职工反思的叙事分析:医学学生在不断变化的世界中的身份发展
Mahino A Talib1, Richard E Greene1, Abigail Ford Winkel1
1New York University School of Medicine, New York City, New York, USA.
The clinical teacher
|September 11, 2023
概括
医学专业的学生在职务期间,在复杂的专业身份发展中进行导航. 反思揭示了学生平衡患者倡导,医疗团队整合和社会正义问题,影响了他们的未来实践.
科学领域:
- 医学教育 医学教育
- 专业身份发展 专业身份发展
- 医学中的社会文化影响
背景情况:
- 书面反思对于医学学生来说至关重要,以处理他们作为医生不断演变的角色.
- 了解学生的发展是设计有效的专业身份形成计划的关键.
研究的目的:
- 通过分析他们的职工反思,调查医学学生的专业意识的发展.
主要方法:
- 一种叙事分析方法被用于写作反思从文职生学生.
- 两个独立的读者应用了感应标签来开发主题和概念模型.
主要成果:
- 出现在四个主题:学生作为局外人,患者与团队认同之间的冲突,个人价值判断,以及社会/种族不公正等社会问题.
- 一个概念模型显示,学生被拉到患者/社会背景和医疗中心之间,寻求团队认同,同时反对与正义相冲突的医疗文化的方面.
- 学生与患者和医疗团队都强烈认同.
结论:
- 医学学生可以利用他们的双重身份来突出医学文化中的问题,并增强患者的同情心.
- 专业身份发展涉及学生积极塑造他们的角色,而不是被动过渡.
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