orlando , Florida , USA.
Medical students experience cognitive disequilibrium during key transitions, impacting professional identity formation. Understanding these triggers helps educators guide students through vulnerable periods in medical school.
Area of Science:
- Medical Education Research
- Professional Identity Formation
- Conceptual Change Theory
Background:
- Professional identity formation is crucial for medical students.
- Conceptual change theory explains how new understandings develop through cognitive disequilibrium.
- Medical school curricula aim to develop knowledge, skills, and professional dispositions.
Purpose of the Study:
- To identify experiences in medical school that trigger cognitive disequilibrium.
- To describe students' perceptions of self-in-profession related to these experiences.
- To understand the outcomes of these disequilibrium-inducing experiences.
Main Methods:
- Qualitative inquiry using conceptual change theory.
- Data from focus groups, interviews, and student evaluations (2013-2017).
- Content analysis of audio and text data using NVivo 10 software.
Main Results:
- Four key experiences triggered cognitive disequilibrium: transition to medical school, preclinical clinical experiences, exposure to the business of medicine, and exposure to physicians.
- These experiences represent vulnerable periods in professional identity development.
- Students' perceptions of self-in-profession were altered by these events.
Conclusions:
- Specific medical school experiences can induce cognitive disequilibrium, crucial for professional identity formation.
- Educators can leverage these insights to design interventions supporting adaptive professional identity development.
- Curriculum adjustments can help students navigate challenging transitions and exposures during medical training.
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