First entrants in a new medical specialty: Resolving relational ambivalence during Dutch hospitalists' identity formation
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View abstract on PubMed
Summary
This summary is machine-generated.First entrants in Dutch hospital medicine navigate dual professional identity formation, facing tensions and ambivalence. Three distinct pathways emerge, influencing their professional selves and specialty contributions.
Area Of Science
- Medical Education
- Sociology of Professions
- Organizational Psychology
Background
- Dutch hospital medicine, a new specialty introduced in 2012, faced long-standing controversy.
- First entrants into novel health occupations often experience identity ambiguity and a sense of "in-betweenness".
Purpose Of The Study
- To analyze professional identity formation and outcomes among early adopters of Dutch hospital medicine.
- To explore the dual process of forming individual professional selves alongside the specialty's identity.
Main Methods
- Qualitative case study utilizing 93 interviews and supplementary sources.
- In-depth analysis of nine hospitalists' trajectories, with 11 validating accounts.
Main Results
- Dual identity formation in new occupations creates role-based tensions and relational ambivalence among peers and seniors.
- First entrants resolved ambivalence through three distinct pathways: specialty-oriented pioneering, self-oriented role development, and career-oriented struggling.
- These pathways led to varied outcomes in professional self-perception and contribution to the specialty.
Conclusions
- Highlights the relational ambivalence inherent in dual professional identity formation for pioneers in new health occupations.
- Proposes a model of distinct pathways for future research and informs guidance strategies for senior professionals.
- Emphasizes that first entrants are not a homogeneous group, necessitating tailored support and understanding.
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