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What attitudes and values are incorporated into self as part of professional identity construction when becoming a surgeon?

Title: What attitudes and values are incorporated into self as part of professional identity construction when becoming a surgeon?
Authors: Cope, A
Bezemer, J
Mavroveli, S
Kneebone, R
Item Type: Journal Article
Abstract: Purpose: To make explicit the attitudes and values of a community of surgeons, with the aim of understanding professional identity construction within a specific group of residents. Method: Using a grounded theory method, the authors collected data from 16 postgraduate surgeons through interviews. They complemented these initial interview data with ethnographic observations and additional descriptive interviews to explore the attitudes and values learned by surgeons during residency training (2010-2013). The participants were attending surgeons and residents in a general surgical training program in a university teaching hospital in the United Kingdom. Results: Participating surgeons described learning personal values or attitudes that they regarded as core to "becoming a surgeon" and key to professional identity construction. They described learning to be a perfectionist, to be accountable, and to self-manage and be resilient. They discussed learning to be self-critical, sometimes with the unintended consequence of seeming neurotic. They described learning effective teamwork as well as learning to take initiative and be innovative, which enabled them to demonstrate leadership and drive actions and agendas forward within the health care organization where they worked. Conclusions: To the authors' knowledge, this is the first study to systematically explore the learning of professional identity amongst postgraduate surgeons. The study contributes to the literature on professional identity construction within medical education. The authors conclude that the demise of the apprenticeship model and the rise of duty hours limitations may affect not only the acquisition of technical skills but, more important, the construction of surgeon professional identity.
Issue Date: 8-Nov-2016
Date of Acceptance: 1-Nov-2016
URI: http://hdl.handle.net/10044/1/43097
DOI: https://dx.doi.org/10.1097/ACM.0000000000001454
ISSN: 1938-808X
Publisher: Association of American Medical Colleges
Start Page: 544
End Page: 549
Journal / Book Title: Academic Medicine
Volume: 92
Issue: 4
Copyright Statement: © 2016 Association of American Medical Colleges
Sponsor/Funder: Royal College Of Surgeons Of England
London Deanery
Royal College Of Surgeons Of England
Economic & Social Research Council (ESRC)
Funder's Grant Number: None
LSHA ref: XXEMEJIA
n/a
ES/I035354/1
Keywords: Social Sciences
Science & Technology
Life Sciences & Biomedicine
Education, Scientific Disciplines
Health Care Sciences & Services
Education & Educational Research
MEDICAL-STUDENTS
QUALITATIVE RESEARCH
EDUCATION
COMPETENCE
SOCIALIZATION
REFLECTION
RESIDENTS
General & Internal Medicine
1302 Curriculum And Pedagogy
Publication Status: Published
Appears in Collections:Division of Surgery
Faculty of Medicine



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