Development of a scale to evaluate medical professional identity formation

Development of a scale to evaluate medical professional identity formation
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DOI:
10.1186/s12909-019-1499-9
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发表时间:
2019-02-28
影响因子:
3.6
通讯作者:
Tagawa, Masami
Tagawa, Masami
中科院分区:
医学3区
文献类型:
--
作者:
Tagawa, Masami

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医学教育者关注职业认同的形成(PIF),这是一个心理发展和社会实践的过程。本研究旨在开发一种工具来评估PIF,可以应用于大量的医学实习生。方法采用自填问卷,问卷内容包括医师的工作重点、行为标准、态度和情绪控制,以及医师的背景和经验。参与者被分为四组:鹿儿岛大学四、六年级医学生和二年级住院医生,以及经验丰富的医生(指导员)。结果对318名被调查者的数据进行因子分析和分组比较,编制了包含15个项目的量表。DS有一个五因素结构,评估作为专业人员的自我控制(因素1),作为医生的意识(因素2),作为医生的反思(因素3),履行社会责任(因素4),外部和内部的自我协调(因素5)。指导员的DS平均得分显著高于住院医师(p
BackgroundMedical educators now focus on professional identity formation (PIF), which is a process of psychological development and socialization in the community of practice. This study aimed to develop an instrument to evaluate PIF that can be applied to a large group of medical trainees.MethodsA self-administered questionnaire was created with items on priorities, behavior standards, attitudes, and emotional control of well-developed physicians, in addition to items on their background and experience in playing the role of a physician. The participants were divided into four respondent groups: 4th- and 6th-year medical students and 2nd-year residents at Kagoshima University, and experienced medical doctors (instructors).ResultsUsing factor analysis of data from 318 respondents and respondent group comparison, a developing scale (DS) with 15 items was created.The DS has a five-factor structure and evaluates self-control as a professional (factor 1), awareness of being a medical doctor (factor 2), reflection as a medical doctor (factor 3), execution of social responsibility (factor 4), and external and internal self-harmonization (factor 5). The mean DS score of the instructors was significantly higher than that of the residents (p