'I don't belong anywhere': Identity and professional development in SAS doctors
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View abstract on PubMed
Summary
This summary is machine-generated.Specialist, Associate Specialist, and Specialty (SAS) doctors face challenges in professional development due to their marginalized status. Their professional identity often leads to ambiguous positioning and overlooked development needs, impacting career progression.
Area Of Science
- Medical Education
- Professional Development
- Sociology of Professions
Background
- Specialist, Associate Specialist, and Specialty (SAS) doctors are a distinct professional group within healthcare.
- This group often experiences marginalization and faces barriers to desired professional development.
- Understanding their professional identity is crucial for addressing these challenges.
Purpose Of The Study
- To explore the influence of SAS doctors' professional identity on their professional development opportunities.
- To investigate how appraisal processes address or fail to address the development needs of SAS doctors.
- To provide a theoretically informed perspective on the lived experiences of SAS doctors.
Main Methods
- Qualitative study employing in-depth, narrative interviews with ten UK-based SAS doctors.
- Participants represented diverse medical specialities and experience levels.
- Critical discourse analysis using Figured Worlds theory was applied to interview transcripts.
Main Results
- SAS doctors' professional identity contributed to an unstable and ambiguous position within the healthcare system.
- They were frequently perceived as outsiders, facing mistrust from colleagues.
- Development needs of SAS doctors were often subordinated to those of consultants and trainees, with appraisal systems inadequately addressing these issues.
Conclusions
- The lived experiences of SAS doctors often diverge from formal policy regarding their roles and development.
- There is a significant need to enhance the professional status and development opportunities for SAS doctors.
- Improvements in appraisal processes are essential for better supporting SAS doctors' career progression.
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