在农村医生中,专业身份形成的"整合"在他们的专业和个人身份之间经历了相互作用
Junichiro Miyachi1,2, Miho Iwakuma3, Hiroshi Nishigori4
1Center for Medical Education, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho Showa-ku Nagoya, Aichi, 466-8560, Japan. junmya80@gmail.com.
概括
农村医生的专业身份形成是多样化的,挑战当前的模式. 了解这些多样化的经验对于包容性医学教育和实践至关重要.
科学领域:
- 医学教育 医学教育
- 卫生社会学 卫生社会学
- 专业身份研究 专业身份研究
背景情况:
- 目前的专业身份形成模式不足以代表少数民族医生.
- 农村医生面临着独特的社会文化背景和伦理复杂性,类似于少数民族医生.
- 现有的框架可能会忽视非城市环境中医生的多样化经验.
研究的目的:
- 探索农村地区早期到职业生涯中期的日本医生的专业身份形成经验.
- 解决关于农村医生身份发展代表性不足的研究缺口.
- 分析农村医生如何在当地社区中进行个人和职业生活.
主要方法:
- 对12名日本农村医生的采访进行了叙事分析.
- 利用图形世界理论来解释参与者的词汇,表达式和隐喻.
- 专注于医生如何在社区中配置个人与专业参与.
主要成果:
- 一个中心主题揭示了农村医生如何在当地社区中配置个人和专业参与.
- 根据世界观框架确定了四种不同的身份叙述,说明了多样化的社区参与.
- 在医生如何构建他们的身份,社区,关系和未来理想方面发现了显著的差异.
结论:
- 农村医生表现出多样化的身份形成过程,挑战单一的观点.
- 当前的专业身份形成框架可能是有偏见的,忽视了在多个社区的复杂参与.
- 修订框架以捕捉多方面的参与和"融合话语"是全面理解的必要条件.
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